Osteoporosis (1) (Msq Drill 160)
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- 1.
Osteoporosis is the most common METABOLIC bone disease in:
- A.
The population
- B.
Women
- C.
Men
- D.
The elderly
Correct Answer
D. The elderly -
- 2.
Is osteoporosis a systemic or a localized disease?
- A.
Systemic
- B.
Localized
Correct Answer
A. Systemic -
- 3.
What is osteoporosis characterized by low bone density or low bone quality?
- A.
Low bone density or mass
- B.
Low bone quality
Correct Answer
A. Low bone density or mass -
- 4.
So, is the bone quality in osteoporosis normal?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 5.
If a localized area has low bone density, does this meet the criteria for osteoporosis?
- A.
Yes, any low bone density meets the criteria for osteoporosis
- B.
No, even though the bone density is low it does not meet the criteria as osteoporosis has to be a systemic disease
Correct Answer
B. No, even though the bone density is low it does not meet the criteria as osteoporosis has to be a systemic disease -
- 6.
So, the consequences of osteoporosis include:
- A.
Bone fragility
- B.
Bone remodelling
- C.
Fracture
Correct Answer(s)
A. Bone fragility
C. Fracture -
- 7.
What does osteopenia mean?
- A.
Wasting away of bone trabeculae
- B.
Extensive thinning of bone
- C.
Mild thinning of the bone mass
Correct Answer
C. Mild thinning of the bone mass -
- 8.
Because patients with osteoporosis have low bone density they have fragile bones and are prone to fractures. According to the national National Osteoporosis foundation ostoporosis is defined as:
- A.
Below 2 standard deviations
- B.
Up to 2 standard deviations below young normal females
Correct Answer
A. Below 2 standard deviations -
- 9.
The national osteoporosis foundation defines osteopenia as up to 2 standard deviations below young normal females. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 10.
What is the WHO classification for Osteoporosis?
- A.
Bone mass density over 2.5 standard deviations below the normal female mean
- B.
Bone mass density between 1-2.5 standard deviations below the normal female mean (T score)
Correct Answer
A. Bone mass density over 2.5 standard deviations below the normal female mean -
- 11.
Osteopenia is classified as a bone mass density that is __________ standard deviations below the young normal female mean.
- A.
2-2.5
- B.
1-2.5
- C.
1-3.5
Correct Answer
B. 1-2.5 -
- 12.
When you tell a patient that they have osteomalacia, you are essentially telling them that they have a problem with their bone:
- A.
Density
- B.
Quality
Correct Answer
B. QualityExplanation
Problems with bone density lead to osteoporosis.Rate this question:
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- 13.
Osteoporosis is defined as a skeletal disorder characterized by compromised bone strength predisposing to an increased risk of fractures. Bone strength reflects the intergration of what two main features?
- A.
Bone water content
- B.
Bone quality
- C.
Bone cortical tensegrity
- D.
Bone density
Correct Answer(s)
B. Bone quality
D. Bone density -
- 14.
So, bone strength + bone density + bone quality. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 15.
Is there bone thinning in osteoporosis?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 16.
Both the cortical and trabecular parts of bone are affected by osteoporosis. Which part is affected more?
- A.
Trabeculae
- B.
Cortex
Correct Answer
A. Trabeculae -
- 17.
Is estrogen a mjor bone deteriorator or a bone protector?
- A.
Bone deteriorator
- B.
Protector
Correct Answer
B. Protector -
- 18.
Since estrogen is a bone protector women who are postmenopausal are at a high risk of getting osteoporosis as they have an ______ amount of estrogen.
- A.
Increased
- B.
Decreased
Correct Answer
B. Decreased -
- 19.
Aging and postmenopause are ________ causes of osteoporosis.
- A.
Physiologic
- B.
Secondary
Correct Answer
A. pHysiologic -
- 20.
What is the number secondary cause of osteoporosis?
- A.
Premature ovarian failure
- B.
Steroids
- C.
Diabetes mellitus
- D.
Testicular insufficiency
- E.
Immobilization
Correct Answer
B. Steroids -
- 21.
If you are giving your patient a dose of steroids that is above _______ mg, it is extremely important to include a concomitant prophylaxis against osteoporosis such as Actonel or Boniva.
- A.
3.5mg
- B.
4.5mg
- C.
5.6mg
- D.
7.5mg
- E.
9mg
Correct Answer
D. 7.5mg -
- 22.
Everything else that causes osteoporosis besides aging and postmenopause is considered a ______ cause of osteoporosis.
- A.
Primary
- B.
Secondary
- C.
Physiologic
Correct Answer
B. Secondary -
- 23.
Which of the following are some secondary risk factors for osteoporosis?
- A.
Depo provera
- B.
Dilantin
- C.
Chronic heparin therapy
- D.
Chronic protein or clacium deficiency
- E.
Thyroid hormone deficiency
Correct Answer(s)
A. Depo provera
B. Dilantin
C. Chronic heparin therapy
D. Chronic protein or clacium deficiencyExplanation
Patients with an excess of thyroid hormone are at risk for osteoporosis.Rate this question:
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- 24.
Can neoplasms activate osteoclast activity leading to osteoporosis?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 25.
Which of the following are other risk factors for osteoporosis?
- A.
High body mass
- B.
Hypocalcemia
- C.
Smoking and alcohol
- D.
Family history of fractures
- E.
Female
Correct Answer(s)
B. Hypocalcemia
C. Smoking and alcohol
D. Family history of fractures
E. FemaleExplanation
Patients who have a low body mass have a higher risk of osteoporosis.Rate this question:
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- 26.
