-not recomended for patients with Paget's disease or bone mets
According to the WHO criteria, what is the diagnosis of osteoporosis based on the
measurement of bone density? - ANS-2.5 SD or more below the young adult peak bone
density
Accuracy - ANS--ability to measure true value
-most important for diagnosis
-less important for serial monitoring
-affected by the technology
Accuracy - ANS--degree to which the measured results deviate from the values
-ability to measure true value
-mostly affected by the technology
Activation - ANS-osteoclasts begin to form on the surface of the bone
Advantages of Dual Photon Absoptiometry (DPA) - ANS--allowed us to image the spine
and proximal femur
Advantages of DXA - ANS--low dose
-high resolution
-good precision
-stable calibration
-short scan time
,Advantages of DXA - ANS--no source decay that comes with an isotope
-reduced scan time
-precise
Advantages of QUS - ANS--no ionizing radiation
-portable
-inexpensive
After each fracture, Relative Risk multiplies by 2 - ANS-
Age factor for osteoporosis - ANS--postmenopausal
-early menopause (before age 45)
-bone loss is initiated by a dramtic decline in estrogen production by the ovaries
ALARA - ANS--as low as reasonably achievable
-encompasses all radiation safety measures
-minimies radiation dose
-foundation for radiation safety programs
Alendronate (Binosto) - ANS--inhibits osteoclasts
-taken orally
-taken weekly
Alendronate (Fosamax) - ANS--inhibits osteoclasts
-taken orally
-taken daily/weekly
, All follow up DXA scans should be compared to the ________scan - ANS-baseline
Although the technology is similar with all of the DXA units, the BMD results are
different because.......... - ANS--different calibration standards
-algorithms to calculate BMD
-differences in the ROI
-different databases
Aluminum Phantoms - ANS--used with Prodigy, DPX-NT and DPX-MD+
always pick the lowest T-score to make a diagnosis - ANS-
An increase in the overall bone mass of a patient is closely related to an accelerated
rate of bone ___________ and a reduced amount of _______________. -
ANS-formation; resorption
Aphasia - ANS-total or partial loss of the power to use or understand words
Appendicular skeleton - ANS-pelvic girdle, limbs, hands and feet
Areas of the body where cortical (compact) bone is found) - ANS--femoral neck
-fingers
-proximal forearm
-distal forearm
Areas of the body where trabecular (cancellous) bone is found - ANS--spine
-Ward's Area
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