A 68-year-old woman with a prior low-trauma wrist fracture has a T-score of −2.7 at the femoral neck on dual-energy X-ray absorptiometry. She has no c...

Question

A 68-year-old woman with a prior low-trauma wrist fracture has a T-score of −2.7 at the femoral neck on dual-energy X-ray absorptiometry. She has no contraindications to bisphosphonates. According to Osteoporosis Canada guidance, what is the most appropriate next step?

Accepted Answer

Initiate bisphosphonate therapy such as alendronate

Answer

Reassure and repeat bone density in 5 years

Answer

Advise calcium and vitamin D only

Answer

Order spinal MRI urgently

Answer

Start systemic corticosteroids

ca-mccqe1 MCQ (SBA): Osteoporosis

A 68-year-old woman with a prior low-trauma wrist fracture has a T-score of −2.7 at the femoral neck on dual-energy X-ray absorptiometry. She has no contraindications to bisphosphonates. According to Osteoporosis Canada guidance, what is the most appropriate next step?