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OSCE risk scores > FRAX score > Flashcards

FRAX score Flashcards

1
Q

What is the FRAX score

A

risk of 10 year osteoporotic fracture in untreated patients

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2
Q

what personal information is relevant to the FRAX score 5

A

age
sex
weight
height
femoral neck BMD (g/cm2)

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3
Q

what medical conditions are relevant to the FRAX score 3

A

rheumatoid athritis
secondary osteoporosis by kidney failure, hyperthyroidism/ hyperparathyroidism, diabetes, coeliac, cushings
previous fracture

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4
Q

what drug history is relevant to FRAX score 3

A

glucocorticoids/ steroids (ending with one)
lithium
barbiturates (lorazepam/ diazepam- ending with pam)

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5
Q

what family history is relevant to FRAX score

A

parental fractured hip and normal fractures

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6
Q

social history relevant to FRAX score 2

A

smoker
alcohol 3+ units daily

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7
Q

What is a Z score

A

compares your bone density to someone of same age, sex , weight and ethnicity

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8
Q

What is considered low in a Z score

A

-2 or lower

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9
Q

what is a T score

A

compares your bone density to a healthy 30 year old

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10
Q

What are the values for T scores

A

-1 and up= normal
-1 to -2.5= osteopenia
-2.5 and lower= osteoporosis

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11
Q

what is the management for a T score of -1 to -2.5 (2)

A

lifestyle modifications
consider taking meds if certain risk factors

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12
Q

what is the treatment for a T score of -2.5 and below 2 (3)

A
  1. modify risk factors
  2. take osteoporosis meds eg alendroante 10mg or denosumab AND do a DEXA scan
  3. reassess in 2 years
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13
Q

is there treatment for a T score of -1 or higher

A

No medication for treatment

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14
Q

What is the treatment for FRAX score of 10% or less

A

reassess in 5 years

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15
Q

what are the values of FRAX low, immediate and high risk

A

low 10%
immediate 10-20%
high 20+%

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16
Q

what are the specific lifestyle changes for frax scores 3

A

more weight bearing exercise
calcium and vitamin D rich diet
Good grip shoes

17
Q

compare alendronate and denosumab

A

alendronate= inhibits osteoclasts by reducing osteoclast recruitment and promoting osteoclast apoptosis
denosumab= inhibits osteoclast by inhibiting osteoclast formation

18
Q

what is the management of intermediate and high frax score if DEXA scan shows more negative score than -2.5 (1)

A

treat with alendronate/ denosumab

19
Q

what is the management of intermediate and high frax score if DEXA scan shows more poitive score than -2.5 (2)

A

modify risk factors and reassess in 2 years time

OSCE risk scores (7 decks)

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