Predisposing factors for osteoporosis

 


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

 

 

 

 

 

 

Which patient is least likely to be at risk for osteoporosis?

 

To answer this, we need to consider common risk factors for osteoporosis:

Non-modifiable Risk Factors:

Age: Risk increases with age.

Gender: Women are at higher risk than men, especially post-menopause.

Race/Ethnicity: Caucasian and Asian individuals are at higher risk. African Americans and Hispanic individuals generally have higher bone mineral density (BMD) and a lower risk of osteoporosis, though they can still develop it.

Family History: A parent or sibling with osteoporosis, especially a fractured hip, increases risk.