osteoporosis

Question 1

trabecular bone

Answer 1

interior
weaker, softer
more affected by OP

Question 2

cortical bone

Answer 2

outer
riged, stronger
less affected by OP

Question 3

resorption stage

Answer 3

osteoclasts (cutters)

Question 4

formation stage

Answer 4

osteoblasts (builders)

Question 5

peak bone mass age

Answer 5

30

Question 6

__ associated with rapid decline in bone mass

Answer 6

menopause

Question 7

bone strength reflects two main features

Answer 7

bone density and quality

Question 8

what does T score evaluate

Answer 8

bone density

Question 9

normal t score
osteopenia t score
osteoporosis t score

Answer 9

-1, 0

• 1–2.5
• 2.5

Question 10

LBD / D for

Answer 10

men and pre menapausal women

Question 11

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

Answer 11

T

Question 12

T/f there is a standard for measuring bone quality

Answer 12

no

Question 13

primary type 1 osteoporosis

Answer 13

women after menapause

Question 14

primary type 2 osteoporosis

Answer 14

ppl over 70

m=w

Question 15

secondary osteoporosis

Answer 15

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

Question 16

fragility fracture

Answer 16

fracture from height or less

Question 17

common fracture site osteoporosis

Answer 17

spine wrist hip humerus

Question 18

diagnose osteoporosis

Answer 18

Risk factor assessment
bone density
rule in / out secondary OP

DXA (bone density)

Question 19

risk factors OP

Answer 19

increased thyroid hormone

age, family, small, female, life, depression

Question 20

fracture risk assessment tools

Answer 20

CAROC

FRAX

Question 21

difference CAROC and FRAX

Answer 21

CAROC: age, sex, hip BMD

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

Question 22

t/f DXA tells you about bone quality

Answer 22

no - just density

Question 23

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

Answer 23

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

Question 24

pharmaceuticals for OP

Answer 24

antiresorptive

anabolic / bone formation

Question 25

antiresorptive agents

Answer 25

slow down osteoclasts

Question 26

anabolic / bone formation

Answer 26

accelerate osteoclasts

Question 27

hormone replacement therapy side effects

Answer 27

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

Question 28

three joint surgeries for OP

Answer 28

joint fixation replacement vertebral surgery

Question 29

objective assessed OP

Answer 29

``` historical height loss prospective height loss posture breathing strength, flexibility, special tests aerobic capacity balance ```

Question 30

when is a vertebral compression fracture suspected

Answer 30

>6cm loss in height

Question 31

VCF is suspected if prospective height loss of

Answer 31

greater than 2 cm

Question 32

wall occipital test for

Answer 32

cervicothoracic

Question 33

rib pelvic distance test for

Answer 33

lumbar deformities

Question 34

reedco posture for

Answer 34

head shoulder and spine posture

Question 35

special tests for OP

Answer 35

arm curl grip schooners back scratch

Question 36

aerobic capacity test for OP

Answer 36

shuttle walk and two min step test

Question 37

balance test for OP

Answer 37

SL tinetti berg

Question 38

PT treatment for OP

Answer 38

WB posture training balance high impact exercise (jump)

Question 39

how long to see results for OP exercise

Answer 39

9 months

Question 40

you don't want to overload the

Answer 40

anterior vertebral body to risk VCF

Question 41

how do you squat etc. for OP

Answer 41

hinge from hip

Question 42

how much posture training do OP need

Answer 42

5-10 min daily

Question 43

are all VCF symptomatic

Answer 43

no 50%

Question 44

what to target for VCF

Answer 44

back extensor strength

Question 45

contras for VCF

Answer 45

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

Question 46

vitamins or calcium from food better

Answer 46

food