FRAX

Question 1

Define

Answer 1

Risk assessment tool for estimating 10yr risk of osteoporotic fracture in untreated patients aged 40-90yrs old on the spine, hip, shoulder or wrist

Question 2

Personal info needed

Answer 2

WASH
Weight - kg
Age
Sex
Height - cm

Question 3

Past medical history acronym

Answer 3

Super Russians Feed Pigs
Secondary osteoporosis
Rheumatoid arthritis
Femoral neck bone mineral density (previous DEXA)
Previous fracture

Question 4

6 causes of secondary osteoporosis

Answer 4

Kidney failure
Hyperthyroidism or hyperparathyroidism
Coeliac disease
T1DM
Chronic Liver Disease
Premature menopause

Question 5

Relevant Drug History

Answer 5

Glucocorticoids
Lithium
Barbiturates

Question 6

Relevant family history

Answer 6

Parental hip fracture

Question 7

Relevant social history

Answer 7

Smoking and more than 3 units of alcohol a day

Question 8

What does a T score show?

Answer 8

How much your bone density is higher/lower than that of a healthy 30 year old

Question 9

What does a Z score show

Answer 9

Compared condition of your bones with someone of your age/sex/weight/ethnicity

Question 10

Lifestyle advice for low risk

Answer 10

More weight bearing exercises, quitting smoking, limiting alcohol, calcium and vit d rich diet, balance exercises

Question 11

Home adaptations

Answer 11

Getting rid of throw rugs and getting grab bars, shoes with good grip

Question 12

What to do is intermediate risk

Answer 12

Get a DEXA scan and if BMD <2.5 then Tx with bisphosphonate or denosumab (Rank-L)