Laurel Desnick, MD
Literature reviewed August 02, 2006. Updated November 02, 2008
A 52-year-old African-American woman comes to your office requesting testing for osteoporosis. She has been watching the ads on TV and wants to start medication to protect her bones from a fracture. She stopped menstruating one year ago. She does not have any chronic medical problems, but she doesn’t get any exercise. Two years ago, she broke her ankle stepping off a curb.
Click an answer under each question.
Do you order a DEXA screening test?
- Option A No, it would be better to wait until she is 65.
- Option B Yes, she has important risk factors and needs screening now.
- Option C No, she does not need screening, but she does need to start weight bearing exercise.
Are there other risk factors besides personal fracture, which would encourage you to screen a postmenopausal woman prior to age 65?
Which of the following would be an indication to screen a woman or man of any age for osteoporosis?
Does being African-American put her at a higher risk for osteoporosis as compared to a white woman?
Are there any risk factors that are modifiable in order to prevent a fracture?
- Option A No, it is an inherited disease and risk factor modification is unhelpful.
- Option B Yes, a healthy lifestyle can decrease the risk of a fracture.