Musculoskeletal Disorders

Question 1

what are w/in these categories

Answer 1

osteoporosis

paget’s disease

Question 2

osteoporosis

Answer 2

primary (type I and II)

secondary

goes with kyphosis

Question 3

osteoporosis primary

Answer 3

most common

follows menopause

type 1 and 2

Question 4

osteoporosis type 1

Answer 4

post menopausal

estrogen deficient

Question 5

osteoporosis type 2

Answer 5

age

senile

Question 6

osteoporosis secondary

Answer 6

associated with meds/steroids, other conditions, disease

ex: type 1 diabetes, hyper parathyroid, hyper/hypothyroid

Question 7

pharmacology for osteoporosis

Answer 7

SERMs

Bisphosphates

Zoledronic acid

Question 8

PT osteoporosis

Answer 8

fall/fracture prevention

WB and balance (increases bone density)

Question 9

avoid PT osteoporosis

Answer 9

high impact

plyometrics

flexion, extension, rotation of vertebral column

Question 10

paget’s disease

Answer 10

aka osteoitis deformans

abnormal bone remodeling with increase bone resorption and excessive, unorganized new bone formation caused by activated osteoclasts

Question 11

paget’s disease, 2 stages

Answer 11

initial osteoclastic stage

osteoblastic sclerotic phase

Question 12

initial osteoclastic stage

Answer 12

abnormal clasts multiply/reabsorb bone quickly

Question 13

osteoblasts sclerotic phase

Answer 13

formation of heavily calcified but weak bone

bones enlarge leading to pain or deformities

Question 14

clinical manifestations paget’s disease

Answer 14

hypercalcemia

bowling of LE

kyphosis

CN VIII nerve compression

Question 15

paget’s disease treatment goal

Answer 15

normalize activity of disease for prolonged periods

1st inhibitor of bone resorption

Question 16

paget’s disease pharmacology

Answer 16

bisphosphonates

NSAIDS/anti-inflammatory

surgical intervention

Question 17

bisphosphonates paget’s disease

Answer 17

inhibit clasts, improve bone density, reduce fracture incidence

Question 18

NSAIDS paget’s disease

Answer 18

control pain

Question 19

surgical intervention paget’s disease

Answer 19

relieve nerve compression

tibial osteotomy

joint replacement

Question 20

SERMs osteoporosis

Answer 20

estrogen inducing benefits

Question 21

bisphosphonates osteoporosis

Answer 21

decrease amount of osteoclasts

Question 22

zoledronic acid (zometa) osteoporosis

Answer 22

reduce risk of fractures in women ever 1/yr

Question 23

PT intervention paget’s disease

Answer 23

screening: alignment of bones/change of shape = pain

strength, flexibility, emphasize fall prevention, WB

Question 24

avoid with PT paget’s disease

Answer 24

high impact and flexion