Bone Density Registry Review Exam Questions With Correct Answers
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Bone Density Registry
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Bone Density Registry
Bone Density Registry Review Exam
Questions With Correct Answers
Name the bisphosphonate anti resorptive medications: - answeralendronate (fosamax)
risedronate (actonel)
ibandronate (boniva)
zoledronic acid (reclast
name the non bisphosphonate anti resorptive meds - answerestrogen therapy
ra...
Bone Density Registry Review Exam
Questions With Correct Answers
Name the bisphosphonate anti resorptive medications: - answer✔alendronate (fosamax)
risedronate (actonel)
ibandronate (boniva)
zoledronic acid (reclast
name the non bisphosphonate anti resorptive meds - answer✔estrogen therapy
raloxifene (evista
denosumabb (prolial)
name the anabolic osteoporosis meds - answer✔teripartide (forteo)
should a T-score be used for comparison on children? - answer✔A T-Score should never be
used before age 20When
what are the preferred DXA sites for children 3yr old and up? - answer✔PA L-spine and total
body minus the head
when is DXA recommened for children? (7) - answer✔recurrent fractures
bone pain
bone deformity
osteopenia seen on x-ray
cancer survivors
females with eating disorders/excessive exercise
females after 6+ months without menstrual cycle
for pediatric DXA a cancer survivor is recommended to have imaging done at what point? -
answer✔either 2yr after chemo or by the age of 18 which ever comes first
the risk of fracture ___ for each SD decline in BMD.
a. double
b. tripples
d. sees very little increase
c. decreases - answer✔doubles (approximatly)
what type of bone is measured in a total body scan? - answer✔cortical
why is the forearm typically not used to monitory osteoporosis therapy? - answer✔the rate of
change is slower than the L-spine or hips because it is primarily cortical bone
what special imaging should be done for some one with hyperparathyroidism? - answer✔33%
forearm because hyperparathyroidism targets cortical bone
the anticipated rate of change in the total hip ROI is ___ than the femoral neck ROI
faster or slower - answer✔slower
how many continuous vertebrae is preferred for PA spine DXA - answer✔3-4
Most DXA images are approved by the FDA for use in making structural diagnoses
True/False - answer✔false
What are the non prescription interventions for osteoporosis? - answer✔life style modifications
and OTC meds
What can cause a failure to attain peak BMD? - answer✔genetics
dietary calcium deficiency
lack of exercise
what is a morphometric spinal fracture? - answer✔a fracture that can be seen on a radiograph
but has little to no symptoms
Define a clinical spine fracture - answer✔a spinal fracture that causes symptoms
What is the WHOs definition of established osteoporosis? - answer✔A BMD of 2.5SD or more
below the average of a young adult and a history of fracture
what is a European Spine Phantom? - answer✔anthropomorphic phantom, the European Spine
Phantom (ESP) contains a spine insert consisting of three vertebrae of increasing bone mineral
densities and thicknesses of cortical structures
what is an anthropormorphic phantom? - answer✔replicates skeletal region to detect a shift in
BMD values over time
What is the recommended follow up time between DXAs for a patient taking steroids? -
answer✔every 6 months
What is the recommended follow up time between DXAs for a normal patient? - answer✔L-
spine is recommended once per year
Proximal Femur is recommended every 2 years
how long does a long term precision study last? - answer✔usually 1 year
how long does a short term precision study last? - answer✔2-4 weeks
What is the importance of least significant change (LSC)? - answer✔it determines the minimum
interval between follow up measurements before a change in BMC can be seen
Which arm should be scanned? - answer✔non dominate arm
name the distal forearm sites: - answer✔5&8 mm
10%
ultra distal
name the proximal forearm sites - answer✔33% or 1/3
50%
does previous femur fracture (with out surgery) have any affect on a proximal femur DEXA? -
answer✔yes it will be inaccurate and should not be scanned
in cases of scoliosis lower BMD is shown on which hip? - answer✔the side of convexity (out side
curve of the spine)
does leg domination have any effect on the BMC of the femurs? - answer✔no
How do you reposition if you can not see the lesser trochanter? - answer✔externally rotate
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