Osteoporosis: Diagnosis and Managements _ _____________________________________________________
F inal E xam
OSTEOPOROSIS DIAGNOSIS AND MANAGEMENT Select the best answer for each question and mark your answers on the Final Examination Answer Sheet found on page 122, or complete your test online at BOOK.CME.EDU. A passing grade of at least 70% must be achieved in order to receive credit for this course.
71. With regard to the WHO diagnostic criteria, which of the following is TRUE? A) T-scores are easily applicable to men and children. B) All clinical decisions should be based on T-scores and Z-scores. C) For a young adult woman, a T-score should be the same as a Z-score. D) T-scores at the hip confer the same fracture risk as T-scores at the spine.
76. Which of the following is NOT an established risk factor for osteoporosis? A) Obesity B) Tobacco use C) Previous fracture D) Family history of osteoporosis 77. Which of the following is a sign or symptom of osteoporosis? A) Low back pain
72. Which T-score would meet WHO criteria for osteoporosis?
B) Decreasing height C) Curved upper back D) All of the above
A) Equal to or below -1.0 B) Equal to or below -1.5 C) Equal to or below -2.0 D) Equal to or below -2.5
78. Quantitative computed tomography (CT) A) is not useful in making volume BMD determinations. B) allows for assessment of both cortical and trabecular bone. C) is associated with a lower level of radiation exposure than other techniques. D) results are more likely to be affected by
73. Approximately how many people in America have osteoporosis?
A) 1.8 million B) 10.0 million C) 15.1 million D) 25.3 million
degenerative spinal changes than spinal dual-energy x-ray absorptiometry (DXA) scanning.
74. With respect to osteoporosis and race, gender, and age, which of the following is TRUE? A) Hispanic women have a higher risk of fracture than white women. B) Hispanic Americans are at higher risk of osteoporosis than whites. C) Age does not predict fracture risk independent of bone mineral density (BMD). D) More women suffer hip fractures than men, but the mortality in men is greater. 75. Which is the most common medication(s) associated with secondary osteoporosis? A) Lithium B) Thyroxine C) Glucocorticoids D) Long-acting benzodiazepines
79. Which factor is important to keep in mind
when ordering bone density measurement tests? A) Measurement at one site is preferred. B) Serial measurements may be helpful in assessing bone loss rates. C) Quantitative CT is preferred when patients exhibit multiple risk factors. D) For women younger than 65 years of age, hip fractures are more common than vertebral fractures.
Self-Assessment questions continue on next page
114
MDFL2626
Powered by FlippingBook