Osteoporosis

Question 1

> =75yo with hx of fragility fracture

Answer 1

bisphos w/o DEXA

Question 2

<75yo with hx of fragility fracture

Answer 2

FRAX assessment first

Question 3

Who should be assessed for osteoporosis?

Answer 3

F >=65yo
M>=75yo

Question 4

Men and women younger than 75 and 65 should be assessed for osteoporosis if? (7)

Answer 4

previous fragility fracture
current or frequent recent use of steroids
history of falls
FH hip fracture
low BMI
smoking
ETOH >14u/week

Question 5

FRAX and QRISK differences:

Answer 5

FRAX 40-90yo
QRISK 30-99yo
QRISK uses more RFs

Question 6

Who should skip a FRAX/QRISK assessment and just get a DEXA?

Answer 6

<40yo with a major RF e.g
hx of multiple fractures/ prev fracture
current/ recent steroid use

Question 7

FRAX interpretation
Low
Med
High

Answer 7

Low reassure
Med DEXA
High alendronate

Question 8

Osteoporosis confirmation on DEXA score

Answer 8

T -2.5 SD or below

Question 9

T score interpretation

Answer 9

T score
> -1.0 = normal
-1.0 to -2.5 = osteopenia
< -2.5 = osteoporosis

Question 10

What is Z score?

Answer 10

adjusted for age, gender and ethnic factors