A 68‑year‑old woman presents after a low‑impact fall causing a Colles fracture. She has a history of rheumatoid arthritis treated with long‑term predn...

Question

A 68‑year‑old woman presents after a low‑impact fall causing a Colles fracture. She has a history of rheumatoid arthritis treated with long‑term prednisone 7.5 mg daily. A DXA scan shows T‑score −2.8 at the femoral neck. According to Australian osteoporosis guidelines, what is the most appropriate pharmacological management?

Accepted Answer

Oral bisphosphonate therapy (e.g. alendronate) plus calcium and vitamin D

Answer

Calcium and vitamin D supplements alone

Answer

Hormone replacement therapy

Answer

Denosumab only

Answer

No treatment beyond fracture care

au-amc MCQ (SBA): Glucocorticoid‑induced osteoporosis