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CBDT Exam Questions And 100% Correct Answers (A+ Graded)

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CBDT Exam Questions And 100% Correct Answers (A+ Graded)...

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  • October 28, 2024
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CBDT Exam Questions And 100% Correct
Answers (A+ Graded)


Osteoporosis (Old Definition, 1947)

A reduced amount of bone that is qualitatively normal.



Osteoporosis (Modern Definition, 1991)

A systemic skeletal disease characterized by low bone mass and microarchitectural
deterioration of bone tissue, leading to increase in bone fragility and susceptibility to
fracture.



Osteoporosis (Newest Definition 2001)

A skeletal disorder characterized by compromised bone strength (implicating bone
density and bone quality) predisposing to an increased risk of fracture.



Low trauma fracture

bone breaks from force of a fall from standing height or less



T-score (definition)

- Difference between a person's BMD and the reference population (young white female)
divided by the standard deviation(SD)

- Used for diagnosing



WHO Classifications for PM Osteoporosis (1994)

- Normal: T-score -1.0 and above

- Low bone mass ("osteopenia"): between-1.0 and -2.5

- Osteoporosis: -2.5 and below

,- Severe osteoporosis: -2.5 and below with fragility fractures



Rochester Osteoporosis Project (purpose, methods, findings)

- Purpose: looked at osteoporosis prevalence of older white women (reference
population: local young women)



- Methods: DXA of PA spine and proximal femur



- Findings:



1. prevalence increases with age. Study pop over 50 had 16% at spine and 16% at
femoral neck



2. in younger ages, prevalence is higher at spine than hip. in older ages, prevalence is
higher at hip than spine



NHANES III 1998-1994 (Populations, methods, findings)

- Study population: women and men >/= 50 years from the US

- reference population: white women and men 20-29 years from the US

- Methods: DXA scan of proximal femur only

- Findings:

1. Prevalence of osteoporosis for women 50+ years: 22% in white women, 10% Hispanic
women, 5% black women, 6% men

2. Prevalence increases with age. In women 50-59 years 40% LBM, <10% OP. In women
80+ years >90% LBM and >60% OP



Low bone mass

less quantity of bone than is considered normal

, Bone Mineral Content (BMC)

Measurement of bone mineral found in a specific area. Unit: grams



Bone Mineral Density (BMD)

- BMC divided by area

- measured in g/cm2

- always show to 3 decimal points



Z Scores

- A comparison of a person's bone density with that of an average person of the same
age and sex

- Used for premenopausal women, men younger than 50

- If ≤ -2.0 then "below the expected range for age"

- If ≥ -2.0 than "within the expected range for age"



Least Significant Change (LSC)

- The least amount of BMD change that can be considered statistically significant. The
ISCD recommends calculating this for a 95% CI, which is done by multiplying the
precision error by 2.77



(Subtract new BMD from baseline BMD, if amount of change is greater than LSC, the
change is significant)



Fracture Risk Assessment Overview, when to treat

Calculates the 10-year probability of major osteoporotic fracture (clinical vertebral, hip,
forearm, or humerus) and the 10-year probability of hip fracture



Hip BMD most predictive of fracture

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