Osteoporosis

Question 1

Osteoporosis is most common in

Answer 1

Women over 50

Question 2

Postmenopausal osteoporosis most often impacts

Answer 2

Trabecular bone

Question 3

Traumatic fracture

Answer 3

From trauma/force

Question 4

Stress fracture

Answer 4

Overuse/repeated stress

Question 5

Pathological fracture

Answer 5

Low energy fracture
Caused by disease
Often associated with cancer metastases

Question 6

Osteoporotic fracture

Answer 6

Fragility or low trauma fracture
Occurs with minimal trauma
If disease causing is osteoporosis

Question 7

Osteoporosis

Answer 7

Chronic, progressive disease characterized by:
low bone mass
impaired bone quality
decreased bone strength
enhanced risk of fractures

Question 8

Primary osteoporosis

Answer 8

Comes on on its own
Idiopathic
Postmenopausal (50-60 years)
Involuntary/senile (>70 years)

Question 9

Secondary osteoporosis

Answer 9

Comes on because of another reason
Result of another primary condition
Side effect of medication

Question 10

Clinical signs and symptoms of osteoporosis

Answer 10

Pain: inc with prolonged sitting, dec with side lying
Posture: inc thoracic curve, dec lordotic curve

Question 11

When to use Z score

Answer 11

In premenopausal women, men less than 50 years, and children
Below -2.0 = less bone mass than someone your age

Question 12

When to use T score

Answer 12

Postmenopausal women and men over 50 years
-2.5 or less = osteoporosis

Question 13

Most common fracture sites in osteoporosis

Answer 13

1. Vertebrae (most often T7-8, T12-L1)
   From postural changes
2. Femoral neck
   FOOSH
3. Distal radius/ulna
   FOOSH