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Self-Assessment Questions

Family Medicine

Osteoporosis: Review Questions

Rebecca A. Williams, MD

Dr. Williams is a Board Certified Family Physician in private practice and Clinical Assistant Professor of Family Medicine, University of Illinois at Chicago, Chicago, IL.



Choose the single best answer for each question.

1. All of the following are risk factors for osteoporosis EXCEPT:
  1. Low calcium intake
  2. Smoking
  3. Alcohol use
  4. Turner’s syndrome
  5. Obesity
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2. Which of the following medical conditions or medications can lead to secondary osteoporosis?

  1. Hypothyroidism
  2. Zinc deficiency
  3. Type 2 diabetes mellitus
  4. Gonadotropin-releasing hormone (GnRH) agonists
  5. Angiotensin-converting enzyme (ACE) inhibitors
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3. A 50-year-old African American woman visits your office for an annual examination. She takes inhaled steroids and ß-agonists for mild intermittent asthma. Her past medical history is negative for any fracture. She has no family history of osteoporosis. She exercises regularly. Her menses are regular. Based on her history, what are your recommendations for osteoporosis prevention and screening?

  1. Take 800 mg of calcium and 800 IU vitamin D daily
  2. Take 1200 mg of calcium and 400 IU vitamin D daily
  3. Bone mineral density (BMD) screening
  4. Begin calcitonin therapy to increase bone density
  5. Begin alendronate therapy to increase bone density
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4. A 65-year-old white woman presents for interpretation of BMD testing. Her personal medical history is unremarkable, but her mother died at age 75 years due to complications of a hip fracture. Her T score is –2. Which of the following choices is the correct interpretation of this patient’s T score and treatment?
  1. Normal BMD; calcium supplementation
  2. Normal BMD; alendronate for prevention
  3. Osteopenia; zinc supplementation for prevention
  4. Osteopenia; alendronate for treatment
  5. Osteoporosis; residronate for treatment
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5. An 80-year-old Asian woman presents to your office with back pain. She notes that the pain began on the previous day after stepping off a curb. She has been unable to sleep due to the pain. Physical examination reveals she has a dorsal kyphosis and tenderness over a midthoracic spinous process. Results of neurologic examination are negative for signs of cord compression. You prescribe a mild narcotic pain reliever and order thoracic spine films. Which of the following medications would be of most immediate benefit to this patient?

  1. Calcium supplements
  2. Residronate
  3. Calcitonin
  4. Estrogen
  5. Alendronate
Click here to compare your answer.
 

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