A 60-year-old woman is found to have osteoporosis. Her last menstrual period was 10 years ago. She has a history of deep venous thrombosis. The physician wishes to initiate treatment with a medication that will improve the patient’s bone density without increasing her risk for thrombosis or hot flashes. A drug from which of the following classes is most appropriate for this patient? a) Bisphosphonates b) Gonadotropins c) Ovarian sex hormones d) Selective estrogen receptor modulators e) Vitamin D analogs

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A 60-year-old woman is found to have osteoporosis. Her last menstrual period was 10 years ago. She has a history of deep venous thrombosis. The physician wishes to initiate treatment with a medication that will improve the patient’s bone density without increasing her risk for thrombosis or hot flashes. A drug from which of the following classes is most appropriate for this patient?

a) Bisphosphonates

b) Gonadotropins

c) Ovarian sex hormones

d) Selective estrogen receptor modulators

e) Vitamin D analogs

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