Osteopenia - Quiz
  • 1. What is the primary way to maximize bone density early in life?
A) Taking high doses of steroids
B) Increasing alcohol consumption
C) Maximizing peak bone density
D) Reducing caloric intake
  • 2. Why is preventing bone loss considered important?
A) It is a cheap medical process
B) It always restores bone mass to original levels
C) Bone density loss is usually irreversible
D) It prevents the onset of Celiac disease
  • 3. Which types of exercises are recommended for bone health?
A) Weight-bearing, resistance, and balance exercises
B) Swimming without resistance
C) Only high-intensity cardio
D) Strictly sedentary activities
  • 4. Which medical conditions are noted to affect calcium absorption?
A) Hypertension and arthritis
B) Cancer and allergies
C) Celiac and hyperthyroidism
D) Diabetes and asthma
  • 5. What lifestyle habit should be limited to prevent bone loss?
A) Sunlight exposure
B) Smoking
C) Weight-bearing exercise
D) Eating calcium-rich foods
  • 6. What is the primary goal of the WHO FRAX tool?
A) To estimate the probability of hip and major osteoporotic fractures
B) To determine the ideal weight for a person
C) To measure the exact height of a patient
D) To diagnose the cause of Celiac disease
  • 7. According to the NOF, what is the threshold for hip fracture probability to recommend treatment in men over 50?
A) >50%
B) >3%
C) >10%
D) >20%
  • 8. What does the term 'osteopenia' mean literally?
A) Bone regeneration
B) Bone strength
C) Bone density gain
D) Bone poverty
  • 9. What is the physiological cause of osteopenia?
A) Bone lysis exceeds bone matrix synthesis
B) Too much mineralized bone
C) A lack of physical movement only
D) Excessive bone matrix synthesis
  • 10. In what year did the WHO define osteopenia?
A) 2016
B) 2014
C) 1992
D) 2005
  • 11. Which medication category is commonly used to treat low bone density?
A) Antibiotics
B) Antiviral drugs
C) Steroid medications
D) Bisphosphonates
  • 12. What did a Mayo Clinic epidemiologist suggest about the 1992 osteopenia criteria?
A) It was meant to be a strict diagnostic rule
B) It was meant to indicate the emergence of a problem
C) It was meant to mandate surgery
D) It was meant to classify all patients as sick
  • 13. What is a commonly used bisphosphonate?
A) Alendronate
B) Estradiol
C) Abaloparatide
D) Raloxifene
  • 14. What is a recommended lifestyle change regarding nutrition?
A) Adequate caloric intake
B) Strict fasting
C) Avoiding Vitamin D
D) Eliminating all protein
  • 15. Which factor is NOT part of the FRAX calculation?
A) Age
B) Favorite hobbies
C) Bone density T-score
D) Body characteristics
  • 16. What does the 2005 Annals of Internal Medicine editorial suggest is the objective of osteoporosis drugs?
A) To improve mood
B) To reduce weight
C) To prevent fractures
D) To increase T-scores only
  • 17. What is the recommended threshold for MOF probability by the NOF to recommend treatment?
A) >3%
B) >50%
C) >5%
D) >20%
  • 18. Which of these is a risk factor for bone loss that should be avoided?
A) Calcium intake
B) Weight-bearing exercises
C) Steroid medications
D) Vitamin D intake
  • 19. What is the recommended approach for women over 65 per the American College of Physicians in 2017?
A) Only surgical intervention
B) No treatment is ever needed
C) Mandatory pharmaceutical treatment for everyone
D) Individual judgment based on risk factors and preferences
  • 20. Which medication is a selective estrogen receptor modulator (SERM)?
A) Raloxifene
B) Abaloparatide
C) Estradiol
D) Ibandronate
  • 21. How many older adults in the US had osteopenia in 2010?
A) 100 million
B) 10 million
C) 43 million
D) 25 million
  • 22. What tool is used to measure bone density?
A) Dual-energy X-ray absorptiometry
B) Blood test
C) Ultrasound
D) MRI scan
  • 23. At what age does bone density typically peak?
A) 35
B) 65
C) 20
D) 50
  • 24. Which gender is at a higher risk of developing osteopenia?
A) Men
B) None
C) Both equally
D) Women
  • 25. What is a non-modifiable risk factor for osteopenia?
A) Dietary habits
B) Age
C) Alcohol consumption
D) Tobacco use
  • 26. What syndrome is linked to energy deficiency and low bone mineral density?
A) Carpal tunnel syndrome
B) Female athlete triad
C) Metabolic syndrome
D) Chronic fatigue syndrome
  • 27. Which of the following medications is listed as a potential cause for osteopenia?
A) Antihistamines
B) Steroids
C) Insulin
D) Antibiotics
  • 28. What type of medication other than steroids can contribute to osteopenia?
A) Statins
B) Anticonvulsants
C) Beta-blockers
D) Antidepressants
  • 29. What is the recommended age for women to undergo DXA testing according to the ISCD and NOF?
A) Over 70
B) Over 50
C) Over 65
D) Over 55
  • 30. What is the recommended age for men to undergo DXA testing according to the ISCD and NOF?
A) Over 65
B) Over 60
C) Over 75
D) Over 70
  • 31. What does a T-score between -1.0 and -2.5 indicate?
A) Severe fracture risk
B) Osteoporosis
C) Normal bone density
D) Osteopenia
  • 32. What score does the ISCD recommend using for premenopausal women and men under 50?
A) T-score
B) F-score
C) Z-score
D) D-score
  • 33. Can peripheral and central DXA scans be compared to each other?
A) Yes, they are interchangeable
B) Yes, for patients over 70
C) No
D) Yes, if converted properly
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