Living Medical
Textbook
From Projects In Knowledge
Osteoporosis
Fracture Prevention and Therapeutic Management Edition
Table of Contents
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CME/CE Information
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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
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
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Burden of Osteoporosis-Related Fractures
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Acute Fracture Treatment
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Medical Evaluation
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Rehabilitation
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Summary
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References
Chapter 6
Monitoring
Last Reviewed: May 20, 2010
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This activity is supported by an educational donation provided by
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This CME program will include a brief pretest. Please start now by answering these 4 questions:
1.
A patient who experiences a fragility fracture while on pharmacologic treatment for osteoporosis should be
Immediately switched to another medication on the basis of treatment failure
Asked about adherence to the current medication regimen
Entered in a clinical trial for an emerging therapy
Advised to continue the current medication but consider increasing the dose
2.
Which of the following choices is the best response to an 80-year-old woman with a prior hip fracture who is unsteady during the “Get Up & Go” test?
Advise the patient to avoid walking whenever possible
Advise the patient to avoid light housekeeping activities
Recommend use of a hip protector
Evaluate all medications the patient is taking
3.
Within the context of vertebral compression fracture, what do a back brace, a walker with wheels and hand brake, and vertebral body augmentation have in common?
They represent the routine initial response to vertebral fracture.
They are standard-of-care management strategies for all patients with vertebral fracture.
They are options for pain management
They are long-term solutions to disability following vertebral fracture.
4.
How often do you
currently use
each of the following clinical practice strategies?
Always
Very Often
Sometimes
Not Very Often
Never
N/A
Evaluate patients with fragility fracture for secondary causes of osteoporosis or bone loss
Conduct the "Get Up & Go" test on patients with fragility fractures
Evaluate the need for pharmacologic treatment of osteoporosis in patients with fragility fractures
Evaluate past adherence to osteoporosis treatment in patients with fragility fractures who were receiving treatment
Prescribe physical therapy for all patients with hip and vertebral fractures
Evaluate pain management needs of patients with vertebral fracture