18 board-style questions on osteoporosis in the PulseMD family medicine question bank — physician-reviewed, 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 67-year-old postmenopausal woman is diagnosed with osteoporosis after a DEXA scan reveals a femoral neck T-score of -2.7. She has no history of fragility fractures, esophageal disorders, or renal impairment (eGFR 82 mL/min). She takes calcium 1200 mg and vitamin D 1000 IU daily. She is started on alendronate 70 mg weekly. Which of the following instructions is most important to ensure medication safety and efficacy?
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