FRAX Flashcards
1
Q
What is the FRAX score assessing?
A
% risk of fracture in 10 years
2
Q
What history points are in FRAX?
A
PMH: Previous fracture Rheumatoid arthritis Secondary osteoporosis DHX: Glucocorticoid use FHX: Parental hip fracture SH: Current smoking Alcohol intake
3
Q
What other measurements should you take in FRAX?
A
Age Sex Weight Height DEXA scan of femoral head
4
Q
What is a good acronym for FRAX?
A
GRABPASSS G - glucocorticoids R – RA A – AGE B – Bone mineral density (DEXA) P – previous and parental fracture A – Alcohol S – Size (height and weight) S - smoking S – sex
5
Q
Give some medical conditions that can result in 2y osteoporosis?
A
Kidney failure Cushings Coeliac MS Hyperparathyroidism Hyperthyroidism Diabetes
6
Q
What should be offered if they are high risk and T-Score less than -2.5?
A
Bisphosphonates (alendronate 10mg once daily)
Calcium and vitamin D
Lifestyle advice
7
Q
What should be offered if their T-score is -1–2.5?
A
Consider medication, particularly if there are risk factors present
