SYMPOSIUM 1: Osteoporosis, Nutrition and Fragility Fractures (TW, KM)
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Questions and Answers

Which of the following is a common cause of fragility fractures?

  • Reduced bone mineral (correct)
  • Optimal peak bone mass
  • Excessive physical activity
  • High bone quality

    • What is the annual estimate of osteoporotic fractures in women aged 30 and above?

  • 228,000
  • 1,500,000
  • 750,000 (correct)
  • 513,000

    • What is the estimated annual incidence of hip fractures in the EU?

  • 250,000
  • 120,000
  • 50,000
  • 70,000 (correct)

    • What is the cost of fractures per year in the UK?

    <p>£4 billion</p> Signup and view all the answers

    What is the main objective of drug treatment for fragility fractures?

    <p>Prevent all types of fractures</p> Signup and view all the answers

    What is the recommended way to take oral bisphosphonates?

    <p>With a full glass of water</p> Signup and view all the answers

    What is the pH of buffered oral bisphosphonate?

    <p>pH 4.8 - 5.4</p> Signup and view all the answers

    What is the incidence of atypical femoral shaft fractures?

    <p>1 in 10,000</p> Signup and view all the answers

    What is the recommended age for predicting fragility fractures?

    <p>65 years</p> Signup and view all the answers

    What is the main factor that reduces bone strength?

    <p>Sub optimal peak bone mass</p> Signup and view all the answers

    Which healthcare professional will be discussing the role of nutrition in bone health?

    <p>Dr. Kathy Martyn</p> Signup and view all the answers

    What is the definition of a fragility fracture?

    <p>A fracture that occurs without excessive trauma or follows a fall from a standing height or less</p> Signup and view all the answers

    Who is known as the Father of Modern Endocrinology?

    <p>Fuller Albright</p> Signup and view all the answers

    What is the topic of the presentation at the BSMS Student Symposium?

    <p>Preventing and managing fragility fractures</p> Signup and view all the answers

    Who will be discussing the pharmacology of fracture prevention?

    <p>Dr. Trevor Wheatley</p> Signup and view all the answers

    What should not be done with the presentation?

    <p>Disseminated</p> Signup and view all the answers

    What is the main focus of the presentation?

    <p>Fragility fractures</p> Signup and view all the answers

    Who will be discussing the role of the physiotherapist in preventing and managing fragility fractures?

    <p>Bex Morant</p> Signup and view all the answers

    What is the time slot for the presentation on recognizing the problem and finding the cases?

    <p>9.00 - 9.30</p> Signup and view all the answers

    Is the topic of the presentation only about osteoporosis and bone densitometry scans?

    <p>No</p> Signup and view all the answers

    Which of the following is NOT a risk factor for osteonecrosis of the jaw (ONJ)?

    <p>IL-11</p> Signup and view all the answers

    What is the function of Denosumab?

    <p>It inhibits osteoclast activity</p> Signup and view all the answers

    Which of the following drugs has the longest half-life?

    <p>Denosumab</p> Signup and view all the answers

    What is the mechanism of action of romosozumab?

    <p>Increases Wnt signaling in bone</p> Signup and view all the answers

    Which drug is administered intravenously once annually?

    <p>Zoledronate</p> Signup and view all the answers

    What is the recommended frequency of denosumab injections?

    <p>Every 6 months</p> Signup and view all the answers

    Which drug is a selective estrogen receptor modulator?

    <p>Alendronate</p> Signup and view all the answers

    What is the primary mode of clearance for denosumab?

    <p>Reticuloendothelial system</p> Signup and view all the answers

    Which drug has evidence for preventing both hip and vertebral fractures?

    <p>Alendronate</p> Signup and view all the answers

    What is the main purpose of menopausal hormone therapy (HRT) in relation to fractures?

    <p>Prevents hip fractures</p> Signup and view all the answers

    Which healthcare professional has 12 years of experience running the Osteoporosis Physiotherapy service at Princess Royal Hospital in Haywards Heath?

    <p>Bex Morant</p> Signup and view all the answers

    What did Bex Morant set up in June 2016 for people with Osteoporosis?

    <p>Stronger Fitter Bones</p> Signup and view all the answers

    When did Bex Morant leave her NHS role to pursue Stronger Fitter Bones privately?

    <p>June 2019</p> Signup and view all the answers

    What are the qualifications of Bex Morant?

    <p>BSc (hons) Physiotherapist MCSP HCPC</p> Signup and view all the answers

    What is Bex Morant passionate about in relation to Osteoporosis?

    <p>All of the above</p> Signup and view all the answers

    What are the potential risks and complications associated with a hip fracture?

    <p>All of the above</p> Signup and view all the answers

    Who is involved in the team for managing a hip fracture?

    <p>All of the above</p> Signup and view all the answers

    What are the potential options for post-hip fracture care?

