Question

A 63-year-old postmenopausal woman with a low-trauma vertebral fracture is assessed in clinic. Bone mineral density T-score at the femoral neck is −2.3. She has no secondary causes of osteoporosis. According to the 2023 Osteoporosis Canada guideline, which statement is most accurate regarding treatment?

Accepted Answer

She should receive pharmacologic treatment because a prior fragility fracture places her at high fracture risk

Answer

She is low risk because her T-score is above −2.5 and does not require pharmacologic therapy

Answer

Calcium and vitamin D supplementation alone are sufficient to reduce her future fracture risk

Answer

Pharmacologic therapy should be delayed until T-score is <−3.0

Answer

Exercise alone is adequate because pharmacologic therapy provides minimal benefit in vertebral fractures

Practice question