Question

A 70 year old woman presents with atraumatic vertebral fracture after minimal trauma. DEXA scan confirms osteoporosis with a T score of minus 2.8. What is the most appropriate first line pharmacological treatment to reduce future fracture risk?

Accepted Answer

Oral bisphosphonate such as Alendronate

Answer

High dose calcium supplements alone

Answer

Regular paracetamol only

Answer

High dose systemic corticosteroids

Answer

HRT in all cases regardless of risk

Practice question

A 70 year old woman presents with atraumatic vertebral fracture after minimal trauma. DEXA scan confirms osteoporosis with a T score of minus 2.8. What is the most appropriate first line pharmacological treatment to reduce future fracture risk?