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1. Patient is taking Alendronate to treat her osteoporosis. Which of the following
patient education should be given to avoid side effects?
A. Lay down for 30-60 mins after taking the med
B. Sit up for 30-60 mins after taking the med
C. It's important to take a "drug holiday" from the medication and you can do so
whenever you feel it's necessary
D. Take this medication with an NSAID to avoid pain - Correct Answer: B. Sit up
for 30-60 mins after taking the med
2. McMurray Test, Thessaly's Test, and Apleys Test are all done to assess for injury
of the? - Correct Answer: Meniscus
3. A patient with a torn Meniscus will still be able to squat, True or False? -
Correct Answer: False
Squat test: inability to squat may indicate meniscus tear
4. Which of the following medication are considered First Line for Osteoarthritis?
A. NSAIDs
,B. Proton pump inhibitors
C. Acetaminophen
D. Opioids
E. Intra-articular steroids - Correct Answer: A. NSAIDs
5. Why may PPIs need to be added to a patient regimen for osteoarthritis? -
Correct Answer: The used of NSAIDS as first line treatment may cause GI
complications like ulcers, PPI can help protect the lining of the GI
6. What is the GOLD STANDARD diagnostic for Osteoporosis? - Correct
Answer: DEXA scan
7. Why would we do a DEXA scan to diagnose Osteoporosis?
A. To measure the patient body fat percentage
B. To measure the patients muscle mass
C. To measure the patients bone mineral density - Correct Answer: C. To
measure the patients bone mineral density
8. Which of the following patients should be screened for osteoporosis? SATA
A. 50 year old female
B. 60 year old smoker
C. 70 year old male
D. 66 year old female
E. 55 year old on prednisone for RA - Correct Answer: B. 60 year old smoker
,C. 70 year old male
D. 66 year old female
E. 55 year old on prednisone for RA
9. What does the Fracture Risk Assessment tool (FRAX) calculate?
A. Risk of getting osteoporosis
B. When to obtain a DEXA Scan
C. 10 year probability of a major osteoporotic fracture or hip fracture alone
D. 20 year probability of a major osteoporotic fracture or hip fracture alone -
Correct Answer: C. 10 year probability of a major osteoporotic fracture or hip
fracture alone
10. How much vitamin D do all osteoporosis patients need?
A. 500 - 1000 IU daily
B. 1000 - 1500 IU daily
C. 1500 - 3000 IU daily
D. 2000 - 4000 IU daily - Correct Answer: D. 2000 - 4000 IU daily
11. You have a patient with significant Osteoporosis. Which is the following drugs
are used to treat osteoporosis and stimulate bone growth?
A. Teriparatide
B. Denosumab
C. Raloxifene
D. Alendronate - Correct Answer: A. Teriparatide
, 12. Patient is complaining about low back pain and sciatica. The patellar reflex on
the right is decreased. Which nerve innervation does this correspond with?
A. L1-L3
B. S1
C. L3-L4
D. L2-L3 - Correct Answer: C. L3-L4
Muscle Movement and Nerve Root Innervation
iliopsoas - Correct Answer: L2-L4
13. Muscle Movement and Nerve Root Innervation
Hip Abductors - Correct Answer: L4-S1
14. Muscle Movement and Nerve Root Innervation
Hip Adductors - Correct Answer: L2 - L4
15. Muscle Movement and Nerve Root Innervation
Quadriceps - Correct Answer: L2-L4
16. Muscle Movement and Nerve Root Innervation
Dorsiflexors - Correct Answer: L4-L5