Osteoporosis Flashcards
1
Q
osteoporosis
A
condition where the bone density decreases
2
Q
risk factors
A
female steroid use smoking alcohol PPI low BMI family history
3
Q
signs
A
fracture easily
pain
4
Q
investigations
A
DEXA scan x-ray MRI bone profile bloods
5
Q
what is the screening for osteoporosis
A
age>65 - females
age>75 - males
age>50 + risk factors
6
Q
what scoring systems are used
A
Fracture or FRAX
7
Q
management
A
lifestyle changes biphosphonates vit D supplements strontium ranelate Denosumab Raloxifene HRT
8
Q
what is the name of the biphosphonate used
A
alendronate
9
Q
what do biphosphonates do
A
inhibit osteoclasts
10
Q
what will the bone profile show
A
normal
11
Q
what is the value on the DEXA scan to have a diagnosis
A
T < -2.5
12
Q
what should be check in males with osteoporosis
A
testosterorone levels
13
Q
osteoporosis vertebrae fracture
A
asymptomatic
acute back pain
resp/gi symptoms due to compression
loss of height
x-ray, CT, MRI
14
Q
what is the biochemistry
A
normal Ca, Phosphate, PTH and ALP
