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PHTH 564 - ICU > osteoporosis > Flashcards

osteoporosis Flashcards

1
Q

trabecular bone

A

interior
weaker, softer
more affected by OP

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2
Q

cortical bone

A

outer
riged, stronger
less affected by OP

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3
Q

resorption stage

A

osteoclasts (cutters)

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4
Q

formation stage

A

osteoblasts (builders)

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5
Q

peak bone mass age

A

30

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6
Q

__ associated with rapid decline in bone mass

A

menopause

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7
Q

bone strength reflects two main features

A

bone density and quality

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8
Q

what does T score evaluate

A

bone density

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9
Q

normal t score
osteopenia t score
osteoporosis t score

A

-1, 0

  • 1–2.5
  • 2.5
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10
Q

LBD / D for

A

men and pre menapausal women

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11
Q

T/F half of post menopausal # occur in women whose BMD doesn’t have OP

A

T

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12
Q

T/f there is a standard for measuring bone quality

A

no

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13
Q

primary type 1 osteoporosis

A

women after menapause

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14
Q

primary type 2 osteoporosis

A

ppl over 70

m=w

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15
Q

secondary osteoporosis

A

result of a medical condition
can arise at any age
m=w

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16
Q

fragility fracture

A

fracture from height or less

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17
Q

common fracture site osteoporosis

A

spine wrist hip humerus

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18
Q

diagnose osteoporosis

A

Risk factor assessment
bone density
rule in / out secondary OP

DXA (bone density)

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19
Q

risk factors OP

A

increased thyroid hormone

age, family, small, female, life, depression

20
Q

fracture risk assessment tools

A

CAROC

FRAX

21
Q

difference CAROC and FRAX

A

CAROC: age, sex, hip BMD

FRAX: same as above plus height weight family lifestyle and RA

22
Q

t/f DXA tells you about bone quality

A

no - just density

23
Q 
what do you do if someone is 
low
mod
high 
risk for fracture
A

nothing - high impact
other risk factors - non contact sports
meds - walks / minimize falls risk activities

24
Q

pharmaceuticals for OP

A

antiresorptive

anabolic / bone formation

25
Q

antiresorptive agents

A

slow down osteoclasts

26
Q

anabolic / bone formation

A

accelerate osteoclasts

27
Q

hormone replacement therapy side effects

A

long term use can inc risk of
breast cancer, stroke,
CV disease
and thromboembolism

28
Q

three joint surgeries for OP

A

joint fixation
replacement
vertebral surgery

29
Q

objective assessed OP

A 
historical height loss
prospective height loss
posture 
breathing
strength, flexibility, special tests 
aerobic capacity
balance
30
Q

when is a vertebral compression fracture suspected

A

> 6cm loss in height

31
Q

VCF is suspected if prospective height loss of

A

greater than 2 cm

32
Q

wall occipital test for

A

cervicothoracic

33
Q

rib pelvic distance test for

A

lumbar deformities

34
Q

reedco posture for

A

head shoulder and spine posture

35
Q

special tests for OP

A

arm curl
grip
schooners
back scratch

36
Q

aerobic capacity test for OP

A

shuttle walk and two min step test

37
Q

balance test for OP

A

SL
tinetti
berg

38
Q

PT treatment for OP

A

WB
posture training
balance
high impact exercise (jump)

39
Q

how long to see results for OP exercise

A

9 months

40
Q

you don’t want to overload the

A

anterior vertebral body to risk VCF

41
Q

how do you squat etc. for OP

A

hinge from hip

42
Q

how much posture training do OP need

A

5-10 min daily

43
Q

are all VCF symptomatic

A

no 50%

44
Q

what to target for VCF

A

back extensor strength

45
Q

contras for VCF

A

no manual therapy for 3 month
flexion , rotation, side bending
high compression forces
surgeon orders

46
Q

vitamins or calcium from food better

A

food

PHTH 564 - ICU (15 decks)

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