Question

A 63-year-old woman presents after a low-impact fall from standing height, resulting in a Colles’ fracture. She has a history of long-term oral Prednisolone use for COPD. According to NICE osteoporosis risk assessment guidance, what is the most appropriate next step?

Accepted Answer

Use FRAX or QFracture to assess fracture risk and consider bone-sparing treatment

Answer

Reassure as the fracture is due to trauma

Answer

Arrange DEXA scan only if another fracture occurs

Answer

Start high-dose Vitamin D alone without risk assessment

Answer

No action is required if the fracture has healed

Practice question

A 63-year-old woman presents after a low-impact fall from standing height, resulting in a Colles’ fracture. She has a history of long-term oral Prednisolone use for COPD. According to NICE osteoporosis risk assessment guidance, what is the most appropriate next step?