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