Question

A 72-year-old Aboriginal woman from a remote community presents after sustaining a low-trauma vertebral fracture from standing height. She has never had bone density testing. Which of the following best reflects appropriate preventive care in this context, according to the RACGP Silver Book and National Guide?

Accepted Answer

She should have early bone density assessment and aggressive fracture prevention including pharmacotherapy, due to higher burden of risk factors

Answer

She does not need osteoporosis assessment because fractures are common in older people

Answer

Osteoporosis assessment and treatment thresholds should be applied later in Aboriginal and Torres Strait Islander people

Answer

Calcium supplementation alone is sufficient prevention in this population

Answer

Osteoporosis is rare in Aboriginal and Torres Strait Islander people so no action is required

Practice question