Living Medical Textbook - Osteoporosis - Projects In Knowledge - Fracture Prevention and Therapeutic Management Edition Table of Contents - Identifying Patients at Risk for Osteoporosis and Fractures Pretest Page 1

Living Medical
Textbook
From Projects In Knowledge

Osteoporosis

Fracture Prevention and Therapeutic Management Edition

Table of Contents | CME/CE Information | Technical Requirements | Login

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Chapter 1
Overview of Osteoporosis
Last Reviewed: May 20, 2010

Chapter 2
Identifying Patients at Risk for Osteoporosis and Fractures
Last Reviewed: May 20, 2010

–	Introduction
–	Clinical Assessment of Risk
–	Bone Densitometry
–	Spinal Imaging
–	Laboratory Testing
–	Facilitating Screening in Clinical Practice
–	Conclusion
–	References

Chapter 3
Assessment of Fracture Risk Using FRAX^®
Last Reviewed: May 20, 2010

Chapter 4
Treatment of Osteoporosis
Last Reviewed: May 20, 2010

Chapter 5
Management of the Postfracture Patient
Last Reviewed: May 20, 2010

Chapter 6
Monitoring
Last Reviewed: May 20, 2010

This activity is supported by an educational donation provided by Amgen.

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This CME program will include a brief pretest. Please start now by answering these 4 questions:

The majority of osteoporosis-related fractures involve which of the following risk factors?

	Low body weight
	Falls
	Corticosteroid use
	Family history of fracture

Which of the following is not a secondary cause of osteoporosis?

	Celiac sprue
	Hypercalciuria
	Menopause
	Oral glucocorticoid therapy

Mr. Jones is a 72-year-old male who presents to his clinician for a routine physical examination. He has never had bone mineral density (BMD) testing. Is he a candidate for BMD testing now?

	Yes
	Maybe; the answer depends on whether he has a risk factor other than age
	Maybe; the answer depends on whether he has had a prior low-trauma fracture
	No

How often do you currently use each of the following patient care strategies?

	Always	Very Often	Sometimes	Not Very Often	Never	N/A
During the annual exam, ask older patients about falls within the past year
Perform a simple fall assessment test in older patients who report a fall within the past year
During the annual exam, ask adult male patients about symptoms of hypogonadism
During the annual exam, ask adult male and female patients about history of fracture
During the annual exam, ask patients about calcium and vitamin D intake, smoking, and alcohol use
During the annual exam, assess changes in height or presence of kyphosis to identify potential vertebral fracture
During the annual exam, examine adult male and female patients for signs of secondary causes of osteoporosis
During the annual exam, order laboratory tests to identify occult secondary causes of osteoporosis
Refer at-risk patients for bone mineral density testing
Interpret bone mineral density measurements according to the World Health Organization diagnostic criteria
Interpret changes in serial measurements by comparing the difference to the “least significant change” for the DXA facility used