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Osteoporosis MCQs

Total questions: 32

Worksheet time: 1hrs 10mins

Name
Class
Date
1.

A 75-year-female has chronic backache. X-ray spine is shown. What is the most likely diagnosis? NEET 2019

a)

Pott's spine

b)

Osteoporosis

c)

Spondylolisthesis

d)

Spondylodiscitis

2.

A 70-year-old lady got compression fracture of L1 vertebra. There is no neurological deficit to this patient. What advise will you give for this patient? PGI 2016

a)

Vitamin D supplementation

b)

Do MRI scan

c)

Go for screw fixation of L1 vertebra

d)

Take Dexamethasone

e)

To take Alendronate

3.

Osteoporosis is seen in all the following except: (NEET 2016)

a)

Hyperprolactinemia

b)

Thalassemia

c)

Homocystinuria

d)

Systemic sclerosis

4.

Drugs decreasing bone resorption in osteoporosis are all except:

a)

Raloxifene

b)

Teriparatide

c)

Strontium

d)

Risedronate

5.

Which bisphosphonate is approved for the treatment of osteoporosis and is given on yearly basis? (AI 2016)

a)

Alendronate

b)

Zoledronate

c)

Risedronate

d)

Ibandronate

6.

All the following are used in osteoporosis except: (AIIMS 2016)

a)

Denosumab

b)

Strontium

c)

PTH

d)

Milnacipran

7.

A 70-year-old female present to OPD after a trivial trauma, MRI shows L1 collapse. Best management is: (PGI 2016)

a)

Vitamin D therapy

b)

CT

c)

Bisphosphonates

d)

Screw fixation

e)

Aggressive physiotherapy

8.

A 60-years-female with long term steroid intake, presents with backache. X-ray spine done as shown below, next investigation to be done is: (AI 2016)

a)

DEXA

b)

PTH

c)

Serum Calcium

d)

Calcitrol

9.

In Osteoporosis which of these is seen? (AIIMS May 2015)

a)

Normal calcium, decreased ALP

b)

Decreased calcium, increased ALP

c)

Normal calcium, normal ALP

d)

Decreased calcium, decreased ALP

10.

Most common site for the osteoporotic vertebral fracture is: (NEET 2016,2015)

a)

Dorsolumbar spine

b)

Cervical spine

c)

Lumbosacral spine

d)

Dorsal spine

11.

Z score measures the bone mineral density compared to: (NEET 2015)

a)

Age, race and sex matched individuals

b)

Race and sex matched individuals

c)

Sex matched individuals

d)

None of the above

12.

Osteoporosis is characterized by all the following except: (NEET 2015)

a)

Decreased bone mineral density

b)

Decreased serum calcium, phosphorus and alkaline phosphatase is seen

c)

Glucocorticoids can cause osteoporosis

d)

Dorsolumbar spine is the most common site of osteoporotic fracture

13.

The bodies of spine are biconcave and are called "codfish spine" most commonly seen in: (Maharashtra PG 2016)

a)

Scurvy

b)

Osteomalacia

c)

Fluorosis

d)

Hyperparathyroidism

14.

Hemiplegic patient maximum loss of bone mineral density is seen in (AIIMS Nov 2014)

a)

Vertebra

b)

Femur neck

c)

Radius

d)

Humerus

15.

Osteoporosis which of the following is false? (AIIMS 2013)

a)

Osteoporosis is defined, if T score is less than -1.5

b)

Severe osteoporosis PTH is used for treatment

c)

Calcitonin decreases the bone pain

d)

Bisphosphonates are cornerstone of treatment

16.

Osteoporotic female on prolonged bisphosphonates has hip pain next investigation is: (AIIMS 2013, 2012. NEET 2012)

a)

X-rays

b)

Vitamin D

c)

ALP

d)

Dexa

17.

Osteoporosis is caused by all except: (NEET 2013)

a)

Fluorosis

b)

Hypogonadism

c)

Hyperthyroidism

d)

Hyperparathyroidism

18.

Gold standard for diagnosis of osteoporosis: (NEET Pattern 2013)

a)

DEXA

b)

Single beam densitometry

c)

Quantitative computed tomography

d)

Bone histomorphometry

19.

Most common cause of kyphotic deformity: (NEET Pattern 2013)

a)

Trauma

b)

Osteoporosis

c)

Ankylosing spondylitis

d)

Rickets

20.

Most common site of osteoporosis: (NEET Pattern 2012)

a)

Humerus

b)

Vertebrae

c)

Scapula

d)

Flat bones

21.

Decreased osteoid content is a feature of: (NEET Pattern 2012)

a)

Osteomalacia

b)

Osteoporosis

c)

Osteomalacia

d)

Paget's disease

22.

Most Common fracture in post-menopausal women: (NEET Pattern 2012)

a)

Spine

b)

Hip

c)

Radius

d)

Tibia

23.

Osteoporosis treatment in 60 years female is:

a)

Estrogen

b)

Tamoxifen

c)

Alendronate

d)

Calcitonin

24.

Steroids have the following effect on bone:

a)

Osteomalacia

b)

Osteoporosis

c)

Calcific deposits

d)

Myositis ossificans

25.

Which of the following is used in osteoporosis for decreasing bone resorption and increasing bone formation? (AIPG 2009)

a)

Teriparatide

b)

Calcitonin

c)

Strontium ranelate

d)

Bisphosphonate

26.

Osteoporosis is seen in: (PGI 2007, AI 1994)

a)

Thyrotoxicosis

b)

Cushing's disease

c)

Menopause

d)

All of the above

27.

Treatment of postmenopausal osteoporosis: (PGI June 2006)

a)

Tamoxifen

b)

Progesterone

c)

Estrogen

d)

Alendronate

e)

Calcitonin

28.

Denosumab—a monoclonal antibody against RANKL receptor is used in treatment of: (AIIMS Nov 2006)

a)

Rheumatoid arthritis

b)

Osteoporosis

c)

Osteoarthritis

d)

SLE

29.

Osteoporosis is characterized by: (PGI June 2016)

a)

Increased serum alkaline phosphatase

b)

Decreased bone density

c)

Wasting of muscles

d)

Looser's zone seen

e)

Decreased serum calcium

30.

Treatment of postmenopausal osteoporosis: (PGI Dec 04, KA 92)

a)

Calcitonin

b)

Alendronate

c)

Progesterone

d)

Tamoxifen

e)

Androgen

31.

Which of the following is seen in osteoporosis? (AIIMS June 20)

a)

Low Ca, high PO4, high alkaline phosphatase

b)

Low Ca, low PO4, low alkaline phosphatase

c)

Normal Ca, normal PO4, normal alkaline phosphatase

d)

Low Ca, low PO4, normal alkaline phosphatase

32.

The most common manifestation of osteoporosis is (AI 1999, 1994)

a)

Compression fracture of the spine

b)

Asymptomatic, detected incidentally by low serum calcium

c)

Bowing of legs

d)

Loss of weight