Question 1. Question: Elderly patients who are started on levothyroxine for thyroid replacement should
be monitored for:
Excessive sedation
Tachycardia and angina
Weight gain
Cold intolerance
Question 2. Question : The ongoing monitoring of patients over the age sixty-five years taking
alendronate (Fosamax) or any other bisphosphonate is:
Annual dual energy X-ray absorptiometry (DEXA) scans
Annual vitamin D level
Annual renal function evaluation
Electrolytes every three months
, Question 3. Question : Angela is a black woman who has heard that women of African descent
do not need to worry about osteoporosis. What education would you
provide Angela about her risk?
She is correct; black women do not have much risk of developing
osteoporosis due to their dark skin.
Black women are at risk of developing osteoporosis due to
their lower calcium intake as a group.
If she doesn’t drink alcohol, her risk of developing osteoporosis is
low.
If she has not lost more than 10% of her weight lately, her risk is
low.
Question 4. Question : Prophylactic use of bisphosphonates is recommended for patients with
early osteopenia related to long-term use of which of the following
drugs?
Selective estrogen-receptor modulators