Examl 1:l NU665Bl NUl 665Bl Latestl

Examl 1:l NU665B/l NUl 665Bl (Latestl

2025/l 2026l Update)l Primaryl Carel ofl Familyl IIl Guide|l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l Regis

Q:l osteol stats

Answer:

effectsl 52l millionl americans,l 80%l ofl women 1:2l andl 1:4l menl overl 50l willl havel osteol fracture 5-7l yrsl afterl menopause,l al womanl canl losel upl tol 20%l ofl herl bonel densityl 1/3l willl enterl LTCl withinl 1l yrl ofl fracturel zDSFXAR

Q:l osteol riskl factors

Answer:

advancingl age familyl hxl ofl hipl fracture smalll fram,l wgtl <127l lbs white smoker,l >2l drinksl faily

meds:l gluco,l thyroidl rx,l heparin,l anticonvulsants

postl menopause,l earlyl menopause lowl activityl hxl ofl fracture

Q:l screeningl guidelines

Answer:

nationall osteol foundation -womenl agel 65+l andl menl 70+l regardlessl ofl clinicall risk 1 / 4

-youngerl postmenopausall women,l womenl inl menopausall transitionl andl menl 50-69l withl clinicall risk -adultsl who'vel hadl al fracturel overl 50 -adultsl withl comorbiditiesl likel RA,l takingl al medl likel predl orl gluco USPTF -alll womenl agel 65+ -men-l insufficentl data

Q:l typesl ofl osteol screeningl tests

Answer:

repeatl ifl onl tx,l 1-2l yrs BMD-l correlatesl withl bonel strengthl andl isl anl excellentl predictorl ofl fracturel risk DEXA-l duall energyl xrayl mostl widlyl used,l 15l minl test,l 1/10thl standardl radiation -measuresl hip,l spinel wrist,l mostl commonl areasl tol fracture

Q:l BMDl results

Answer:

tl scorel

Q:l FRAX

Answer:

fracturel riskl assessment estimatesl thel 10l yearl probabilityl ofl hipl fracturel andl majorl osteol fracturel forl untxl ptsl btwl 40l andl 90 riskl factors:l age,l smoking,l familyl hx,l gluc,l arthritis,l femorall neckl bonel densityl calibratedl basedl onl datal froml country

Q:l osteol txl supplementsl andl lifestyle

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Answer:

calciuml (citratel absorbsl betterl onl emptyl stomach)

-premenopause/men:l 1000mgl daily

-postl menopause-l 1200mg/daily vitl D3

-premenopause:l 600-800IU/day

-postmenopause:l 800-1000IU/day

exercise:l 30l minl dailyl xl 3l weekly,l weightl bearing

Q:l whol needsl medicationl forl osteo?

Answer:

postmenopausall womenl withl al hxl ofl fragilityl fracturel orl withl osteoporosisl basedl uponl bonel minerall densityl (BMD)l measurmentl (Tl scorel <-2.5) peoplel withl osteopenial (tl -1.0l andl -2.5)l andl anl estimatedl 10l yearl riskl (FRAXl score)l ofl hipl orl osteoporosisl fracturel >3l orl >20% orall bisphonatesl shouldl alwaysl bel consideredl asl firstl linel therapyl (antireabsortive)

Q:l antireabsortivel tx

Answer:

slowsl bonel lossl thatl occursl inl thel breakdownl partl ofl thel remodelingl cycle,l butl stilll makesl newl bone usedl forl preventionl andl tx bonel densityl mayl increase goal-l preventl bonel lossl andl lowerl riskl ofl breakingl bone

Q:l typesl ofl antireabsortives

Answer:

bisphosphonates alendronate-l fosamax -shownl tol increasel BMDl andl decreasel riskl ofl spine,l hipl andl otherl brokenl bonesl byl 50%l overl 2-4l yrs -dosel 5mgl QDl orl 35mgl qwkl forl osteopenia,l 10mgQDl orl 70mgqwkl forl osteoporosis 3 / 4

****takel firstl thingl inl thel aml onl anl emptyl stomachl withl 6-8ozl ofl waterl atl leastl 30l minutesl beforel eatingl orl drinking,l NEEDl TOl STAYl UPRIGHTl TOl PREVENTl EROSIVEl ESOPHAGITIS ibandonate-boniva -decreasel spinel fracturesl byl 50%l oveel 3l yrs -150mgl monthlyl injectionsl orl quarterlyl injections -samel orall instructionsl risedronatel sodium-l acetonel,l atelvia -slowsl bonel loss,l increasesl BMDl andl reducesl riskl ofl spinel andl non-spinel fracturesl byl 35-45%l overl 3l yrs -samel orall instuctions zometa-reclast -txl ofl osteol whol hadl hisl fxl andl forl preventionl inducedl osteo -oncel yearlyl orl everyl otherl year -SE-l flul likel s/sl 24-72l afterl firstl dose

Q:l anabolicl osteol meds

Answer:

parathyroidl hormonel (sitsl behindl thyroidl andl controlsl calciuml homeo) increasesl bonel formation goal-l buildl bonel andl decreasel riskl ofl breakingl bone

Q:l s/el bisphosphonates

Answer:

bone,l jointl orl musclel pain,l nausea,l heartburn,l andl esophagitis uveitis-rare ONJ-l oncl pts spontaneousl fracl ofl femur-l ifl takingl forl overl 5l yrs,l mayl needl drugl holiday,l painl inl thighl orl groinl mayl preceedl fx contra:l esophageall disorders,l inabilityl tol remainl uprightl forl 30-60l min,l efgfl <30,l certainl bariatricl weightl lossl procedures

Q:l Raloxifene

Answer:

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