Osteoporosis

Question 0

Common co-morbidities with osteoporosis?

Answer 0

anorexia nervosa
hyperthyroidism
malabsorption syndrome
kidney failure.

Question 1

Medications that increase risk of osteoporosis?

Answer 1

corticosteroids
anti-seizures
heparin
thyroid hormone

They affect calcium absorption and metabolism.

Question 2

Risk factors for osteoporosis?

Answer 2

1. Small framed
2. Asian and Caucasians
3. African Americans are less susceptible to osteoporosis.
4. Occurs less in men and occurs usually older (1 decade later).
5. Risk increases with age for both genders.
6. Inadequate nutrition: Diet must include adequate calories, calcium and vitamin D.
7. Patients with bariatric surgery, celiac disease and alcoholism.
8. Immobilization by cast, general inactivity, paralysis etc.
9. Obesity: less active, key nutrients usually not included.

Question 3

Biphosphonates?

How to take them?

Answer 3

Fosamax
Actonel
Boniva

Take with full glass of water and have patient sit up for 30-60 mins when taken oral, in AM on empty stomach, daily or weekly

Question 4

Which drug can be taken biannually?

Answer 4

Prolia