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Osteoporosis Medications Quiz

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Questions and Answers

What is the risk of medication-related osteonecrosis of the jaw (MRONJ) associated with parenteral administration of bisphosphonates?

1% to 10% (correct)

35% to 40%

25% to 30%

15% to 20%

What is the most common reason for the prescription of bisphosphonates?

Osteoporosis (correct)

Rheumatoid arthritis

Osteoarthritis

Gout

What is the relationship between alendronate (Fosamax) and the incidence of osteonecrosis?

Alendronate has no impact on the incidence of osteonecrosis

The relationship is not mentioned in the text

Alendronate reduces the incidence of osteonecrosis

Alendronate is related to a higher incidence of osteonecrosis (correct)

What percentage of patients reported pain with bone exposure after bisphosphonate treatment?

63% Signup and view all the answers

What does a CTX value of less than 100 pg/mL represent?

High risk Signup and view all the answers

What did the ADA state about the reliability of CTX testing and drug holidays for predicting and mitigating the risk of BRONJ?

The ADA's expert panel could not recommend CTX testing and drug holidays until supported by well-controlled, randomized clinical trials Signup and view all the answers

According to the American Association of Oral and Maxillofacial Surgeons position paper, when should the clinician consider discontinuing the use of oral bisphosphonates before and after elective invasive dental surgery?

For a 3-month period Signup and view all the answers

What does the ADA recommend regarding staging of non-critical dental treatment for patients on bisphosphonates?

Allowing 2 months between sextants to assess for the development of MRONJ before the next one is treated Signup and view all the answers

What does the text recommend regarding the initiation of bisphosphonate therapy for patients requiring IV bisphosphonates?

Initiation of bisphosphonate therapy should be delayed until dental health has been optimized Signup and view all the answers

How may MRONJ development be reduced for patients on bisphosphonates?

By optimizing oral hygiene and post-operatively using topical and systemic antibiotics Signup and view all the answers