Bone Density Registry review || 100% Correct Answers.
Name the bisphosphonate anti resorptive medications: correct answers alendronate (fosamax)
risedronate (actonel)
ibandronate (boniva)
zoledronic acid (reclast
name the non bisphosphonate anti resorptive meds correct answers estrogen therapy
raloxifene (evista
denosumabb (prolial)
name the anabolic osteoporosis meds correct answers teripartide (forteo)
should a T-score be used for comparison on children? correct answers A T-Score should never
be used before age 20When
what are the preferred DXA sites for children 3yr old and up? correct answers PA L-spine and
total body minus the head
when is DXA recommened for children? (7) correct answers recurrent fractures
bone pain
bone deformity
osteopenia seen on x-ray
cancer survivors
females with eating disorders/excessive exercise
females after 6+ months without menstrual cycle
for pediatric DXA a cancer survivor is recommended to have imaging done at what point?
correct answers either 2yr after chemo or by the age of 18 which ever comes first
the risk of fracture ___ for each SD decline in BMD.
a. double
b. tripples
d. sees very little increase
c. decreases correct answers doubles (approximatly)
what type of bone is measured in a total body scan? correct answers cortical
why is the forearm typically not used to monitory osteoporosis therapy? correct answers the rate
of change is slower than the L-spine or hips because it is primarily cortical bone
what special imaging should be done for some one with hyperparathyroidism? correct answers
33% forearm because hyperparathyroidism targets cortical bone
the anticipated rate of change in the total hip ROI is ___ than the femoral neck ROI
, faster or slower correct answers slower
how many continuous vertebrae is preferred for PA spine DXA correct answers 3-4
Most DXA images are approved by the FDA for use in making structural diagnoses
True/False correct answers false
What are the non prescription interventions for osteoporosis? correct answers life style
modifications and OTC meds
What can cause a failure to attain peak BMD? correct answers genetics
dietary calcium deficiency
lack of exercise
what is a morphometric spinal fracture? correct answers a fracture that can be seen on a
radiograph but has little to no symptoms
Define a clinical spine fracture correct answers a spinal fracture that causes symptoms
What is the WHOs definition of established osteoporosis? correct answers A BMD of 2.5SD or
more below the average of a young adult and a history of fracture
what is a European Spine Phantom? correct answers anthropomorphic phantom, the European
Spine Phantom (ESP) contains a spine insert consisting of three vertebrae of increasing bone
mineral densities and thicknesses of cortical structures
what is an anthropormorphic phantom? correct answers replicates skeletal region to detect a shift
in BMD values over time
What is the recommended follow up time between DXAs for a patient taking steroids? correct
answers every 6 months
What is the recommended follow up time between DXAs for a normal patient? correct answers
L-spine is recommended once per year
Proximal Femur is recommended every 2 years
how long does a long term precision study last? correct answers usually 1 year
how long does a short term precision study last? correct answers 2-4 weeks
What is the importance of least significant change (LSC)? correct answers it determines the
minimum interval between follow up measurements before a change in BMC can be seen
Which arm should be scanned? correct answers non dominate arm
name the distal forearm sites: correct answers 5&8 mm
Name the bisphosphonate anti resorptive medications: correct answers alendronate (fosamax)
risedronate (actonel)
ibandronate (boniva)
zoledronic acid (reclast
name the non bisphosphonate anti resorptive meds correct answers estrogen therapy
raloxifene (evista
denosumabb (prolial)
name the anabolic osteoporosis meds correct answers teripartide (forteo)
should a T-score be used for comparison on children? correct answers A T-Score should never
be used before age 20When
what are the preferred DXA sites for children 3yr old and up? correct answers PA L-spine and
total body minus the head
when is DXA recommened for children? (7) correct answers recurrent fractures
bone pain
bone deformity
osteopenia seen on x-ray
cancer survivors
females with eating disorders/excessive exercise
females after 6+ months without menstrual cycle
for pediatric DXA a cancer survivor is recommended to have imaging done at what point?
correct answers either 2yr after chemo or by the age of 18 which ever comes first
the risk of fracture ___ for each SD decline in BMD.
a. double
b. tripples
d. sees very little increase
c. decreases correct answers doubles (approximatly)
what type of bone is measured in a total body scan? correct answers cortical
why is the forearm typically not used to monitory osteoporosis therapy? correct answers the rate
of change is slower than the L-spine or hips because it is primarily cortical bone
what special imaging should be done for some one with hyperparathyroidism? correct answers
33% forearm because hyperparathyroidism targets cortical bone
the anticipated rate of change in the total hip ROI is ___ than the femoral neck ROI
, faster or slower correct answers slower
how many continuous vertebrae is preferred for PA spine DXA correct answers 3-4
Most DXA images are approved by the FDA for use in making structural diagnoses
True/False correct answers false
What are the non prescription interventions for osteoporosis? correct answers life style
modifications and OTC meds
What can cause a failure to attain peak BMD? correct answers genetics
dietary calcium deficiency
lack of exercise
what is a morphometric spinal fracture? correct answers a fracture that can be seen on a
radiograph but has little to no symptoms
Define a clinical spine fracture correct answers a spinal fracture that causes symptoms
What is the WHOs definition of established osteoporosis? correct answers A BMD of 2.5SD or
more below the average of a young adult and a history of fracture
what is a European Spine Phantom? correct answers anthropomorphic phantom, the European
Spine Phantom (ESP) contains a spine insert consisting of three vertebrae of increasing bone
mineral densities and thicknesses of cortical structures
what is an anthropormorphic phantom? correct answers replicates skeletal region to detect a shift
in BMD values over time
What is the recommended follow up time between DXAs for a patient taking steroids? correct
answers every 6 months
What is the recommended follow up time between DXAs for a normal patient? correct answers
L-spine is recommended once per year
Proximal Femur is recommended every 2 years
how long does a long term precision study last? correct answers usually 1 year
how long does a short term precision study last? correct answers 2-4 weeks
What is the importance of least significant change (LSC)? correct answers it determines the
minimum interval between follow up measurements before a change in BMC can be seen
Which arm should be scanned? correct answers non dominate arm
name the distal forearm sites: correct answers 5&8 mm