    <p>Both options</p> Signup and view all the answers

    What type of exercise groups are provided by community-led falls teams?

    <p>OTAGO</p> Signup and view all the answers

    What is the average length of stay for a hip fracture patient?

    <p>7-30 days</p> Signup and view all the answers

    Which of the following is NOT a recommended approach to managing vertebral fractures?

    <p>Using a plaster cast</p> Signup and view all the answers

    What is the main reason for diagnosing vertebral fractures?

    <p>To prevent hip fractures</p> Signup and view all the answers

    What is the recommended frequency for strength training to increase spine and hip bone mineral density?

    <p>Twice a week</p> Signup and view all the answers

    What is the recommended frequency for balance exercises for individuals over 65 years old?

    <p>Three times a week</p> Signup and view all the answers

    Which of the following is NOT a personal impact of vertebral fractures?

    <p>Improved posture</p> Signup and view all the answers

    Which of the following is NOT a benefit of impact (weight-bearing) exercises?

    <p>Improved body image</p> Signup and view all the answers

    What is the recommended frequency for daily balance exercises for frequent fallers?

    <p>5 minutes</p> Signup and view all the answers

    Which of the following is a recommended program for fall prevention?

    <p>Both Otago and FaME</p> Signup and view all the answers

    What is the main focus of managing vertebral fractures?

    <p>Managing pain</p> Signup and view all the answers

    What is the main reason for recommending strength training for individuals with vertebral fractures?

    <p>To increase bone mineral density</p> Signup and view all the answers

    Study Notes

    Osteoporosis and Fractures

    • Fragility fractures are commonly caused by osteoporosis.
    • The annual estimate of osteoporotic fractures in women aged 30 and above is not specified.
    • The estimated annual incidence of hip fractures in the EU is not specified.
    • The cost of fractures per year in the UK is not specified.

    Drug Treatment for Fragility Fractures

    • The main objective of drug treatment for fragility fractures is to reduce the risk of fractures.
    • Oral bisphosphonates should be taken with a full glass of water, in an upright position, and at least 30 minutes before food or drink.
    • The pH of buffered oral bisphosphonate is 7.

    Fragility Fractures

    • A fragility fracture is a fracture that occurs as a result of a fall from a standing height or less.
    • The recommended age for predicting fragility fractures is not specified.

    Bone Health

    • The main factor that reduces bone strength is osteoporosis.
    • Nutrition plays a crucial role in bone health.

    Presentation at the BSMS Student Symposium

    • The topic of the presentation is fragility fractures, osteoporosis, and bone health.
    • The presentation will cover the role of nutrition in bone health, the pharmacology of fracture prevention, and the role of the physiotherapist in preventing and managing fragility fractures.
    • The main focus of the presentation is on fragility fractures, osteoporosis, and bone health.

    Pharmacology of Fracture Prevention

    • Denosumab is a RANK ligand inhibitor that prevents bone resorption.
    • Romosozumab is a sclerostin inhibitor that stimulates bone formation.
    • Zoledronic acid has the longest half-life among bisphosphonates.
    • Denosumab is administered via subcutaneous injection every 6 months.

    Preventing and Managing Fragility Fractures

    • Physiotherapists play a crucial role in preventing and managing fragility fractures.
    • The recommended frequency for strength training to increase spine and hip bone mineral density is 2-3 times per week.
    • Balance exercises are recommended for individuals over 65 years old, with a frequency of at least 3 times per week.
    • Hip fracture patients require a multidisciplinary team approach for management.

    Vertebral Fractures

    • Vertebral fractures are a significant public health concern due to their impact on quality of life and mortality.
    • The main reason for diagnosing vertebral fractures is to identify individuals at risk of further fracture.
    • The recommended approach to managing vertebral fractures includes pain management, exercises, and pharmacological interventions.

    Exercise and Fracture Prevention

    • Exercise programs that include strength training, balance exercises, and impact (weight-bearing) exercises are recommended for fracture prevention.
    • The recommended frequency for daily balance exercises for frequent fallers is at least 10-15 minutes per day.
    • The main focus of managing vertebral fractures is to reduce pain, improve function, and prevent further fractures.

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    SYMPOSIUM 1. Osteoporosis, Nutrition and Fragility Fractures (TW, KM).ppt
    SYMPOSIUM 1. Osteoporosis, Nutrition and Fragility Fractures (RJ)(2).pptx

    Description

    Quiz: Understanding the Fragility Fracture Epidemic and its Solutions Join the BSMS Student Symposium in April 2023 to delve into the pressing issue of the "Fragility fracture" epidemic. Expert speakers, such as Dr. Trevor Wheatley and Dr. Kathy Martyn, will shed light on recognizing the problem, finding cases, and exploring the crucial role of nutrition in maintaining bone health. Don't miss this opportunity to gain valuable insights into tackling this growing healthcare concern.

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