Which group of drugs top the list of drugs that can cause osteoporosis?
- A.
Anticonvulsants
- B.
Depo provera
- C.
Heparin
- D.
Glucocorticoids
- E.
Thyroid horone replacements
Correct Answer
D. Glucocorticoids -
- 27.
So heredity and your body frame can put you at risk for osteoporosis?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 28.
Men do NOT get osteoporosis. True or false?
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
In fact men are underdiagnosed.Rate this question:
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- 29.
Why might a man be at risk for osteoporosis? Check all that apply.
- A.
Low testosterone levels
- B.
High testosterone levels
- C.
Heavy alcohol consumption
- D.
Smoking
- E.
Glucocorticoid use
Correct Answer(s)
A. Low testosterone levels
C. Heavy alcohol consumption
D. Smoking
E. Glucocorticoid use -
- 30.
The majority of men with osteoporosis have disorders that are known to produce bone loss. Which of the following are some of these disorders?
- A.
Hyperparathyroidism
- B.
Hypoparathyroidism
- C.
Malignancies
- D.
Intestinal disorders
- E.
Conditions resulting in immobilization
Correct Answer(s)
A. Hyperparathyroidism
C. Malignancies
D. Intestinal disorders
E. Conditions resulting in immobilization -
- 31.
The less you move around, the greater the chance of developing osteoporosis. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 32.
Can your risk of developing osteoporosis be affected by your race?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 33.
In studies on white women and the fracture risk associated with the aging process, what type of fractures increased the most as women grew older?
- A.
Vertebral
- B.
Hip
- C.
Colles
Correct Answer
A. Vertebral -
- 34.
Do hip fractures also increase exponentially as women age?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 35.
Which of the following are also other secondary causes of osteoporosis?
- A.
Endocrine disorders such as cushings and hyperthyroidism
- B.
Vitamin D deficiency
- C.
Hepatic and renal dysfunction
- D.
Malnutrition, anorexia nervosa
- E.
Celiac disease and other causes of malabsorption
Correct Answer(s)
A. Endocrine disorders such as cushings and hyperthyroidism
B. Vitamin D deficiency
C. Hepatic and renal dysfunction
D. Malnutrition, anorexia nervosa
E. Celiac disease and other causes of malabsorption -
- 36.
Between estrogen and testosterone which one is protective from osteoporosis?
- A.
Estrogen ony
- B.
Testosterone only
- C.
Both estrogen and testosterone
Correct Answer
C. Both estrogen and testosterone -
- 37.
How many women and men in the US currently have osteoporosis respectively?
- A.
2 and 5 million
- B.
8 and 6 million
- C.
9 and 3 million
- D.
8 and 2 million
Correct Answer
D. 8 and 2 million -
- 38.
How many americans currently have low bone mass?
- A.
12 million
- B.
17 million
- C.
28 million
- D.
11 million
- E.
34 million
Correct Answer
E. 34 million -
- 39.
What percentage of women over the age of 50 will sustain a fracture in their lifetime?
- A.
10%
- B.
20%
- C.
30%
- D.
40%
- E.
50%
Correct Answer
E. 50% -
- 40.
Testing and increased life expectancy has seen higher numbers of people diagnosed today than before. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 41.
The major health care cost of osteoporosis comes from:
- A.
Doctor visits
- B.
Osteoporosis medications
- C.
Fractures
Correct Answer
C. Fractures -
- 42.
Osteoporosis causes over how may million fractures in men and women over the age of 50?
- A.
1
- B.
2
- C.
3
- D.
4
- E.
5
Correct Answer
B. 2 -
- 43.
What two types of cells are associated with osteoporosis?
- A.
Osteoblasts
- B.
Osteocytes
- C.
Osteoclasts
Correct Answer(s)
A. Osteoblasts
C. Osteoclasts -
- 44.
Of the two types of cells associated with osteoporosis, which one has increased activity in malignancies?
- A.
Osteoblasts
- B.
Osteoclasts
Correct Answer
B. Osteoclasts -
- 45.
Which cell is responsible for bone resorption?
- A.
Osteoclasts
- B.
Osteoblasts
Correct Answer
A. Osteoclasts -
- 46.
Between cortical and trabeculae bone which one has a higher turnover?
- A.
Trabecular
- B.
Cortical
Correct Answer
A. Trabecular -
- 47.
Although trabecular bone has 80% turnover it only comprises 20% of the skeletal mass. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 48.
Calcium is an intergral component of the bone matrix. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 49.
The following are all biochemical markers of bone metabolism. Which ones are involved in bone formation?
- A.
Free deoxypyridinoline
- B.
Serum osteocalcin
- C.
Urinary collagen type 1 cross linked N-telopeptide
- D.
Urinary collagen type 1 cross linked C-telopeptide
- E.
Serum bone specific alkaline phosphatase
Correct Answer(s)
B. Serum osteocalcin
E. Serum bone specific alkaline pHospHataseExplanation
the rest are responsible for bone resorption.Rate this question:
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- 50.
Which of the following are clinical features of spinal osteoporosis?
- A.
Numerous warning signs
- B.
Height loss and dorsal kyphosis
- C.
Paraspinal muscle pain
- D.
Restrictive lung disease
- E.
Protruberant lower abdomen with early satiety, bloating and nausea
Correct Answer(s)
A. Numerous warning signs
B. Height loss and dorsal kypHosis
C. Paraspinal muscle pain
D. Restrictive lung disease
E. Protruberant lower abdomen with early satiety, bloating and nauseaExplanation
spinal osteoporosis has NO early warning signs.Rate this question:
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Feb 16, 2019Quiz Edited by
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