WorksheetsOsteoporosis (Mosley)
Total questions: 24
Worksheet time: 26mins
Which of the following is not a risk factor for osteoporosis?
Diabetes
Smoking/Alcohol Use
Women > Men
Sufficient Calcium and Vitamin D Intake
Which medication(s) can cause osteoporosis?
Proton Pump Inhibitors
Glucocorticoids
SSRIs
All of the above
FRAX calculates the 10-year probability of a hip or major osteoporotic fracture for people who meet which conditions?
Postmenopausal women and men 50+
People with low bone density
People on medication for osteoporosis
People that have not taken osteoporosis medication
What are some variables taken into consideration by FRAX?
A DEXA Scan is used to measure:
Risk factors
Age
Bone Mineral Density
10-year probability of hip fracture
Which of the following is a candidate for a DEXA scan?
Ana, female, 67 y/o
Joshua, male, 25 y/o
Manny, male, 55 y/o, diabetic
Lila, female, 16 y/o
A patient with a T-score of -1.8 falls under which classification?
Normal
Osteopenia
Osteoporosis
Severe Osteoporosis
A patient with a T-score of -1.6 and has had a hip fracture that was not caused by major trauma is diagnosed with?
Osteopenia
Osteoporosis
Severe Osteoporosis
No cause for diagnosis
What is the RDA for calcium for women 51+ and men 71+?
1,000mg/day
600mg/day
1,200mg/day
500mg/day
Calcium supplementation that provides 40% elemental Ca, requires acid for dissolution, and must be taken with food:
Calcium carbonate
Calcium citrate
Calcium gluconate
All of the above
Which vitamin is needed for calcium absorption and bone mineralization?
Vitamin A
Vitamin B6
Vitamin C
Vitamin D
Which of the following decreases the absorption of calcium carbonate if co-administer?
H2 Blockers
Vitamin E
PPIs
Sertraline
Which bisphosphonate has an effervescent tablet formulation?
Ibandronate (Boniva)
Alendronate (Binosto)
Risedronate (Atelvia)
Zoledronic Acid (Reclast)
Which bisphosphonate requires the patient wait 60 minutes before food/supplements and to stay upright for 60 minutes after taking medication?
Alendronate (Fosamax)
Risedronate (Actonel)
Ibandronate (Boniva)
Zoledronic Acid (Reclast)
(a) is the brand name for the bisphosphonate that requires to be taken right after a meal.
What are some common adverse reactions and contraindications of bisphosphonates?
(a) is exposed jaw bone that has not healed and is more common with IV bisphosphonate than oral.
Which electrolytes need to be corrected before administration of Prolia (denosumab)?
Sodium/Potassium
Potassium/Chloride
Magnesium/Phosphate
Calcium/Phosphate
Which drug has a black box warning for increase risk of Venous Thromboembolic Events (VTE) and increase risk of stroke?
Alendronate
Denosumab
Raloxifene
Calcitonin
Hormone replacement therapy, estrogen or estrogen/progestin is used for:
Women with uterus should use estrogen in combination with (a) to reduce risk of endometrial cancer.
Which of the following is an anabolic agent with a BBW of osteogenic sarcoma and can only be used for 2 years?
Abaloparatide (Tymlos)
Teriparatide (Forteo)
Calcitonin
Romosozumab (Evenity)
Which anabolic agent requires 2 subcutaneous injections administered by a healthcare provider and has a BBW for myocardial infarctions?
Teriparatide (Forteo)
Abaloparatide (Tymlos)
Romosozumab (Evenity)
Calcitonin (Miacalcin)
The first line agents for osteoporosis are __________ and _______ with the exception of _________, which is a second line agent.
