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Chapter 49 – Osteoporosis (QE) Sample Questions

1. A 70-year-old postmenopausal woman presents to the pharmacy seeking advice on calcium supplementation for bone health. She reports consuming milk and yogurt daily, providing about 250 mg of elemental calcium from her diet. She has no history of kidney stones or gastrointestinal issues and is otherwise healthy. Which of the following is the most appropriate calcium supplementation regimen to meet her daily requirement?
  1. A. Calcium carbonate 1500 mg PO daily
  2. B. Calcium citrate 1000 mg PO BID
  3. C. Calcium carbonate 1250 mg PO BID
  4. D. Calcium lactate 650 mg PO BID
Answer
Ans: C
Tips: Calcium carbonate contain 40% elemental calcium
• The recommended daily intake of elemental calcium for women over 50 years is 1200 mg/day.
• She already receives 250 mg from diet, so she needs approximately 950 mg additional calcium.
• Calcium carbonate 1250 mg provides 500 mg of elemental calcium per tablet.
• Taking one tablet twice daily (BID) provides 1000 mg elemental calcium, meeting her requirement.
• Calcium carbonate should be taken with food for optimal absorption.
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