Question

A 60-year-old woman with newly diagnosed osteoporosis (T-score -2.8 at the femoral neck) and prior low-trauma wrist fracture is reviewed. According to Canadian osteoporosis guidelines, what is the most appropriate initial pharmacologic therapy?

Accepted Answer

Bisphosphonate such as alendronate

Answer

Calcium and vitamin D alone

Answer

Calcitonin nasal spray

Answer

Teriparatide as first-line in all cases

Answer

No treatment is required

Practice question

A 60-year-old woman with newly diagnosed osteoporosis (T-score -2.8 at the femoral neck) and prior low-trauma wrist fracture is reviewed. According to Canadian osteoporosis guidelines, what is the most appropriate initial pharmacologic therapy?