A 81-year-old woman is reviewed in the GP surgery. She has a FRAX 10-year probability of major osteoporotic fracture of 22% and hip fracture of 6%. Sh...

Question

A 81-year-old woman is reviewed in the GP surgery. She has a FRAX 10-year probability of major osteoporotic fracture of 22% and hip fracture of 6%. She has no previous fractures. She weighs 55 kg. According to NICE NG188, what is the MOST appropriate next investigation?

Accepted Answer

Request a DXA scan to measure bone mineral density

Answer

Start Alendronic acid without further investigation

Answer

Request a CT scan of the lumbar spine

Answer

Request a bone biopsy

Answer

No further investigation is needed - her FRAX score is below the treatment threshold

uk-dgm MCQ (SBA): FRAX and DXA in Osteoporosis Assessment

A 81-year-old woman is reviewed in the GP surgery. She has a FRAX 10-year probability of major osteoporotic fracture of 22% and hip fracture of 6%. She has no previous fractures. She weighs 55 kg. According to NICE NG188, what is the MOST appropriate next investigation?