Osteoporosis in Primary Care

Question 1

Osteoporosis risk factors if 50+

Answer 1

Over 65 years
Fragility fracture after age 40
Prolonged GC use
Use of high risk meds
Medical disorder strongly associated with OP
Vertebral fracture or osteopenia on x ray
Current smoking
High alcohol intake
Low body weight or weight loss
Family hx of parent with hip fracture

Question 2

Osteoporosis risk factors if < 50

Answer 2

Fragility fracture
Prolonged GC use
Use of high risk meds
Hypogonadism or premature menopause (<45)
Medical disorder strongly associated with osteoporosis

Question 3

T-score

Answer 3

Used to express bone mineral density in the postmenopausal population
Compared the patients BMD to the mean peak BMD of a young adult of the same gender

Question 4

2 factors that will bump a patient to the next category on CAROC

Answer 4

Glucocorticoid use

Fragility fracture

Question 5

What is first line therapy for preventing osteoporosis in postmenopausal women with increased fracture risk and menopause symptoms

Answer 5

Hormone therapy