Osteoporosis

Question 1

chronic, progressive bone dz marked by

Answer 1

-low bone mass
-deterioration of bone tissue that leads to increase bone fragility

Question 2

in OP, resorption _________, formation _________

Answer 2

resorption accelerates
formation decelerates

Question 3

potential causes

Answer 3

-decreases estrogen
-decreased testosterone
-decreased calcium , vit D

Question 4

why more common in women?

Answer 4

-lower bone mass
-decreased Ca+ intake
-bone resorption begins earlier and becomes more rapid at menopause
-pregnancy and breastfeeding
-longevity

Question 5

risk factors

Answer 5

-advancing age (65+)
-female
-low body weight
-white/asian
-current cig smoking
-nontraumatic fracture
-sedentary lifestyle
-postmenopausal
-family hx
-diet low in Ca+, vit D deficiency
-excessive use of alc (more than 2 drinks/day)
-low testosterone
-specific dz
-certain drugs

Question 6

clinical manifestations
occurs more :

Answer 6

spine, wrist, hips

Question 7

clinical manifestations

Answer 7

-back pain
-spontaneous fractures
-gradual loss of height
-kyphosis

Question 8

collaborative care
focus on

Answer 8

-nutrition
-ca+ supplements
-prevention of fracture
-drugs
-adequate Ca+ intake
-exercise
- no smoking
-low alc consumption
-treat existing dz

Question 9

how much ca should a premenopausal or postmenopausal on ca+ supplements have a day

Answer 9

1000mg/day

Question 10

how much ca+ should a postmenopausal woman with no ca+ supplements have a day

Answer 10

1500mg/day

Question 11

sources of Ca

Answer 11

-milk
-yogurt
-turnip greens
-cottage cheese
-ice cream
-sardines
-spinach