Best of Five 2.40

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BOF: 2.40

You see a 66-year-old female in the gastroenterology clinic. She is known to have Crohn’s disease and has had several courses of steroids but is now maintained in remission with the use of azathioprine.

Your registrar suggests that you arrange a dual-energy x-ray absorptiometry (DXA) study on this patient to assess whether she has osteoporosis.

Which of the following sites is the preferred site for diagnosis of osteoporosis and is also the site at which fracture causes the greatest personal and financial cost.

a)      Lumbar spine

b)      Thoracic spine

c)      Wrist

d)      Shaft of femur

e)      Hip

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