Osteporosis

Question 1

Lifestyle interventions for osteoporosis?

Answer 1

Increase lvel of physical activity
stop smoking
decrease alcohol to less than 2 units of day
decrease risk of falls
ensure adequate dietary intake of calcium and vit D
Daily calcium intake 700-1200 G
Daily cholecalciferol intake- 800IU
Hip protectors for elderly in care homes
Sufficient protein intake

Question 2

What are the pharmacological interventions for osteoporosis?

Answer 2

Alendroate
Risedronate
Denosumab
HRT

Question 3

What is the definition of osteoporosis?

Answer 3

risk of an increased fracture with a decreased bone mineral density

Question 4

What T score indicates osteoporosis and what T score indicates osteopenia?

Answer 4

T score < or equal to -2.5 indicates osteoporosis

T score -1 to -2.5 indicates osteopenia

Question 5

Where is BMD measured?

Answer 5

The femoral neck

Question 6

What two risk assessments tools can be used for calculating the risk of the patient developing osteoporosis?

Answer 6

• Q-fracture

- FRAX

Question 7

What are the long term side effects of bisphosphonates?

Answer 7

Osteonecrosis of the jaw
(poor oral hygiene, smoker, GC use, cancer, chemo, dental interventions)

Atypical femoral fractures

Question 8

What is the reason patients with PTH deficiency develop osteoporosis?

Answer 8

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