Osteoporosis & The Patient Flashcards
List three major risk factors for osteoporosis.
- Low calcium diet
- Thin and/or small frame
Race (white or Asian)
What is osteoporosis?
A skeletal disorder characterized by compromised bone strength.
Which of the following is info provided by the physical examination and patient history
A. Presence of chronic conditions, behaviors, and level of physical fitness
B. Fracture history
C. Dowagers hump
D. All of the above
D. All of the above
T or F: DEXA is one of the most widely used techniques for measuring bone density
True
T or F: DEXA can measure bone density in the spine, arm, leg, and total body
True
T or F: osteoporosis is diagnosed when the T score is more than 2.5 standard deviations below the sex-adjusted mean for normal young adults at peak bone mass OR the patient has a fragility fracture
True
T or F: it is currently not possible to reverse osteoporosis
True
T or F: ultimately, half of all women and men will have a hip fracture
True
T or F: osteopenia is not as clinically severe as osteoporosis
False
T or F: typically osteoporotic fractures include fractures of the vertebra, forearm, wrist, and hip
True
List three nonpharmacologic treatments that appear effective on preventing the progression of osteoporosis
- Weight bearing exercise
- Adequate calcium intake
- Adequate vitamin D intake
Which of the following is part of the downward spiral?
A. The VCF CAN PUT STRESS ON THE SPINE, which can predispose towards more fractures, in turn exacerbate the initial fracture
B. Increased flexibility
C. Blood loss
A
Which of the following are types of VCFs?
A. Crush fractures
B. Wedge fractures
C. Both a and b
C
Which of the following is true?
A. Most VCFs come to clinical attention
B. Women have twice as many VCFs as men
C. Non- whites are at higher risk for VCFs than whites
B
Which of the following describes the risk factors for VCFs?
A. Common primarily in very active ppl
B. Frequently the result of falls
C. Similar to the risk factors for osteoporosis
C
VCFs impact Pxs, their families, and society through:
- Hospitalization
- Cost of illness
- Quality of life
True or false the financial cost of VCFs includes medical care, loss of productivity, caregiver time and lost activities of daily living
T
True or false: VCFs have little impact on the patient’s quality of life
False
Which of the following describes the physical consequences of VCFs:
a. Back pain, spinal deformity, and decreased lung capacity
B. Increased appetite
C. Forgetfulness
A
T or F: The purpose of the vertebral compression fracture treatment is to halt bone resorption, prevent subsequent fractures, lessen pain, and reestablish vertebral height
T
T or F: pharmacological treatments for VCFs are distinct from treatments used for osteoporosis
False. Pharmacological treatments of the VCFs are similar to those for osteoporosis
Nonpharmacological options for VCFs include
A. Physical therapy B. Ice massage c. Braces D. Vertebroplasty E. kyphoplasty
Describe the effect of HRT on osteoporosis
HRT can prevent bone loss but is unable to restore bone mass
Describe the effect of HRT On post menopausal symptoms
HRT IS EFFECTIVE AT RELIEVING POST MENOPAUSAL SYMPTOMS SUCH AS HOT FLASHES AND VAGINAL DRYNESS
