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Women with predisposing factors for osteoporosis

 

Answer the following items using your own words. Be objective and concise while being professional.
1. During a case presentation at your clinic, you review four women with predisposing factors for osteoporosis. Which patient is least likely to be at risk for osteoporosis?
A. Nehineza, an overweight African American female with a family history of uterine cancer
B. Cristina, a Hispanic woman living a sedentary life
C. Park-Gim-Ka, an underweight Asian woman with a history of tobacco use
D. Skylar, a Caucasian woman experiencing early onset of menopause.
2. Densitometry results are given as T-scores. Which values would be considered osteopenia?
3. After prompt analysis of your patient, you decide to institute treatment for osteoporosis. Which class of medication is considered the first-line treatment? Are there any considerations to be made prior to starting therapy? Which recommendations would you provide to the patient regarding this treatment?

Sample Answer

 

1. The patient least likely to be at risk for osteoporosis is A. Nehineza, an overweight African American female with a family history of uterine cancer. Weight-bearing exercise and higher body weight can provide protective effects against osteoporosis. Being overweight can help in reducing the risk of developing osteoporosis.

2. T-scores between -1 and -2.5 on densitometry results would be considered osteopenia, indicating lower than normal bone density but not low enough to be classified as osteoporosis.

3. The first-line treatment class for osteoporosis is bisphosphonates, such as alendronate or risedronate. Prior to starting therapy, considerations should include assessing renal function, dental health, and the patient’s ability to comply with dosing instructions. Recommendations for the patient regarding this treatment may include taking the medication on an empty stomach, remaining upright for at least 30 minutes after ingestion to prevent esophageal irritation, and ensuring adequate calcium and vitamin D intake to support bone health. Regular monitoring for efficacy and potential side effects should also be emphasized.

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