Order endocrine disease assessment
B. reassure the patient and say that the
pain will resolve spontaneously
C. request a bone density scan
D. start a bisphosphonate
E. start calcium and vitamin D supplementation
Which one of the following is a major
feature of an atypical femoral fracture,
according to standardised definitions?
A. bilateral incomplete or complete femoral diaphysis fractures
B. delayed fracture healing
C. generalised increase in cortical thickness of the femoral diaphyses
D. the fracture is associated with minimal or no trauma, as in a fall from a
standing height or less
E. unilateral or bilateral prodromal
symptoms such as dull or aching pain
in the groin or thigh
An 82-year-old woman comes to the
clinic, having suffered a left Colles’
fracture after falling on ice. She smokes
five cigarettes per day and has hypertension and gastro-oesophageal reflux disease. Her blood pressure is 134/84 mmHg;
her pulse is 67 bpm and regular. Her body
mass index (BMI) is 21 kg/m2. She has
been started on calcium and vitamin D
by her general practitioner.
Which of the following is the most
appropriate initial intervention?
A. continue calcium and vitamin D only
Which of the following is thought to
be a risk factor for osteoporosis which is
independent of bone mineral density?
B. chronic liver disease
C. chronic renal disease
D. endocrine disease
Which of the following statements is
true about denosumab and its associated
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