Question 1
pts
A 61-yr-old women with a history of
osteoarthritis, smoking 1 ppd fractured her
wrist at age 50 after falling down a flight of
stairs is seeing your today for an annual exam.
When you ask about her diet she tells you she
does not drink milk or take a calcium
supplement. You believe she is at risk for
osteoporosis. What would you recommend?
Obtain a central dual-energy x-ray absorptiometry (DXA
Start a bisphosphonate today
Obtain a serum calcium, TSH, and 25-hydroxy
vitamin D level
Obtain a quantitative computed tomography
(QCT) scan
Question 2
pts
Osteoporosis is more common in individuals:
, with type 2 diabetes mellitus
on long-term corticosteroid therapy
who are obese
of African ancestry
Question 3
pts
According to the WHO osteoporosis is defined
as:
bone mineral density (BMD) between 1.5 and 2
standard deviations (SD) below the mean for
your normal adults (T Score)
BMD between 1.5 and 2 SD below the mean for
age matched adults (Z Score)
pts
A 61-yr-old women with a history of
osteoarthritis, smoking 1 ppd fractured her
wrist at age 50 after falling down a flight of
stairs is seeing your today for an annual exam.
When you ask about her diet she tells you she
does not drink milk or take a calcium
supplement. You believe she is at risk for
osteoporosis. What would you recommend?
Obtain a central dual-energy x-ray absorptiometry (DXA
Start a bisphosphonate today
Obtain a serum calcium, TSH, and 25-hydroxy
vitamin D level
Obtain a quantitative computed tomography
(QCT) scan
Question 2
pts
Osteoporosis is more common in individuals:
, with type 2 diabetes mellitus
on long-term corticosteroid therapy
who are obese
of African ancestry
Question 3
pts
According to the WHO osteoporosis is defined
as:
bone mineral density (BMD) between 1.5 and 2
standard deviations (SD) below the mean for
your normal adults (T Score)
BMD between 1.5 and 2 SD below the mean for
age matched adults (Z Score)
