16 board-style questions on osteoporosis in the PulseMD family medicine question bank, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.
A 65-year-old postmenopausal woman undergoes DEXA scanning. Her T-score is -2.8 at the lumbar spine and -2.3 at the femoral neck. She has no history of fractures. She takes calcium 1200 mg and vitamin D 1000 IU daily. Her 25-hydroxyvitamin D level is 32 ng/mL, and renal function is normal. What is the most appropriate pharmacologic treatment?
A 68-year-old woman undergoes her first DEXA scan. Results show a lumbar spine T-score of -1.8 and a femoral neck T-score of -2.3. She has no history of fragility fractures. Her FRAX 10-year probability of major osteoporotic fracture is 22% and hip fracture is 4.5%. She takes no medications and has adequate calcium and vitamin D intake. Her renal function and serum calcium are normal. What is the most appropriate management?
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