Bone Density Registry review Exam
Questions with Answers
Name the bisphosphonate anti resorptive medications: - -alendronate
(fosamax)
risedronate (actonel)
ibandronate (boniva)
zoledronic acid (reclast
-name the non bisphosphonate anti resorptive meds - -estrogen therapy
raloxifene (evista
denosumabb (prolial)
-name the anabolic osteoporosis meds - -teripartide (forteo)
-should a T-score be used for comparison on children? - -A T-Score should
never be used before age 20When
-what are the preferred DXA sites for children 3yr old and up? - -PA L-spine
and total body minus the head
-when is DXA recommened for children? (7) - -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? - -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 - -doubles (approximatly)
-what type of bone is measured in a total body scan? - -cortical
-why is the forearm typically not used to monitory osteoporosis therapy? - -
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? - -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 - -slower
-how many continuous vertebrae is preferred for PA spine DXA - -3-4
-Most DXA images are approved by the FDA for use in making structural
diagnoses
True/False - -false
-What are the non prescription interventions for osteoporosis? - -life style
modifications and OTC meds
-What can cause a failure to attain peak BMD? - -genetics
dietary calcium deficiency
lack of exercise
-what is a morphometric spinal fracture? - -a fracture that can be seen on a
radiograph but has little to no symptoms
-Define a clinical spine fracture - -a spinal fracture that causes symptoms
-What is the WHOs definition of established osteoporosis? - -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? - -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? - -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? - -every 6 months
-What is the recommended follow up time between DXAs for a normal
patient? - -L-spine is recommended once per year
Proximal Femur is recommended every 2 years
Questions with Answers
Name the bisphosphonate anti resorptive medications: - -alendronate
(fosamax)
risedronate (actonel)
ibandronate (boniva)
zoledronic acid (reclast
-name the non bisphosphonate anti resorptive meds - -estrogen therapy
raloxifene (evista
denosumabb (prolial)
-name the anabolic osteoporosis meds - -teripartide (forteo)
-should a T-score be used for comparison on children? - -A T-Score should
never be used before age 20When
-what are the preferred DXA sites for children 3yr old and up? - -PA L-spine
and total body minus the head
-when is DXA recommened for children? (7) - -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? - -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 - -doubles (approximatly)
-what type of bone is measured in a total body scan? - -cortical
-why is the forearm typically not used to monitory osteoporosis therapy? - -
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? - -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 - -slower
-how many continuous vertebrae is preferred for PA spine DXA - -3-4
-Most DXA images are approved by the FDA for use in making structural
diagnoses
True/False - -false
-What are the non prescription interventions for osteoporosis? - -life style
modifications and OTC meds
-What can cause a failure to attain peak BMD? - -genetics
dietary calcium deficiency
lack of exercise
-what is a morphometric spinal fracture? - -a fracture that can be seen on a
radiograph but has little to no symptoms
-Define a clinical spine fracture - -a spinal fracture that causes symptoms
-What is the WHOs definition of established osteoporosis? - -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? - -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? - -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? - -every 6 months
-What is the recommended follow up time between DXAs for a normal
patient? - -L-spine is recommended once per year
Proximal Femur is recommended every 2 years
