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Osteoporosis Management

You'll be able to screen, diagnose, risk-stratify, and manage osteoporosis using DEXA results, FRAX scoring, and current treatment options.

What this track covers

This track covers the full arc of osteoporosis care in primary care: identifying who needs screening, interpreting DEXA and FRAX results, ruling out secondary causes, and selecting among bisphosphonates and anabolic agents. It also addresses long-term monitoring, drug holiday decisions, and fall prevention.

What you will practice

  • Interpret T-scores, Z-scores, and BMD trends, including recognizing technical artifacts
  • Apply FRAX scoring to determine treatment thresholds
  • Work up secondary causes of bone loss with appropriate labs and imaging
  • Choose between oral/IV bisphosphonates and anabolic agents based on patient risk profile
  • Plan drug holidays and long-term monitoring intervals

Simulator scenario

A postmenopausal patient presents after a low-trauma wrist fracture with a borderline DEXA T-score, requiring the clinician to calculate FRAX, decide on further workup, and select an initial treatment.

Board question topics

  • DEXA and FRAX interpretation
  • Secondary osteoporosis workup
  • Bisphosphonate vs anabolic therapy selection
  • Fall risk and monitoring strategy

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