Question

A 67-year-old postmenopausal woman has a DXA T‑score of −2.7 at the femoral neck and no prior fractures. Calcium/vitamin D intake is adequate. What is recommended?

Accepted Answer

Start weekly oral alendronate

Answer

No pharmacotherapy; repeat DXA in 2 years

Answer

Raloxifene first line for fracture prevention

Answer

Calcitonin nasal spray

Answer

Denosumab only if T‑score < −3.0

Practice question

A 67-year-old postmenopausal woman has a DXA T‑score of −2.7 at the femoral neck and no prior fractures. Calcium/vitamin D intake is adequate. What is recommended?