Metabolic bone: FRAX: practice question

A Orthopaedics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Orthopaedics · Metabolic bone: FRAX

Sample item

A clinician estimates the 10-year probability of a major osteoporotic fracture in a 65-year-old woman who smokes and has taken steroids. Which tool is designed for this?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. FRAX

FRAX is a validated tool that estimates the 10-year probability of a major osteoporotic fracture and of hip fracture. It uses age, sex, BMI, previous fracture, parental hip fracture, smoking, alcohol, steroids and rheumatoid arthritis, with femoral neck bone mineral density as an optional input. It helps decide who needs treatment.

Option by option

  • A. Mirels score

    The Mirels score estimates the fracture risk of metastatic lesions in long bones.

  • B. Garden classification

    The Garden classification grades displacement of femoral neck fractures.

  • C. Kellgren-Lawrence grading

    Kellgren-Lawrence grading stages radiographic osteoarthritis.

  • D. FRAX (correct)

    Correct. FRAX estimates the 10-year fracture probability.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Orthopaedics question

What is the answer to this Orthopaedics question?

The best answer is D, FRAX. FRAX is a validated tool that estimates the 10-year probability of a major osteoporotic fracture and of hip fracture.

Why is "Mirels score" not the answer?

The Mirels score estimates the fracture risk of metastatic lesions in long bones.

Why is "Garden classification" not the answer?

The Garden classification grades displacement of femoral neck fractures.

Why is "Kellgren-Lawrence grading" not the answer?

Kellgren-Lawrence grading stages radiographic osteoarthritis.

What concept does this question test?

It tests Metabolic bone: FRAX in Orthopaedics. It uses age, sex, BMI, previous fracture, parental hip fracture, smoking, alcohol, steroids and rheumatoid arthritis, with femoral neck bone mineral density as an optional input. It helps decide who needs treatment.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Metabolic bone: FRAX?

Pair each fracture with its classic complication and nerve injured. Then use the flashcards and the other Orthopaedics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.