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Chapter 30. Osteoporosis MTM Data Set

Which of the following represents a risk factor for osteoporosis?

a. Vitamin B insufficiency

b. Hypothyroidism

c. Premature menopause

d. Obesity

Answer c.

Which of the following is consistent with a diagnosis of osteoporosis?

a. A low trauma fracture before age 40

b. A 10-year risk of hip fracture of 2.5%

c. A T- score between 1.0 and 2.0

d. A T-score at 2.5 or below

Answer d.

Which of the following represents an appropriate therapeutic goal for treatment of osteoporosis?

a. Avoid use of injectable medications.

b. Discontinue oral medications after one year.

c. Prevent fractures of hip, wrist, and spine.

d. Reduce pain level by 50% from baseline.

Answer c.

Which of the following statements best defines primary osteoporosis using living room language?

a. Osteoporosis caused by medications that the patient is taking (eg, steroids).

b. Osteoporosis caused by advanced age or “going through the change” (menopause).

c. Osteoporosis that occurs after the climacteric.

d. Osteoporosis caused by diseases such as hyperthyroidism or Cushing disease.

Answer b.

Which of the following instsructions should be included in the medication action plan for a patient taking a bisphosphonate?

a. Instructions to take with 6 oz of any liquid

b. Instructions to take with a meal

c. Directions for missed doses

d. Importance of remaining upright for 5 minutes after the dose

Answer c.

A patient taking a bisphosphonate reports pain in her throat and trouble swallowing food. Sometimes she spits up blood. Which of the following is the correct course of action?

a. She should stop all her medications and schedule an appointment with her physician.

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