Question

A 68-year-old postmenopausal woman with no fracture history attends your family practice. She has no major secondary causes of osteoporosis. According to the 2023 CTFPHC guideline on fragility fracture prevention, what is the recommended initial screening approach for a woman like her?

Accepted Answer

Use FRAX or a Canadian fracture risk calculator without initial BMD, and consider BMD if pharmacotherapy is being contemplated

Answer

Order bone mineral density (BMD) testing for all women >=50 years

Answer

Offer annual spine radiographs to detect vertebral fractures

Answer

Do not screen women for fracture risk until they have a low-trauma fracture

Answer

Order BMD every 2 years regardless of risk factors

Practice question

A 68-year-old postmenopausal woman with no fracture history attends your family practice. She has no major secondary causes of osteoporosis. According to the 2023 CTFPHC guideline on fragility fracture prevention, what is the recommended initial screening approach for a woman like her?