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nbme - demi
#1
A 52-year-old woman is seen by in clinic for advice on osteoporosis. She has been a patient there for a number of years. She has a past medical history significant for hypertension and diet-controlled diabetes mellitus. She smokes 1 pack of cigarettes per day. She was documented by previous LH and FSH levels to be in menopause within the last year. She is concerned about "breaking her hip when I'm old" and she is seeking advice on osteoporosis prevention. She should be told that independent of side effects, the best therapy currently available for prevention is which of the following?

A. Bisphosphonates
B. Calcitonin
C. Calcium and vitamin D
D. Conjugated estrogens
E. Sodium fluoride


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#2
c?
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#3
A. Bisphosphonates first plus Calcium and vitamin D. If she is at 30s then C. alone is ok.
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#4
Bisphosphonates is FDA approved for use of prevent osteoporosis after Menepose.
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