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Bone Densitometry for Technologists
Chapter 9 - An Overview of Osteoporosis
21
Medical
Professional
06/29/2017

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Term
____________ is defined as a systemic skeletal disease, characterized by low bone mass and microarchitectural deterioration of bone tissue with a consequent increase in bone fragility and susceptibility to fracture.
Definition
Osteoporosis
Term
Prior to _________, osteoporosis was often described as an "age-related" disorder.
Definition
1991
Term

True or false?

 

The definition of osteoporosis requires only that the skeleton be sufficiently fragile that an individual is at increased risk for fracture.

Definition
True
Term
The ______________ criteria for the diagnosis of osteoporosis based on the measurement of bone density were published in 1994.
Definition
World Health Organization (WHO)
Term
The WHO stated that a bone mass or bone density that was ________ standard deviations (SD) or more below the average peak bone mass or density of the young adult was sufficiently low to be called osteoporosis.
Definition
2.5
Term
Bone mineral densities that were more than 1 but less than 2.5 SD below the average young adult value were called ________ or simply low.
Definition
osteopenic
Term
A fourth category, called ____________, referred to individuals who had bone densities that were 2.5 SD or more below the average for a young adult and who also had a fracture.
Definition
severe or established osteoporosis
Term
An excess mortality of up to ______ within 1 year has been associated with osteoporotic hip fractures.
Definition
24%
Term
Medicare will cover a bone density measurement at one skeletal site by one technique every _______ months.
Definition
23
Term
The circumstances in which pharmacologic intervention should be considered in postmenopausal women and men aged 50 and older were:
Definition
  • A patient who presents with a hip or spine fracture
  • A patient with a T-score equal to or poorer than -2.5 at the lumbar spine or femoral neck
  • A patient with a T-score between -1.0 and -2.5 at the lumbar spine or femoral neck and who has a FRAX 10-year probability of hip fracture of ≥3% or a FRAX 10 year probability of any major osteoporotic fracture of ≥20%, using the US-adapted WHO algorithm. 
Term
When it comes to lifestyle modifications that affect bone density, recommendations that are appropriate include:
Definition
  • Avoidance of cigarette smoke
  • Moderation in alcohol intake
  • Moderation in caffeine intake
  • Moderation in salt (sodium) intake
  • Modification of the home environment to reduce the risk of falls
Term
The NOF recommends an elemental calcium intake from all sources combined of ________ mg a day.
Definition
1,200
Term
For men and women aged 50 and older, the NOF recommends ___________ IU of vitamin D per day.
Definition
800 - 1,000
Term
The recommended dietary allowance (RDA) for calcium according to the Institute of Medicine (IOM) of the National Academies of Science is ________ mg a day for women aged 51 - 70 and ______ mg a day for men of the same age.
Definition

1,200

1,000

Term
Calcium citrate is best taken on a/an ________ stomach.
Definition
empty
Term
An ______________ agent is a medication that primarily inhibits bone loss rather than stimulating new bone formation.
Definition
antiresorptive
Term
_____________________ are antiresorptive or anti-catabolic agents.
Definition

Estrogen

 

raloxifene

 

calcitonin

 

bisphosphonates

 

denosumab

Term
____________ are very similar to pyrophosphate, a substance normally found in bone.
Definition
Bisphosphonates
Term
Four bisphosphonates are approved for both the prevention and treatment of osteoporosis in the United States. They are:
Definition

alendronate or Fosamax®

 

risedronate or Actonel®

 

ibandronate or Boniva®

 

xoledronic acid or Reclast®

Term
_____________, is approved for the prevention and treatment of osteoporosis in women and is also approved for the treatment of osteoporosis in men and the treatment of glucocorticoid-induced osteoporosis.
Definition
Alendronate or Fosamax
Term
________ belongs to a unique group of drugs known as biologics.
Definition
Denosumab
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