Question
60 year old elderly female with previous h/o colles fracture is complaining of backache. Which of the given statement is wrong in relation to treatment of this patient
| A. |
Teriparatide should be started before supplementing bisphosphonates
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| B. |
Bisphosphonates not given for more than a yea
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| C. |
Calcium requirement is 1200mg per day
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| D. |
Oral vit D3 given along with orl calcium
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Show Answer
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Correct Answer � A
Explanation
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The incorrect statement in relation to the treatment of a 60-year-old elderly female with a previous history of Colles fracture and backache is indeed: A. Teriparatide should be started before supplementing bisphosphonates.
The correction is as follows:
Teriparatide is usually considered after bisphosphonates, not before. Teriparatide is a medication that promotes bone formation, and it’s often considered in cases where bisphosphonates are not effective or not well-tolerated. Bisphosphonates are typically among the first-line treatments for osteoporosis, and they work by slowing bone resorption (breakdown).
The corrected statement would be: “Teriparatide may be considered after bisphosphonates when appropriate for the patient’s specific condition and if bisphosphonates are not effective or well-tolerated.”
The other statements are generally accurate:
B. Bisphosphonates are generally used for more extended periods, but the duration may vary based on the individual patient’s response and risk factors.
C. The recommended daily calcium intake for postmenopausal women and the elderly is typically around 1200-1500mg per day to support bone health.
D. Oral vitamin D3 is often prescribed along with oral calcium to facilitate calcium absorption and support bone health.
