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GWEP Mobility: Osteoporosis Pre Test

SETxGWEP is part of a national network to train the healthcare workforce to deliver age-friendly care that is sensitive to the unique care considerations of older adults.

Please complete this short survey about your experience with this training and any suggested improvements. The results of this survey will only be used to improve the quality of our educational materials.

Thank you!

Please enter the last 4 digits of your phone number

* must provide value

Have you ever worked with a patient who was being treated for osteoporosis?

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Not at all confident

Somewhat confident

Moderately confident

Confident

Extremely confident

Diagnosing osteoporosis

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Starting medication for osteoporosis

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Managing patients already on osteoporosis treatment

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The diagnosis of osteoporosis requires which of the following:

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Bone Mineral Density with T-score < -2.5%

FRAX score with major osteoporotic fracture risk >20%

History of pathologic fracture

All of the above

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Who should be screened for osteoporosis?
Select all that apply.

* must provide value

All women over the age of 65

Both men and women over the age of 70

Patients with long term steroid use

Men over the age of 50 at high risk for fractures

Risk factors for osteoporosis include all of the following EXCEPT:

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>3 alcoholic drinks per day

Tobacco use

Obesity

Stationary lifestyle

All of the above

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Which of the following is true about FRAX score?

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Indicates the risk of a fracture only in a person with osteoporosis

Indicates risk of fracture in the next 10 years

Determines if a patient has osteoporosis

It requires you know BMD to calculate the score

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Which of the following risk factors is NOT included in calculating a FRAX Score?

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Parent Fractured Hip

Glucocorticoid use

Secondary osteoporosis

Rheumatoid arthritis

Alcohol < 3 units per day

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Prevention of osteoporosis includes:

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Daily calcium intake of 2,000mg

Daily vitamin D3 of 2,00O IU

Weight-bearing and muscle strengthening exercises

Long-term glucocorticoid use

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What initial labs would you order for patients with osteoporosis to rule out secondary causes?

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CBC, CMP

CBC, TSH, testosterone

CBC, CMP, TSH, testosterone, serum phosphorus, PTH, vitamin D 25-OH, Urine calcium

CBC, CMP, TSH, PTH

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What is the first line pharmacologic therapy for osteoporosis?

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Weekly 50,000IU of vitamin D3

Alendronate 70mg PO monthly

Alendronate 35mg PO weekly

Alendronate 70mg PO weekly

Zoledronic Acid infusion annually

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Which of the following statements regarding patient education is correct regarding bisphosphonates?

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Osteonecrosis of the jaw is a common side effect

Take the medication with large volumes of water and sit upright for at least half an hour

Take medication with food

This medication does not cause GI upset

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Which of the following statements is correct?

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Peak bone mass appears to be 25-35% genetically determined

Bone mass increases slowly from puberty to mid-20s or 30s in women

Once women reach peak bone mass, bone loss occurs rapidly until the onset of menopause.

After menopause the rate of bone loss is accelerated for 8-10 years

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A 67yo female with a PMHx of HTN and CKD presents to your office for Medicare wellness. She did not seek care over the past 2 years due to the COVID pandemic. Patient received her first DEXA scan today. Her BMD has a T-score of -1.9 at her lumbar spine and femoral neck. Her FRAX score shows her risk for a major osteoporotic fracture or hip fracture is 17% and 5.4% respectively. Does she qualify for treatment?

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No, she does not qualify for treatment

Yes, she does qualify for treatment

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Please explain your answer.

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A 69yo with a PMHx of hypothyroidism, and adrenal insufficiency on chronic steroids (prednisone 2.5mg daily) presents for medicare wellness. DEXA done 3 years ago was normal. You calculate her FRAX score today and her risk for a major osteoporotic fracture or hip fracture is 17% and 9.3% respectively. Does she qualify for treatment?

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No, she does not qualify for treatment

Yes, she does qualify for treatment

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Please explain your answer.

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