Question

A 72-year-old woman with a history of falls attends your clinic. She has osteopenia on DEXA scan and takes chronic prednisone 10 mg daily for polymyalgia rheumatica. According to Canadian osteoporosis guidelines, what is the most appropriate management?

Accepted Answer

Start bisphosphonate therapy and ensure adequate calcium and vitamin D intake

Answer

No pharmacologic treatment is required for osteopenia

Answer

Stop vitamin D to avoid hypercalcaemia

Answer

Use calcitonin nasal spray alone

Answer

Rely on exercise only

Practice question

A 72-year-old woman with a history of falls attends your clinic. She has osteopenia on DEXA scan and takes chronic prednisone 10 mg daily for polymyalgia rheumatica. According to Canadian osteoporosis guidelines, what is the most appropriate management?