MRCP UK EXAMINATIONS

CLINICAL ENCOUNTERS

OSTEOPOROSIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Indicates What is a T-score value for severe osteoporosis?
A
-2.5
B
-2.5 w/ fragility fracture
C
-2.1 w/ fragility fracture
D
-3 s/ fragility fracture
Explanation: 

Detailed explanation-1: -Osteoporosis is defined as a BMD 2·5 SD or more below the average value for premenopausal women (T score <–2·5 SD). Severe osteoporosis denotes osteoporosis in the presence of one or more fragility fractures. The same absolute value for BMD used in women can be used in men.

Detailed explanation-2: -The QFracture® and FRAX® risk assessment tools predict the absolute risk of hip fracture, and major osteoporotic fractures (spine, wrist, or shoulder) over 10 years. A 10-year fracture risk of 10% is considered to be the threshold for arranging a dual-energy X-ray absorptiometry (DXA) scan in men and women.

Detailed explanation-3: -A person has stage 4 osteoporosis if their bone mineral density score is more than 2.5 standard deviations below the healthy average for a young adult and they have had at least one fracture. People with this type of osteoporosis typically require medications that help reduce bone mineral loss.

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