A 55-year-old woman has DXA T-score of -1.8 at the lumbar spine and -2.0 at the femoral neck, with no history of fragility fracture. According to WHO criteria, she has:
- A Normal bone mass
- B Osteopenia ✓
- C Osteoporosis
- D Established (severe) osteoporosis
Correct answer: B. Osteopenia
Explanation
WHO classification: normal is T-score >= -1.0; osteopenia (low bone mass) is T-score between -1.0 and -2.5; osteoporosis is T-score <= -2.5; established/severe osteoporosis is T-score <= -2.5 plus one or more fragility fractures. Her T-scores fall in the osteopenia range with no fracture history.
Reference: Harrison's Principles of Internal Medicine, 20th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.