QuestionSBA
QuestionChoice
A DEXA scan measures bone mineral density and is used to diagnose osteoporosis. Whilst the patient has risk factors for osteoporosis (fracture and stooped posture), the forward flexion of the spine suggests an additional issue.
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b
Order a DEXA scan
QuestionChoice
Bisphosphonates are used to treat osteoporosis. The diagnosis should be confirmed first before starting treatment.
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d
Prescribe bisphosphonate medication
QuestionChoice
Lifestyle modifications are essential for overall health, but the stooped posture and fractures suggest an underlying condition requiring evaluation.
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e
Recommend lifestyle modifications, including dietary changes
QuestionChoice
This is a reasonable next step to address the patient's risk of falls. However, the underlying condition of the patient's presentation should be investigated first.
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c
Initiate physiotherapy and balance exercises
QuestionChoice
An MRI can help evaluate the spine for possible compression fractures and other structural abnormalities. Given the patient's stooped posture and fractures, this is the most appropriate step.
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a
Order an MRI of the spine
Concept
Chapter
2693
4616
Osteoporosis
Topic
170
Clinical Chemistry
18021
A 67-year-old man presents with a stooped posture and a history of falling twice in the last year, leading to a fractured arm.

He is not taking any medications and is independent at home.

On examination, there is a forward flexion of the thoracolumbar spine and a loss of height. There is no evidence of muscle weakness or sensory deficits.

What is the next appropriate step in the management of this patient's condition?
a