Screening Guidelines Flashcards
1
Q
When to start BMD testing?
A
All men & women 65+
Post-menopausal women and men 50-64 w/ RFs
Adults
2
Q
Clinical RFs for fracture
A
Fragility # after 40 Glucocorticoid/aromatase inhibitor/androgen deprivation Parenteral hip # Smoking EtOH++ Low body wt (10% since 25yrs) RA Primary hyperparathyroidism, T1DM, hypogonadism, etc.
3
Q
Frequency of BMD testing?
A
q5yrs if low risk (20% 10yr # risk)
4
Q
Definition of osteopenia vs. osteoporosis?
A
Osteopenia: T-score b/w -1 and -2.5
Osteoporosis: T-score
5
Q
Pharmacotherapy for osteoporosis
A
bisphosphonates (e.g. alendronate) RANKL inhibitors (e.g. denosumab) raloxifene HRT teriparatide
6
Q
Physical exam for osteoporosis
A
Wt loss (wt 10% loss since 25yo) Ht loss Rib-pelvis distance at mid-axillary line (>2 fingers) Occiput-wall distance (>5cm) Get up and Go test (3m, >15sec.)
7
Q
Screening for T2DM
A
FBG in everyone >=40 q3yrs, more frequent if RF present
8
Q
RFs for T2DM
A
first degree relative with T2DM age >= 40 yrs obesity, HTN, dyslipidemia, CAD PCOS impaired fasting glucose high risk population (aboriginal, hispanic, asian, african)
