Osteoporosis (1) (Msq Drill 160)

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  • 1/54 Questions

    If a localized area has low bone density, does this meet the criteria for osteoporosis?

    • Yes, any low bone density meets the criteria for osteoporosis
    • No, even though the bone density is low it does not meet the criteria as osteoporosis has to be a systemic disease
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  • 2. 

    So, bone strength + bone density + bone quality. True or false?

    • True

    • False

    Correct Answer
    A. True
  • 3. 

    Since estrogen is a bone protector women who are postmenopausal are at a high risk of getting osteoporosis as they have an ______ amount of estrogen.

    • Increased

    • Decreased

    Correct Answer
    A. Decreased
  • 4. 

    Can neoplasms activate osteoclast activity leading to osteoporosis?

    • Yes

    • No

    Correct Answer
    A. Yes
  • 5. 

    So heredity and your body frame can put you at risk for osteoporosis?

    • Yes

    • No

    Correct Answer
    A. Yes
  • 6. 

    The less you move around, the greater the chance of developing osteoporosis. True or false?

    • True

    • False

    Correct Answer
    A. True
  • 7. 

    Can your risk of developing osteoporosis be affected by your race?

    • Yes

    • No

    Correct Answer
    A. Yes
  • 8. 

    Do hip fractures also increase exponentially as women age?

    • Yes

    • No

    Correct Answer
    A. Yes
  • 9. 

    How do we measure bone density?

    • CT scan

    • PET scan

    • MRI

    • DXA scan

    Correct Answer
    A. DXA scan
  • 10. 

    Calcium is an intergral component of the bone matrix. True or false?

    • True

    • False

    Correct Answer
    A. True
  • 11. 

    What is osteoporosis characterized by low bone density or low bone quality?

    • Low bone density or mass

    • Low bone quality

    Correct Answer
    A. Low bone density or mass
  • 12. 

    Is there bone thinning in osteoporosis?

    • Yes

    • No

    Correct Answer
    A. Yes
  • 13. 

    Everything else that causes osteoporosis besides aging and postmenopause is considered a ______ cause of osteoporosis.

    • Primary

    • Secondary

    • Physiologic

    Correct Answer
    A. Secondary
  • 14. 

    Testing and increased life expectancy has seen higher numbers of people diagnosed today than before. True or false?

    • True

    • False

    Correct Answer
    A. True
  • 15. 

    Although trabecular bone has 80% turnover it only comprises 20% of the skeletal mass. True or false?

    • True

    • False

    Correct Answer
    A. True
  • 16. 

    Osteopenia is classified as a bone mass density that is __________ standard deviations below the young normal female mean.

    • 2-2.5

    • 1-2.5

    • 1-3.5

    Correct Answer
    A. 1-2.5
  • 17. 

    Both the cortical and trabecular parts of bone are affected by osteoporosis. Which part is affected more?

    • Trabeculae

    • Cortex

    Correct Answer
    A. Trabeculae
  • 18. 

    Is estrogen a mjor bone deteriorator or a bone protector?

    • Bone deteriorator

    • Protector

    Correct Answer
    A. Protector
  • 19. 

    Men do NOT get osteoporosis. True or false?

    • True

    • False

    Correct Answer
    A. False
    Explanation
    In fact men are underdiagnosed.

    Rate this question:

  • 20. 

    Which of the following are also other secondary causes of osteoporosis?

    • Endocrine disorders such as cushings and hyperthyroidism

    • Vitamin D deficiency

    • Hepatic and renal dysfunction

    • Malnutrition, anorexia nervosa

    • Celiac disease and other causes of malabsorption

    Correct Answer(s)
    A. Endocrine disorders such as cushings and hyperthyroidism
    A. Vitamin D deficiency
    A. Hepatic and renal dysfunction
    A. Malnutrition, anorexia nervosa
    A. Celiac disease and other causes of malabsorption
  • 21. 

    Between estrogen and testosterone which one is protective from osteoporosis?

    • Estrogen ony

    • Testosterone only

    • Both estrogen and testosterone

    Correct Answer
    A. Both estrogen and testosterone
  • 22. 

    The major health care cost of osteoporosis comes from:

    • Doctor visits

    • Osteoporosis medications

    • Fractures

    Correct Answer
    A. Fractures
  • 23. 

    What two types of cells are associated with osteoporosis?

    • Osteoblasts

    • Osteocytes

    • Osteoclasts

    Correct Answer(s)
    A. Osteoblasts
    A. Osteoclasts
  • 24. 

    Between cortical and trabeculae bone which one has a higher turnover?

    • Trabecular

    • Cortical

    Correct Answer
    A. Trabecular
  • 25. 

    What does osteopenia mean?

    • Wasting away of bone trabeculae

    • Extensive thinning of bone

    • Mild thinning of the bone mass

    Correct Answer
    A. Mild thinning of the bone mass
  • 26. 

    What is the WHO classification for Osteoporosis?

    • Bone mass density over 2.5 standard deviations below the normal female mean

    • Bone mass density between 1-2.5 standard deviations below the normal female mean (T score)

    Correct Answer
    A. Bone mass density over 2.5 standard deviations below the normal female mean
  • 27. 

    When you tell a patient that they have osteomalacia, you are essentially telling them that they have a problem with their bone:

    • Density

    • Quality

    Correct Answer
    A. Quality
    Explanation
    Problems with bone density lead to osteoporosis.

    Rate this question:

  • 28. 

    Why might a man be at risk for osteoporosis? Check all that apply.

