systemic bone diseases Flashcards

1
Q

Systemic bone disease, also known asmetabolic bone disease, refers to a ___________ group of disorders affecting the skeletal system.

A

heterogeneous

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2
Q

most common metabolic bone disease, low bone mass and microarchitectural deterioration

A

osteoporosis

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3
Q

The most important sequelae of osteoporosis is a _____ fracture.

A

fragility

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4
Q

_______ fracture is as a fracture that occurs when falling from equal to or less than standing height.

A

fragility

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5
Q

the stage immediately before osteoporosis

A

osteopenia

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6
Q

1 in __ women and 1 in __ men over the age of 50 will have a fragility fracture (osteoporotic fracture).

A

2, 4

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7
Q

3 most common sites for osteoporotic fractures

A

spine, wrist, hip

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8
Q

“Senile” osteoporosis results from

A

old age

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9
Q

remove bone:

build bone:

A

remove bone: osteoclasts

build bone: osteoblasts

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10
Q

Primary osteoporosis: most common, due to both ____ and declining ______levels.

A

age + hormone

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11
Q

Age related is known as senile or type ___ osteoporosis

A

type II

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12
Q

Osteoporosis from declining hormone levels is known as postmenopausal or ____ osteoporosis.

A

type I

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13
Q

Men are less likely to be screened and treated appropriately for osteoporosis
True or false

A

True

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14
Q

Gold standard for diagnosis of osteoporosis before a fragility fracture

A

DEXA

dual energy x-ray absorptiometry

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15
Q

______hump may result from spontaneous compression fracture in postmenopausal woman in the thoracic spine

A

dowager’s hump

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16
Q

No evidence that high-intensity exercise, such as running, is superior to low-intensity exercise, such as walking in preventing osteoporosis.

True or False

A

True

17
Q

weekly exercise requirement to prevent osteoporosis

A

30 mins/3 days

18
Q

mineral and vitamin vital to bone mineral density

A

calcium + vitamin D

19
Q

a small tube is inserted into the collapsed vertebra. A balloon is passed through the tube and is inflated to restore height to the vertebra. Cement is then injected into the vertebral body to maintain the height of the vertebra.

A

kyphoplasty

20
Q

similar procedure in which the cement is injected, but a balloon is not initially used to expand the vertebra.

A

Vertebroplasty

21
Q

most important hormone regulating bone mineral density

A

parathyroid hormone

22
Q

occurs when one or several cells in the parathyroid gland lose their ability to be regulated, developing autonomous excessive release of PTH.

A

primary hyperparathyroidism

23
Q

Primary hyperparathyroidism (PHPT) is the most common cause of ____calcemia

A

hypercalcemia

24
Q

Osteitis deformans AKA

A

Paget’s disease

25
Q

most common symptom of Paget’s disease

A

bone pain

26
Q

Disproportionate number of osteoclasts compared with osteoblasts is the key feature of this disease

A

Paget’s

27
Q

these motions/exercises are contraindicated for older adults who have a kyphotic posture because they increase the risk for anterior vertebral compression fracture

A

flexion, rotation, side bending

28
Q

female athlete triad

A

low BMD
low energy availability/disordered eating
menstrual dysfunction

29
Q

Can be used to check for depression in patients with metabolic bone disease

A

Beck depression inventory

30
Q

Outcome measure used to measure posture

A

REEDCO posture score

31
Q

key components of osteoporosis exercise programs

A

intensity to stress the bone
specific to a location
don’t assume posture is fixed

32
Q

2 main types of exercises that people with osteoporosis should perform

A

resistance + balance

33
Q

Recommended that individuals with osteoporosis do not engage in aerobic exercise to the exclusion of resistance or balance training.

True or False

A

True

34
Q

Exercise intervention in older adults with osteoporosis may not increase BMD, but it can slow age-related loss of BMD
True or False

A

True

35
Q

Flexion exercises are ___________ in adults with osteoporosis and a low BMD score

A

contraindicated

36
Q

most critical muscle group to address in patients with osteoporosis

A

back extensors

37
Q

Osteoporosis is a childhood disease that does not manifest until old age
True or False

A

true

38
Q

Postmenopausal women have decreased BMD often because this hormone is decreased and regulates osteoclasts and osteoblasts

A

estrogen

39
Q

4 bone remodeling phases

A

Activation of osteoclasts
Resorption - microtrenches
Reversal - osteoblasts stimulated
Formation - new bone