A 48-year-old man is started on high-dose prednisolone for severe autoimmune disease. According to osteoporosis prevention strategies, which measure s...

Question

A 48-year-old man is started on high-dose prednisolone for severe autoimmune disease. According to osteoporosis prevention strategies, which measure should be considered at the start of long-term glucocorticoid therapy?

Accepted Answer

Initiate bone-protective therapy such as a bisphosphonate based on fracture risk assessment and ensure calcium/vitamin D

Answer

No preventive therapy is needed until fracture occurs

Answer

Avoid DEXA scanning as it is unreliable on steroids

Answer

Recommend stopping all weight-bearing exercise

Answer

Use only calcium supplements without further assessment

ca-mccqe1 MCQ (SBA): Glucocorticoid-induced osteoporosis prevention

A 48-year-old man is started on high-dose prednisolone for severe autoimmune disease. According to osteoporosis prevention strategies, which measure should be considered at the start of long-term glucocorticoid therapy?