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20 Cards in this Set
- Front
- Back
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Defining value of osteoporosis? |
T-score < -2.5
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Osteopenia t-score?
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-1 to -2.5
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dexa =?
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dual energy xray absorptiometry
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drugs and osteoporosis risk
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anticonvulsants (carbamazepine, fosphenytoin, phenobarb, primidone), warfarin, heparin, excessive thyroid hormone, loop diuretics, aromatase inhibitors, 5a reductase inhibitors, PPIs chronically used
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RDA calcium 19-50yoa male?
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1000mg
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RDA calcium 51-70yoa male?
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1000mg
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RDA calcium 71+yoa male?
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1200mg
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RDA calcium 19-50yoa female?
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1000mg (includes preg or lactating)
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RDA calcium 51+yoa female?
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1200mg
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Why should calcium doses be divided?
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because calcium absoprtion is saturable
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Why use citracal?
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calcium citrate can be take with or without food and is preferable when little or no stomach acid is present such as PPI chronic use as it has better absoprtion than calcium carbonate
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How should calcium carbonate be taken?
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it is acid dependent for absorption and therefore should be taken with meals
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rda vitd?
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up to ge 70 is 600IU/d and 71+yoa is 800IU
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Who gets D2 50k units?
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renal disease pts or short term in pts with vit d deficiency
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What is the preferred source of vit D?
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cholecalciferol or vit d3
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what is first line therapy for most patients for osteoporosis?
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bisphophonates
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who gets teriparatide in osteoporosis?
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high risk patients, on chronic steroids, or cannot tolerate bisphophonates
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how long are bisphosphonates advisable to take?
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2yrs
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Herbals for hot flashes?
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black cohosh, red clover, soy, evening primrose
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who should not get estrogen therapy alone for menopausal symptoms?
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women with a uterus as it increases risk of endometrial cancer
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