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Bone Density -ARRT Criteria Exam Questions and Answers 100% Pass

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Bone Density -ARRT Criteria Exam Questions and Answers 100% Pass 1500mg/day - ANSWER -What is the calcium recommendation for postmenopausal women not on estrogen therapy and men older than 65? Osteoporosis - ANSWER -* Disease characterized by low bone mass and structural deterioration of bone tissue * bone mineral density or bone mineral content T-score of less than -2.5 Primary osteoporosis - ANSWER -Not caused by an underlying disease, classified as Type 1 (post- menopausal) or type 2 (Senile or age related) Secondary Osteoporosis - ANSWER -Caused by an underlying disease that results in an imbalance of bone turnover (EX: hyperparathyroidism, gonadal insufficiency, calcium deficiency, osteomalacia, rheumatoid arthritis, anorexia, gastrectomy, gluten hypersensitivity, multiple myeloma, insulin dependent diabetes) Functions of the bone - ANSWER -Supports the body and protects vital organs, manufactures red blood cells, stores the minerals that are necessary for life Cortical and Trabecular - ANSWER -What are the two types of bone? Cortical Bone - ANSWER -Dense, compact outer shell of all bones and the shafts of the long bones; supports weight, resists bending and twisting, and accounts for about 80% of the skeletal bones 2 | P a g e Created by Grace Amelia © 2025, All Rights Reserved. Trabecular bone - ANSWER -Delicate, latticework structure within the bones that adds strength without excessive weight; supports compressive loading at the spine, hip, and calcaneus and is also found in the ends of long bones, such as the distal radius Osteoclasts - ANSWER -Bone-destroying calls that break down and remove old bone, leaving pits Osteoblasts - ANSWER -Bone-building cells that fill the pits left by resorption with new bone. (TIP: B for building) Remodeling cycle in bone remodeling - ANSWER -The process of bone resorption by osteoclasts followed by bone formation by osteoblasts. The relative rates of resorption and formation determine whether bone mass increase, remains stable, or decreases. Resorption lasts about 1 week, and formation lasts about 3 months. With this process, a new skeleton is formed about every 7 years. Age, hormones, pathology - ANSWER -What factors affect bone remodeling? Genetics, endocrine, nutrition, lifestyle, medications - ANSWER -What are 5 risk factors of bone loss? Corticosteroids, anticonvulsants, lithium, GnRH agonist, long term heparin, excessive thyroid treatment - ANSWER -What medications can affect bone loss? Mean - ANSWER -A statistic commonly called average. The sum of the data values divided by the number of data values Standar Deviation - ANSWER -Measure of the variablility of the data values about their mean value Coefficient of Variation (CV) - ANSWER -Statistic used to compare the standard deviations from different datasets, which may have different means. Also a measure of precision. Calculated as the SD divided by the mean, times 100. A smaller %CV indicates precision. Equation: %CV=(SD/Mean) x 100 3 | P a g e Created by Grace Amelia © 2025, All Rights Reserved. Z-scores - ANSWER -Number of standard deviations an individual's bone mineral density (BMD) is from average BMD for sex and age-matched reference group. Z-score underestimates fracture risk. T-scores - ANSWER -Number of standard deviations an individuals BMD is from average BMD for sex-matched young adult normal peak bone mass. T-scores underestimates fracture risk. WHO Diagnostic Criteria - ANSWER -* Normal = BMD or BMC T-score of greater than or equal to -1 * Low bone mass (osteopenia) = BMD or BMC T-score between -1 and -2.5

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Bone Density Registry review Questions and
Answers 100% Pass


Name the bisphosphonate anti resorptive medications: - ANSWER ✔✔-alendronate (fosamax)


risedronate (actonel)


ibandronate (boniva)


zoledronic acid (reclast


name the non bisphosphonate anti resorptive meds - ANSWER ✔✔-estrogen therapy


raloxifene (evista


denosumabb (prolial)


name the anabolic osteoporosis meds - ANSWER ✔✔-teripartide (forteo)


should a T-score be used for comparison on children? - ANSWER ✔✔-A T-Score should never be used

before age 20When


what are the preferred DXA sites for children 3yr old and up? - ANSWER ✔✔-PA L-spine and total body

minus the head


when is DXA recommened for children? (7) - ANSWER ✔✔-recurrent fractures


bone pain


bone deformity


osteopenia seen on x-ray




Created by Grace Amelia © 2025, All Rights Reserved.

,2|Page


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? - ANSWER

✔✔-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 - ANSWER ✔✔-doubles (approximatly)


what type of bone is measured in a total body scan? - ANSWER ✔✔-cortical


why is the forearm typically not used to monitory osteoporosis therapy? - ANSWER ✔✔-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? - ANSWER ✔✔-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 - ANSWER ✔✔-slower


how many continuous vertebrae is preferred for PA spine DXA - ANSWER ✔✔-3-4


Most DXA images are approved by the FDA for use in making structural diagnoses




Created by Grace Amelia © 2025, All Rights Reserved.

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True/False - ANSWER ✔✔-false


What are the non prescription interventions for osteoporosis? - ANSWER ✔✔-life style modifications and

OTC meds


What can cause a failure to attain peak BMD? - ANSWER ✔✔-genetics


dietary calcium deficiency


lack of exercise


what is a morphometric spinal fracture? - ANSWER ✔✔-a fracture that can be seen on a radiograph but

has little to no symptoms


Define a clinical spine fracture - ANSWER ✔✔-a spinal fracture that causes symptoms


What is the WHOs definition of established osteoporosis? - ANSWER ✔✔-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? - ANSWER ✔✔-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? - ANSWER ✔✔-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? - ANSWER ✔✔-

every 6 months


What is the recommended follow up time between DXAs for a normal patient? - ANSWER ✔✔-L-spine is

recommended once per year


Proximal Femur is recommended every 2 years




Created by Grace Amelia © 2025, All Rights Reserved.

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