Metabolic Bone Disease
A 72-year-old postmenopausal woman sustains a distal radius fracture from a fall from standing height. She has no history of significant trauma. Her mother had a hip fracture at age 75. She is a non-smoker, drinks one glass of wine daily, and takes no medications. She is concerned about "weak bones." Her DEXA scan shows a T-score of -2.8 at the lumbar spine and -2.4 at the femoral neck. Regarding osteoporosis and fragility fractures:
Mark each as TRUE or FALSE
Osteoporosis is defined by the WHO as a T-score of -2.5 or below at the hip or lumbar spine; osteope...
Risk factors include advanced age, female sex, Caucasian/Asian ethnicity, family history of hip frac...
Osteoporosis is defined as T-score below -1.0; Z-score is used for diagnosis; males are more commonl...
Bisphosphonates (alendronate, risedronate, zoledronic acid) are first-line pharmacotherapy; they inh...
Treatment also includes calcium (1000-1200mg/day) and vitamin D (800-1000 IU/day) supplementation, w...
Answer the questions to see explanations
Click T (True) or F (False) for each option