Study Guide 2 Flashcards

1
Q

What are the types of OP?

A
  • Primary
  • Secondary
  • Transient OP of the hip
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2
Q

What is primary OP?

A
  • deterioration of bone mass, unassociated with other chronic illnesses or disease
  • usu related to aging or menopause
  • systemic, bilateral
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3
Q

What is secondary OP?

A

OP caused by metabolic or endocrine disorders

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4
Q

Transient OP of the hip:

  • Onset
  • Who gets it
A
  • rare, idiopathic, transitory

- seen most commonly in middle aged men and pregnant women

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5
Q

What is osteomalacia?

A

Softening of the bones

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6
Q

What causes osteomalacia?

A
  • Vit D deficiency

- lack of exposure to UV rays

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7
Q

Ability to synthesize Vit D and age

A

Ability to synthesize Vit D through sunlight diminishes after age 40

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8
Q

Osteomalacia: Looser’s transformation zones

A

Pseudofractures in areas of demineralization

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9
Q

“Rickets” in children usually due to

A

Malnutrition

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10
Q

What is rickets?

A
  • causes bowing in the long bones

- due to malformation with epiphyseal plates

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11
Q

What is Paget’s disease?

A

Disordered bone modeling caused by

  • genetic factors
  • viral infection
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12
Q

What happens to the bones with Paget’s disease?

A
  • produces larger, but weaker bones

- increased fx risk, deformity

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13
Q

Which bones are affected with Paget’s disease?

A

Specific area, not systemic

  • pelvis
  • spine
  • skull
  • tibia
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14
Q

Who is most at risk for getting OP?

A
  • Women
  • Over 60
  • Caucasian
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15
Q

What pharmacology is used to treat OP?

A
  • Calcium supplements
  • Vitamin D
  • Bisphosphonates
  • Estrogen therapy
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16
Q

OP tx: calcium dosage

A

~ 1000 units per day

17
Q

OP tx: vitamin D dose

A

~ 2000 units/day

18
Q

OP tx: Bisphosphonates

When are they used and what are two examples?

A
  • this is a 2nd tx option after supplementation is unsuccessful

Fosamax
Aredia

19
Q

What does Fosamax target?

A

Osteoclast activity

20
Q

Which patients will receive estrogen therapy to treat OP? Why?

A
  • postmenopausal women
  • oophorectomy

To preserve bone density

21
Q

Tx for OP pts?

A
  • Exercise (strength, flex, balance)
  • AD’s, bracing
  • Sunlight
  • Surgery
  • Diet/supplements
  • Smoking - STAHP
  • Alcohol consumption - moderation
22
Q

FRAX =

A
  • Fracture risk assessment (WHO)

- Aimed at preventing fractures

23
Q

When does OP screening begin for women?

A

Age 60

24
Q

DEXA =

A

Dual energy x-ray absorptiometry

25
Q

What does a DEXA NOT diagnose with respect to OP?

A

Doesn’t dx fx’s

26
Q

How many women over 60 will fall below normal bone mineral density T-score? What does this mean for them?

A

50%

Candidates for medical tx

27
Q

Normal DEXA

A

-1.0 or higher

28
Q

Osteopenia DEXA

A

-1.0 » -2.5

29
Q

OP DEXA

A

Below -2.5