Metabolic Bone Disease
A 68-year-old postmenopausal woman presents after sustaining a distal radius fracture from a fall from standing height. She has no history of trauma or high-energy mechanism. DEXA scan reveals a T-score of -2.8 at the lumbar spine and -2.5 at the femoral neck. She has no history of bisphosphonate use. The surgeon discusses the diagnosis of osteoporosis and treatment options. Regarding osteoporosis:
Mark each as TRUE or FALSE
Osteoporosis is defined by DEXA T-score: normal (T-score greater than -1.0), osteopenia (T-score -1....
Fragility fractures are defined as fractures from low-energy trauma (fall from standing height or le...
A T-score of -2.0 diagnoses osteoporosis; the Z-score is used for all patients; fragility fractures ...
Treatment includes calcium (1000-1200mg/day) and vitamin D (800-1000IU/day) supplementation, bisphos...
Bisphosphonate-related complications include atypical femoral fractures (subtrochanteric/shaft, late...
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Click T (True) or F (False) for each option