Osteoporosis

Question 1

Which form of calcium has the highest amount of elemental calcium?

Answer 1

Calcium Carbonate

Question 2

What should you consider before prescribing calcium supplement?

Answer 2

How much dietary calcium a patient takes in.

Question 3

What is the max absorption of calcium per supplement dose?

Answer 3

500-600mg

Question 4

What can you do if your patient needs higher doses? Example 1000mg of calcium?

Answer 4

Divide the dosing (500 BID)

Question 5

For patients over 50, how much calcium and vitamin D is recommended per day?

Answer 5

1200mg Calcium

800-1000u of Vitamin D

Question 6

Which bisphosphonate only reduces risk for vertebral fractures?

Answer 6

Boniva (ibandronate)

Question 7

What is the biggest hurdle to prescribing bisphosphonates?

Answer 7

The fear of adverse effects.

Question 8

Adverse effects of bisphosphonates.

Answer 8

GI upset

osteonecrosis of jaw

Question 9

True or false:

Bisphosphonates can still be used in patients with low renal function.

Answer 9

False

Question 10

Name the three important practices patients need to do when taking a bisphosphonate.

Answer 10

1. First thing in morning.
2. Full glass of water.
3. Upright for 30 min after taking the dose.

Question 11

What is the mechanism of action of Prolia?

Answer 11

Inhibit osteoclast formation.

Question 12

How is Prolia administered?

Answer 12

Every 6 months, SQ, in office.