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Discuss NBME Form 2 Block 5/5 - grazie
#45
@ missionimpossible

I already fixed the q1 answer in another post of this thread for Block 5, somebody confirmed it was answer C
C) No treatment

I was between both options, but now they confirmed C by nbme answers.


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1.
A 15-year-old Anglo-American girl comes to the office with her mother for a routine physical examination. She participates in track and field sports, rowing, and bicycling. Her menstrual periods are regular, and she consumes the equivalent of two quarts of whole milk daily. Her mother is worried that all of her daughter's activities will put "undue stress on her daughter's bones." She wonders if there is anything special that her daughter should do to "protect her bones." You know that recent studies have suggested the rate of postmenopausal bone loss is influenced by a number of factors, including activity, calcium intake, vitamin D intake, and estrogen replacement. Further research supports the benefits of exercise during young adult life, but exercise-induced anorexia has been shown to have a deleterious effect on bone mass. Which of the following is the most appropriate therapeutic regimen for this patient?

A) Calcium supplementation
B) Estrogen supplementation
C) No treatment
D) Vitamin D3 supplementation
E) Restriction of activity to two sports
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