Question

A 68-year-old woman with a prior vertebral compression fracture and a T-score of -2.6 at the femoral neck is assessed in family practice. Her FRAX 10-year major osteoporotic fracture risk is 28%. According to the 2023 Osteoporosis Canada guideline, what is the most appropriate management?

Accepted Answer

Initiate pharmacologic therapy with an oral bisphosphonate

Answer

Reassure and repeat bone mineral density in 5 years

Answer

Start calcium and vitamin D only

Answer

Recommend exercise but no medication because she already fractured

Answer

Order spinal MRI only and defer treatment until results are known

Practice question

A 68-year-old woman with a prior vertebral compression fracture and a T-score of -2.6 at the femoral neck is assessed in family practice. Her FRAX 10-year major osteoporotic fracture risk is 28%. According to the 2023 Osteoporosis Canada guideline, what is the most appropriate management?