BOF 32
Indications for bone mineral density measurement, all
are true except:
1-previuos low trauma fracture
2-family history of osteoporotic fracture
3-systemic diseases associated with high risk of
osteoporosis like rheumatoid arthritis
4-a patient on long term glucocorticoid treatment
5-body mass index more than 23
Answer 5
1-with a fall from standing height or less.
2-also radiological evidence of osteoporosis and
premature gonadal failure
3-remmeber not only the disease may pose a risk but
also ITS treatment like steroids
4-also, clinical features of osteoporosis like loss of
height and kyphosis
5-false, BMI less than 19. Hence Obese patients are
usually protected
Remember: PCOS patients although may be infertile with
irregular or absent cycles but the large BMI and the good amount of estrogens
and androgens protect them from osteoporosis
Revision Tip
Revise
osteoporosis KEYS to SUCCESS in Medicine
page 489-490
