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Bone Density Registry review Questions and Answers 100% Pass

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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 2 | P a g e Created by Grace Amelia © 2025, All Rights Reserved. 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 3 | P a g e Created by Grace Amelia © 2025, All Rights Reserved. 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 4 | P a g e Created by Grace Amelia © 2025, All Rights Reserved. how long does a long term precision study last? - ANSWER -usually 1 year how long does a short term precision study last? - ANSWER -2-4 weeks What is the importance of least significant change (LSC)? - ANSWER -it determines the minimum interval between follow up measurements before a change in BMC can be seen Which arm should be scanned? - ANSWER -non dominate arm name the distal forearm sites: - ANSWER -5&8 mm 10% ultra distal name the proximal forearm sites - ANSWER -33% or 1/3 50% does previous femur fracture (with out surgery) have any affect on a proximal femur DEXA? - ANSWER -yes it will be inaccurate and should not be scanned in cases of scoliosis lower BMD is shown on which hip? - ANSWER -the side of convexity (out side curve of the spine) does leg domination have any effect on the BMC of the femurs? - ANSWER -no How do you reposition if you can not see the lesser trochanter? - ANSWER -externally rotate what does the lesser trochanter look like on a DXA image if it is not rotated enough? - ANSWER - pointy how far should you rotate the leg and which direction to bring the femoral neck parallel to the table? - ANSWER -internally 15-20 degrees 5 | P a g e Created by Grace Amelia © 2025, All Rights Reserved. what are the DXA 4 ROIs of the proximal femur? - ANSWER -femoral neck Ward's Area trochanteric region shaft what forms the Ward's area? - ANSWER -anatomic region in the neck of the femur that is formed by the intersection of 3 trabecular bundles why should a Lat L-spine DXA be paired with another scan site measurement? - ANSWER -for better accuracy since L3 may be the only vertebra measured and it is mainly a trabecular measurement which lumbar vertebra in the lateral position is least affected by ribs or pelvis? - ANSWER -L3 is there a way to overcome most spinal artifacts? - ANSWER -yes. Lateral Spine DXA What spinal artifacts can inaccurately increase BMD of the spine? - ANSWER -osteophytes facet sclerosis (grade 2 or 3 only)

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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




Created by Grace Amelia © 2025, All Rights Reserved.

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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




Created by Grace Amelia © 2025, All Rights Reserved.

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