Podcast
Questions and Answers
What is the prevalence of osteoporosis in women older than 80 years?
What is the prevalence of osteoporosis in women older than 80 years?
- 50% (correct)
- 30%
- 60%
- 40%
At what age is peak adult bone mass achieved in both women and men?
At what age is peak adult bone mass achieved in both women and men?
- Between 35 and 40 years
- Between 25 and 30 years
- Between 18 and 25 years (correct)
- Between 30 and 35 years
Why are routine vertebral fracture screenings not recommended for older adults?
Why are routine vertebral fracture screenings not recommended for older adults?
- They can be seen incidentally on chest x-rays (correct)
- They are not effective in detecting fractures
- Fractures are not common in older adults
- Screenings are too expensive
What contributes to the development of osteopenia without associated bone loss?
What contributes to the development of osteopenia without associated bone loss?
When does primary osteoporosis occur in women?
When does primary osteoporosis occur in women?
What contributes to the net bone loss over time in age-related bone mass loss?
What contributes to the net bone loss over time in age-related bone mass loss?
What is a result of medications or diseases that affect bone metabolism?
What is a result of medications or diseases that affect bone metabolism?
What is a fragility fracture?
What is a fragility fracture?
Why are most residents of long-term care facilities at risk for bone fracture?
Why are most residents of long-term care facilities at risk for bone fracture?
Which factor affects peak adult bone mass?
Which factor affects peak adult bone mass?
What is the primary reason for the projected doubling of hip fractures and associated costs by 2040?
What is the primary reason for the projected doubling of hip fractures and associated costs by 2040?
What are interventions that decrease the risk of fractures and associated disability later in life?
What are interventions that decrease the risk of fractures and associated disability later in life?
What is the main reason for older adults absorbing dietary calcium less efficiently?
What is the main reason for older adults absorbing dietary calcium less efficiently?
Who typically develops larger, heavier bones?
Who typically develops larger, heavier bones?
What is the age range for men to achieve peak bone mass?
What is the age range for men to achieve peak bone mass?
What characterizes osteoporosis?
What characterizes osteoporosis?
What is the primary reason for the altered bone turnover in osteoporosis?
What is the primary reason for the altered bone turnover in osteoporosis?
What is a consequence of failure to develop optimal peak bone mass and low vitamin D levels?
What is a consequence of failure to develop optimal peak bone mass and low vitamin D levels?
What are common fractures in osteoporosis?
What are common fractures in osteoporosis?
What is an example of an intervention to decrease the risk of fractures and associated disability later in life?
What is an example of an intervention to decrease the risk of fractures and associated disability later in life?
Which demographic group is at highest risk for osteoporosis?
Which demographic group is at highest risk for osteoporosis?
What tool is used to estimate fracture risk and guide treatment decisions for osteoporosis?
What tool is used to estimate fracture risk and guide treatment decisions for osteoporosis?
Which factor contributes to osteoporosis development?
Which factor contributes to osteoporosis development?
What test is recommended for diagnosing osteoporosis in women over 65?
What test is recommended for diagnosing osteoporosis in women over 65?
What is the primary cause of accelerated bone resorption in women at menopause?
What is the primary cause of accelerated bone resorption in women at menopause?
What is used to provide bone mineral density (BMD) information in osteoporosis diagnosis?
What is used to provide bone mineral density (BMD) information in osteoporosis diagnosis?
What contributes to poor bone health in individuals?
What contributes to poor bone health in individuals?
What is recommended to develop and maintain bone mass in individuals?
What is recommended to develop and maintain bone mass in individuals?
What may be a cause of osteoporosis in men?
What may be a cause of osteoporosis in men?
What may exclude other possible disorders contributing to bone loss in osteoporosis diagnosis?
What may exclude other possible disorders contributing to bone loss in osteoporosis diagnosis?
Study Notes
Osteoporosis: Risk Factors, Assessment, and Treatment
- Estrogen withdrawal at menopause or oophorectomy causes accelerated bone resorption, with most women losing 10% of bone mass within 5 years.
- Small-framed and Asian/Caucasian women are at highest risk, while African American women also face risks due to specific diseases and calcium intake issues.
- Aromatase inhibitors pose additional risk for women with breast cancer.
- Men have a greater peak bone mass and experience osteoporosis about a decade later, with one in four experiencing osteopenic fractures.
- Nutritional factors, bariatric surgery, and gastrointestinal diseases contribute to osteoporosis development.
- Autoimmune diseases, corticosteroid medications, and immobility also lead to poor bone health.
- Immobility contributes to osteoporosis, and resistance and impact exercises are beneficial in developing and maintaining bone mass.
- Osteoporosis may be undetectable on routine x-rays until significant demineralization occurs.
- Diagnosis is made through dual-energy x-ray absorptiometry (DEXA) scans, with T-scores providing BMD information.
- Baseline DEXA testing is recommended for women over 65 and postmenopausal women over 50 with risk factors, as well as for those who have had osteoporotic fractures.
- FRAX and MORES tools are used to estimate fracture risk and guide treatment decisions based on BMD, family history, BMI, and other factors.
- Laboratory studies and x-rays are used to exclude other possible disorders contributing to bone loss, and low testosterone levels may be a cause in men.
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Description
Test your knowledge of osteoporosis risk factors, assessment methods, and treatment options with this informative quiz. Learn about the impact of estrogen withdrawal, menopause, oophorectomy, small-framed and Asian/Caucasian women, men's peak bone mass, nutritional factors, autoimmune diseases, corticosteroid medications, immobility, and the role of exercises. Understand the diagnostic methods like DEXA scans, T-scores, FRAX, and MORES tools.
