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CCD Exam Test Bank Questions with 100% Correct Answers New Update What measurement is not useful for monitoring bisphosphonate treatment in postmenopausal women with osteoporosis? - Answer Trabecular bone score (TBS) TBS is associated with major osteoporotic fracture risk in which population?...

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CCD Exam Test Bank Questions
with 100% Correct Answers New
Update
What measurement is not useful for monitoring bisphosphonate treatment in
postmenopausal women with osteoporosis? - Answer ✔ Trabecular bone score (TBS)

TBS is associated with major osteoporotic fracture risk in which population? - Answer ✔
Postmenopausal women with type II diabetes.

Hip axis length (HAL) derived from DXA is associated with fracture risk at which site in
postmenopausal women? - Answer ✔ Hip

Hip geometry parameters derived from DXA - CSA, OD, SM, BR, CSMI, and NSA -
should not be used for which 3 actions? - Answer ✔ 1) To assess hip fracture risk
2) To initiate treatment.
3) For monitoring.

Bone density measurements from different Non Central DXA devices cannot be
______________. - Answer ✔ directly compared

Different devices should be independently validated for fracture risk prediction by which
measures? - Answer ✔ Either by prospective trials or by demonstration of equivalence
to a clinically validated device

Can T-scores from measurements other than DXA at the femur neck, total femur,
lumbar spine, or one-third radius be used for diagnostic classification according to the
WHO? - Answer ✔ No, T-scores from other sites are not equivalent to T-scores derived
by DXA.

Baseline Non Central DXA Devices(QCT, pQCT, QUS, pDXA) Report:Minimum
Requirements - Answer ✔ •Date of test
•Demographics (name, date of birth or age, sex)
•Requesting provider•Names of those receiving copy of report
•Indications for test
•Manufacturer, and model of instrument and software version
•Measurement value(s)
•Reference database
•Skeletal site/ROI

, •Quality of test
•Limitations of the test including a statement that the WHO diagnostic classification
cannot be applied to T-scores obtained from QCT, pQCT, QUS, and pDXA (other than
one-third (33%) radius) measurements
•Clinical risk factors
•Fracture risk estimation
•A general statement that a medical evaluation for secondary causes of low BMD may
be appropriate
•Recommendations for follow-up imaging


Age for women at which BMD testing is indicated without caveat - Answer ✔ 75

Four risk factors that are indicators for BMD testing in post-menopausal women who are
younger than 65, in women who are currently in the transition to menopause, and in
med who are younger than 70: - Answer ✔ 1) low body weight
2) prior fracture
3) high risk medication use
4) disease/condition associated with bone loss

Age at which BMD testing is indicated for men: - Answer ✔ 70 and older.

What type of fracture is an indication for BMD testing in any adult? A fragility fracture

Two generic indications for BMD testing: - Answer ✔ 1) Anyone being considered for
pharmacologic therapy.

2)Anyone not receiving therapy in whom evidence of bone loss would lead to treatment.

One obvious indication for BMD testing: - Answer ✔ Anyone being treated, to monitor
treatment effect.

A uniform Caucasian female normative database should be used as the reference for
which cohorts? - Answer ✔ 1) Women of ALL ethnic groups
2) Men of ALL ethnic groups

What reference standard should manufacturers use for femoral neck and total hip T-
scores? - Answer ✔ NHANES III data

What reference standard should manufacturers use for the lumbar spine T-scores? -
Answer ✔ The manufacturer's own database

Should local reference data be used to calculate T-scores? - Answer ✔ No.

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