    • Low testosterone levels

    • High testosterone levels

    • Heavy alcohol consumption

    • Smoking

    • Glucocorticoid use

    Correct Answer(s)
    A. Low testosterone levels
    A. Heavy alcohol consumption
    A. Smoking
    A. Glucocorticoid use
  • 29. 

    The majority of men with osteoporosis have disorders that are known to produce bone loss. Which of the following are some of these disorders?

    • Hyperparathyroidism

    • Hypoparathyroidism

    • Malignancies

    • Intestinal disorders

    • Conditions resulting in immobilization

    Correct Answer(s)
    A. Hyperparathyroidism
    A. Malignancies
    A. Intestinal disorders
    A. Conditions resulting in immobilization
  • 30. 

    Is osteoporosis a systemic or a localized disease?

    • Systemic

    • Localized

    Correct Answer
    A. Systemic
  • 31. 

    So, is the bone quality in osteoporosis normal?

    • Yes

    • No

    Correct Answer
    A. Yes
  • 32. 

    The national osteoporosis foundation defines osteopenia as up to 2 standard deviations below young normal females. True or false?

    • True

    • False

    Correct Answer
    A. True
  • 33. 

    Which group of drugs top the list of drugs that can cause osteoporosis?

    • Anticonvulsants

    • Depo provera

    • Heparin

    • Glucocorticoids

    • Thyroid horone replacements

    Correct Answer
    A. Glucocorticoids
  • 34. 

    Of the two types of cells associated with osteoporosis, which one has increased activity in malignancies?

    • Osteoblasts

    • Osteoclasts

    Correct Answer
    A. Osteoclasts
  • 35. 

    What is the number secondary cause of osteoporosis?

    • Premature ovarian failure

    • Steroids

    • Diabetes mellitus

    • Testicular insufficiency

    • Immobilization

    Correct Answer
    A. Steroids
  • 36. 

    Because patients with osteoporosis have low bone density they have fragile bones and are prone to fractures. According to the national National Osteoporosis foundation ostoporosis is defined as:

    • Below 2 standard deviations

    • Up to 2 standard deviations below young normal females

    Correct Answer
    A. Below 2 standard deviations
  • 37. 

    Osteoporosis is defined as a skeletal disorder characterized by compromised bone strength predisposing to an increased risk of fractures. Bone strength reflects the intergration of what two main features?

    • Bone water content

    • Bone quality

    • Bone cortical tensegrity

    • Bone density

    Correct Answer(s)
    A. Bone quality
    A. Bone density
  • 38. 

    Which cell is responsible for bone resorption?

    • Osteoclasts

    • Osteoblasts

    Correct Answer
    A. Osteoclasts
  • 39. 

    So, the consequences of osteoporosis include:

    • Bone fragility

    • Bone remodelling

    • Fracture

    Correct Answer(s)
    A. Bone fragility
    A. Fracture
  • 40. 

    Aging and postmenopause are ________ causes of osteoporosis.

    • Physiologic

    • Secondary

    Correct Answer
    A. Physiologic
  • 41. 

    If you are giving your patient a dose of steroids that is above _______ mg, it is extremely important to include a concomitant prophylaxis against osteoporosis such as Actonel or Boniva.

    • 3.5mg

    • 4.5mg

    • 5.6mg

    • 7.5mg

    • 9mg

    Correct Answer
    A. 7.5mg
  • 42. 

    Which of the following are other risk factors for osteoporosis?

    • High body mass

    • Hypocalcemia

    • Smoking and alcohol

    • Family history of fractures

    • Female

    Correct Answer(s)
    A. Hypocalcemia
    A. Smoking and alcohol
    A. Family history of fractures
    A. Female
    Explanation
    Patients who have a low body mass have a higher risk of osteoporosis.

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  • 43. 

    In studies on white women and the fracture risk associated with the aging process, what type of fractures increased the most as women grew older?

    • Vertebral

    • Hip

    • Colles

    Correct Answer
    A. Vertebral
  • 44. 

    How many americans currently have low bone mass?

    • 12 million

    • 17 million

    • 28 million

    • 11 million

    • 34 million

    Correct Answer
    A. 34 million
  • 45. 

    What percentage of women over the age of 50 will sustain a fracture in their lifetime?

    • 10%

    • 20%

    • 30%

    • 40%

    • 50%

    Correct Answer
    A. 50%
  • 46. 

    Bone mineral density accounts for what percentage of total bone strength?

    • 20%

    • 50%

    • 70%

    • 75%

    Correct Answer
    A. 70%
  • 47. 

    Which of the following are clinical features of spinal osteoporosis?

    • Numerous warning signs

    • Height loss and dorsal kyphosis

    • Paraspinal muscle pain

    • Restrictive lung disease

    • Protruberant lower abdomen with early satiety, bloating and nausea

    Correct Answer(s)
    A. Numerous warning signs
    A. Height loss and dorsal kyphosis
    A. Paraspinal muscle pain
    A. Restrictive lung disease
    A. Protruberant lower abdomen with early satiety, bloating and nausea
    Explanation
    spinal osteoporosis has NO early warning signs.

    Rate this question:

  • 48. 

    What is the most common vertebral compression fractures due to osteoporosis?

    • C2

    • T4

    • T7

    • T12

    • L4

    Correct Answer
    A. T12
  • 49. 

    Osteoporosis is the most common METABOLIC bone disease in:

    • The population

    • Women

    • Men

    • The elderly

    Correct Answer
    A. The elderly

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  • Feb 16, 2019
    Quiz Edited by
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