ISCD Official Positions Flashcards
In which four conditions is BMD testing indicated for post-menopausal women younger than age 65?
- low body weight
- prior fracture
- high risk medication use
- disease or condition associated with bone loss
At what age is BMD testing indicated for men?
Men aged 70 or older
In which four conditions is BMD testing indicated for men younger than age 70?
- low body weight
- prior fracture
- high risk medication use
- disease or condition associated with bone loss
Should women discontinuing estrogen be considered for BMD testing?
Yes
Bone mineral density should be tested in patients receiving treatment to monitor therapy effect.
True or false?
True
What race is used for the female normative database to compare bone density in all ethnic groups?
Caucasian
What reference standard should manufacturers use for femoral neck and total hip T-scores?
NHANES III
What reference standard should manufacturers use for lumbar spine T-scores?
Their own databases
What reference data should manufacturers use if local reference data is not available?
They should report only Z-scores but not T-scores
How old do women have to be for bone mineral density testing to be indicated?
Women aged 65 and older
What is the WHO reference standard from which the T-score is calculated?
- female
- Caucasian/white
- age 20-29 years
- NHANES III database
How old do patients have to be for osteoporosis to be diagnosed?
50 years or older
Should Ward’s area be used for diagnosis of osteoporosis?
No
When should the forearm BMD be measured?
- Hip and/or spine cannot be measured or interpreted
- Hyperparathyroidism
- Very obese patients (over weight limit for DXA table)
What is the spine region of interest (ROI)?
PA L1-L4
Should a diagnosis of osteoporosis be made on the basis of one evaluable vertebra?
No
If this is the case a different valid skeletal site should be used
The T-score difference between adjacent vertebrae should be less than ____ otherwise one of the vertebrae is abnormal.
1.0
Should the lateral spine be used for diagnosis of osteoporosis?
No
Can the lateral spine be used for monitoring of osteoporosis?
Yes
Should the femoral neck or total proximal femur be used for diagnosis of osteoporosis?
Whichever is lowest
Which hip should BMD be measured at?
It can be measured at either hip
Can mean T-scores for bilateral hip BMD be used for osteoporosis diagnosis?
There is insufficient data to determine this.
Can mean T-scores for bilateral hip BMD be used for monitoring of osteoporosis treatment?
Yes
Total hip is preferred
