Question

A 65-year-old woman with osteoporosis has a T-score of -2.8 at the femoral neck and a prior fragility fracture. According to Canadian osteoporosis guidelines, which pharmacologic therapy is first-line?

Accepted Answer

Oral bisphosphonate such as alendronate

Answer

Calcium and vitamin D alone

Answer

Hormone replacement therapy for all postmenopausal women

Answer

Calcitonin nasal spray

Answer

Teriparatide as first-line in all cases

Practice question

A 65-year-old woman with osteoporosis has a T-score of -2.8 at the femoral neck and a prior fragility fracture. According to Canadian osteoporosis guidelines, which pharmacologic therapy is first-line?