A 72-year-old woman with well-controlled hypertension and osteoarthritis presents for preventive care. She has never had fragility fractures. Accordin...

Question

A 72-year-old woman with well-controlled hypertension and osteoarthritis presents for preventive care. She has never had fragility fractures. According to the 2023 CTFPHC fragility fracture screening guideline, which approach is most appropriate?

Accepted Answer

Assess fracture risk using FRAX then decide on bone mineral density testing and pharmacotherapy

Answer

Order a bone mineral density test for all women over 65 without risk assessment

Answer

Do not assess fracture risk because she has no fractures

Answer

Start bisphosphonate therapy empirically based on age alone

Answer

Measure serum vitamin D only to assess fracture risk

ca-mccqe1 MCQ (SBA): Osteoporosis and fracture risk assessment

A 72-year-old woman with well-controlled hypertension and osteoarthritis presents for preventive care. She has never had fragility fractures. According to the 2023 CTFPHC fragility fracture screening guideline, which approach is most appropriate?