final lecture 7

Question 1

BMD is a

Answer 1

surrogate marker

Question 2

calcium supplement

Answer 2

men 50-70:1000mg
women >51:1200
men>74:1200
+ D3

Question 3

most common Ca used

Answer 3

calcium carbonate & calcium citrate

Question 4

insoluble Ca salts

Answer 4

carbonate & phosphate

preferred in most pts, tk w/ meals, requires acidic pH

Question 5

soluble Ca salts

Answer 5

citrate, lactate, gluconate
preferred in pts w/ achlorhydria
does not require acid pH

Question 6

Calcium carbonate

Answer 6

1 tab

Question 7

calcium citrate

Answer 7

2 tabs

Question 8

vitamin D labs

Answer 8

25-OH vitamin D level

want >30

Question 9

risk factor for vitamin D deficiency

Answer 9

limited sun exposure, malabsorption, meds, darker skin, obese, limited vit D from diet, CKD

Question 10

ergocalciferol

Answer 10

D2

Question 11

cholecalciferol

Answer 11

D3

Question 12

bisphosphonates are shown to

Answer 12

decrease vertebral & hip fractures

Question 13

bisphosphonate shown to decrease mortality

Answer 13

zoledronic acid

Question 14

bisphosphonates have ___ oral bioavailabilty

Answer 14

low

Question 15

rare ADE of bisphosphonates

Answer 15

osteonecrosis of the jaw

Question 16

bisphosphonates are generally ___ line therapy

Answer 16

first line

Question 17

teriparatide is best used ___ bisphosphonate

Answer 17

before

Question 18

raloxifene class

Answer 18

selective estrogen receptor modulator

60mg QD

Question 19

calcitonin dosage forms

Answer 19

SQ and intranasal

Question 20

___ testosterone is thought to play a role is OP in men

Answer 20

low

Question 21

OP monitoring

Answer 21

DXA Q2 years

Question 22

raloxifene has a risk of

Answer 22

clots & should be stopped prior to surgeries