Osteoporosis Bone Disease Quiz

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Osteoporosis Bone Disease Quiz - Quiz

The most common bone disease affected humans. . .


Questions and Answers
  • 1. 
    Which of the following are components of bone strength?
    • A. 

      BMD and bone quality

    • B. 

      BMD and bone strength

    • C. 

      Bone type and bone quality

    • D. 

      Bone strength and Vitamin D levels

    • E. 

      BMD and calcium levels

  • 2. 
    Patients with vertebral fractures may experience chronic pain, height loss, _____.  This can cause restrictive lung disease and involves curvature of the upper spine.
  • 3. 
    Women have accelerated bone loss surrounding menopause owing to loss of estrogen. Yet, osteoporosis can also develop from secondary causes such as:(check all that apply)
    • A. 

      Hypogonadism

    • B. 

      Glucocorticoid use

    • C. 

      Skeletal cancer

    • D. 

      Alcoholism

    • E. 

      Eating disorders

  • 4. 
    The human skeleton consists of both corticol and trabecular bone.  Under normal circumstances, the skeleton undergoes a dynamic process of bone remodeling.  Osteoclasts are involved with resorption.  Resorption is also known as...
    • A. 

      Bone buildup

    • B. 

      Bone breakdown

  • 5. 
    A standardized approach to measuring BMD for the diagnosis of osteoporosis include peripheral bone mineral density measurements.
    • A. 

      True

    • B. 

      False

  • 6. 
    A white 60 year old woman walks up to the pharmacy counter with a cup of Starbucks in her hand.  She states that her mom had osteoporosis and was wondering if she should be screened?
    • A. 

      Yes

    • B. 

      No

  • 7. 
    All current national guidelines for BMD testing agree routine screening should occur for women aged ___ or older.
    • A. 

      55

    • B. 

      60

    • C. 

      65

    • D. 

      70

  • 8. 
    A T-score is the number of standard deviations from the mean bone mineral density in healthy young white women.  Osteoporosis is defined as a T-score at least -2.5 standard deviations below the mean. Osteopenia is defined as a T-score between -2.5 and -1.0 standard deviations below the mean.
    • A. 

      True

    • B. 

      False

  • 9. 
    Which of the following are risk factors for osteoporosis?(check all that apply)
    • A. 

      White/Asian

    • B. 

      Having had a hysterectomy

    • C. 

      Having a small body frame

    • D. 

      Eating prednisone like candy for more than 3 months

    • E. 

      Poor diet

  • 10. 
    Which medications are associated with bone loss?(check all that apply)
    • A. 

      Aromatase Inhibitors

    • B. 

      IM Medroxyprogesterone

    • C. 

      Immunosuppressive meds (such as cyclosporine)

    • D. 

      Amoxicillin

    • E. 

      Excessive levothyroxine doses

  • 11. 
    Kidney stones may occur with use of...
    • A. 

      Calcium Oxalate

    • B. 

      Calcium Carbonate

  • 12. 
    NOF guidelines for BMD treatment include a T-score below -1.0 by central DXA and FRAX risk probability greater than or equal to 20% or greater than or equal to  ____ for hip fracture.
    • A. 

      1%

    • B. 

      3%

    • C. 

      5%

    • D. 

      7%

    • E. 

      10%

  • 13. 
    A patient presents to the pharmacy seeking information about treatment for her bone loss.  She is allergic to bisphosphonates.  She has chronic pain and is really hoping for a medication that inhibits osteoclast activity.  She also just recently bought a new refrigerator and would  like to use it as much as she can.  What would be the best drug for her?
    • A. 

      Ibandronate

    • B. 

      Raloxifene

    • C. 

      Calcitonin

    • D. 

      Teriparitide

    • E. 

      Alendronate

  • 14. 
    Zolendronate is given as an IV infusion 5mg over 15 minutes _______.  The most common adverse events include myalgia, headache, arthralgia, and pain in extremities.
    • A. 

      Once a week

    • B. 

      Once a month

    • C. 

      Once every three months

    • D. 

      Once every year

    • E. 

      Once per lifetime

  • 15. 
    SERMs not only help improve BMD but they are a good choice for post-menopausal women due to their hot-flash reducing effects.
    • A. 

      True

    • B. 

      False

  • 16. 
    Which form of calcium contains the highest elemental calcium?
    • A. 

      Calcium gluconate

    • B. 

      Calcium Lactate

    • C. 

      Calcium Citrate

    • D. 

      Calcium Carbonate

  • 17. 
    Concern exists over the use of chronic bisphosphonate therapy due to reports of  _____ osteonecrosis.Hint: your dentist might notice this before your doctor would
  • 18. 
    Lab tests have little value in diagnosing osteoporosis but can be beneficial in identifying secondary causes of bone loss (such as hyperparathyroidism, hyperthyroidism, hypogonadism, cancer, or low vitamin D).
    • A. 

      True

    • B. 

      False

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