2.4 Orthopedics

Question 1

3 types of primary osteoporosis

Answer 1

Juvenile, post-menopausal (Type I), age-associated (type II)

Question 2

T-score indicative of osteopenia

Answer 2

-1 to -2.5 SD

Question 3

T-score indicative of osteoporosis

Answer 3

Less than -2.5 SD

Question 4

T-score indicative of severe osteoporosis

Answer 4

Less than -2.5 SD with fragility fracture(s)

Question 5

Alendronate (Fosamax)

Answer 5

Osteoporosis in post-menopausal women, men, or when glucocorticoid-induced

Question 6

Ibandronate (Boniva)

Answer 6

Osteoporosis in post-menopausal women

Question 7

Risedronate (Actonel)

Answer 7

Osteoporosis in post-menopausal women, men, or when glucocorticoid-induced

Question 8

Zoledronic Acid (Reclast)

Answer 8

Osteoporosis in post-menopausal women or men

Question 9

Calcitonin (Fortical and Miacalcin)

Answer 9

Osteoporosis in post-menopausal women after 5 years when other treatments aren’t indicated

Question 10

Estrogen

Answer 10

Osteoporosis in post-menopausal women, use lowest possible dose for shortest time

Question 11

Raloxifene (Evista)

Answer 11

Osteoporosis in post-menopausal women

Question 12

Teriparatide (Forteo)

Answer 12

Osteoporosis in post-menopausal women or men with very low BMD or high fracture risk

Question 13

Denosumab (Prolia)

Answer 13

Osteoporosis in post-menopausal women at high risk for fracture, men at high risk for fracture, women with breast CA on aromatase inhibitor, or men with prostate CA on gonadotropin reducing hormone

Question 14

Diagnostic criteria for RA (need 4 of 6)

Answer 14

Morning stiffness for 1 hour for 6 weeks, arthritis of 3 joints, arthritis of hand joints, symmetrical arthritis, rheumatoid nodules, serum radiologic changes