MRCP UK EXAMINATIONS

CLINICAL ENCOUNTERS

OSTEOPOROSIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Which treatment for osteoporosis is considered as mainstay of therapy for perimenopausal women
A
Weight bearing exercises.
B
Smoking cessation.
C
High phosphate diet.
D
Hormone replacement therapy.
Explanation: 

Detailed explanation-1: -Starting MHT soon after menopause will give maximum benefit. MHT is considered first-line treatment for osteoporosis in women less than 60 years of age, unless there is a medical reason for not taking it.

Detailed explanation-2: -Although menopausal hormone therapy (MHT) is not a first-line option for the prevention of osteoporosis, because of concerns of adverse effects, women who are already taking estrogen for menopausal symptom relief have the additional benefit of skeletal protection.

Detailed explanation-3: -Different effective treatments for osteoporosis are available. Hormone replacement therapy (HRT) at different doses rapidly normalizes turnover, preserves bone mineral density (BMD) at all skeletal sites, leading to a significant, reduction in vertebral and non-vertebral fractures.

Detailed explanation-4: -Bisphosphonates: This oral medication is used to prevent and treat postmenopausal osteoporosis by slowing bone loss while increasing bone mass. Denosumab: Denosumab is an IV medication that lowers the risk of fractures (bone breaks) and blocks bone loss.

There is 1 question to complete.