A 65-year-old woman with rheumatoid arthritis on chronic prednisone 10 mg daily presents with hip pain after a fall from standing height. X-ray confir...

Question

A 65-year-old woman with rheumatoid arthritis on chronic prednisone 10 mg daily presents with hip pain after a fall from standing height. X-ray confirms a fragility fracture of the neck of femur. According to Canadian osteoporosis guidelines, what is the MOST appropriate next management step in addition to fracture care and calcium/vitamin D?

Accepted Answer

Start a bisphosphonate such as alendronate

Answer

Reassure; no specific therapy is needed

Answer

Order bone mineral density (BMD) test and wait for results before treating

Answer

Start hormone replacement therapy

Answer

Start calcitonin nasal spray only

ca-mccqe1 MCQ (SBA): Osteoporosis with fragility fracture