Question

A 70-year-old woman with a previous fragility hip fracture has a T-score of −2.7 at the femoral neck and a 10-year major osteoporotic fracture risk above 20 percent on FRAX. According to Osteoporosis Canada 2023 guidelines, what is the most appropriate management?

Accepted Answer

Start anti-resorptive therapy such as a bisphosphonate

Answer

Reassure her because bone loss is expected with age

Answer

Recommend calcium and vitamin D alone without pharmacotherapy

Answer

Start anabolic therapy only if she has a second fracture

Answer

Offer no treatment and repeat bone density in 10 years

Practice question

A 70-year-old woman with a previous fragility hip fracture has a T-score of −2.7 at the femoral neck and a 10-year major osteoporotic fracture risk above 20 percent on FRAX. According to Osteoporosis Canada 2023 guidelines, what is the most appropriate management?