Bone health, Osteopenia, Osteoporosis

Question 1

what can decrease bone loss lead to

Answer 1

more prone to fracture even without significant trauma

Question 2

What is ACOG recommendation for bone health

Answer 2

Women 65 years and older with normal bone mass or mild bone loss can have a test every 15 years.

For management of women with osteoporosis, repeat DXA q 2 years

Question 3

Osteopenia

Answer 3

Osteopenia is from T score -1 to -2.5 SD below zero

Question 4

Osteoporosis

Answer 4

T score -2.5 SD or lower

Question 5

Major risk factor to bone health

Answer 5

Smoking

Low BMI

Question 6

Calcium for bone health for premenopausal women under 50

Answer 6

1000 mg

Question 7

Vitamin D for bone health

Answer 7

800-1000 IUs a day
These need to come from food sources

Question 8

What is ACOG recommendation for Dexa scan

Answer 8

Women 65 years and older with normal bone mass or mild bone loss can have a test every 15 years.

Question 9

Calcium for Postmenopausal on estrogen and under age 65

Answer 9

1000 mg

Question 10

Calcium for Postmenopausal, not on estrogen

Answer 10

1500 mg

Question 11

Medication for treatment for osteoporosis

Answer 11

Bisphosphonates

Calcitonin

Estrogen agonist/antagonist

Parathyroid hormone

Question 12

Calcium for Premenopausal over age 50

Answer 12

1200

Question 13

Pharmacologic Therapies for Osteoporosis

Answer 13

for anyone with a T-score of -2.5 or lower

hx of a low-trauma hip or vertebral fracture

osteopenia (T-score between 1 and -2.5 if Frax indicates a 3% chance of hip fracture of 20% chance of major osteoporosis-related fracture).

Estrogen FDA approved agent for PREVENTING osteoporosis
(not approved as treatment)

Question 14

Z score

Answer 14

Use primarily with young adults, teens, children

Question 15

Osteoclast

Answer 15

Help Remove old bones

Question 16

Osteoblast

Answer 16

Help build new bones