A 68-year-old woman sustains a low-trauma distal radius fracture after tripping from standing height. Bone mineral density testing shows a T-score of ...

Question

A 68-year-old woman sustains a low-trauma distal radius fracture after tripping from standing height. Bone mineral density testing shows a T-score of −2.3 at the femoral neck. According to Osteoporosis Canada, what is the most appropriate management?

Accepted Answer

Start anti-resorptive therapy such as an oral bisphosphonate

Answer

Reassure that pharmacotherapy is not needed because T-score is greater than −2.5

Answer

Recommend calcium and vitamin D only

Answer

Order vertebral fracture assessment but withhold treatment until results are available

Answer

Delay treatment until she has a second fragility fracture

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

A 68-year-old woman sustains a low-trauma distal radius fracture after tripping from standing height. Bone mineral density testing shows a T-score of −2.3 at the femoral neck. According to Osteoporosis Canada, what is the most appropriate management?