NAMS MENOPAUSE SCRIPTED QUESTIONS AND
ANSWERS SURE A+
✔✔when did they start screening blood for hep c? - ✔✔1992, so women who have
received blood products or organ transplants prior to 1992 may have acquired heptatitis
c
✔✔why do we screen for hep C? - ✔✔most infections become chronic and most are
asymptomatic until liver damage is detected years later. Our treatments are improving
so if we catch this earlier in people, outcomes will be better
✔✔all adults born from what year to what year should recieve one time hep c testing? -
✔✔1945 to 1965
✔✔routine screening of all adults for hepatitis c. is it reocmmended? - ✔✔routine
screening for all adults is not recommended, however baby boomers are at the highest
risk. infection rates are 5x other birth cohorts.
✔✔what hpv is high risk? - ✔✔16 and 18
✔✔by age 50 what percentage of US women will have acquired a genital HPV
infection? - ✔✔80%-HPV is very common, but it is the high risk ones to worry about
✔✔what is the most commonly sexually transmitted infection in the US? - ✔✔HPV
✔✔What percentage of bone loss do women have from the menopause transition? -
✔✔10-12% on average, about 1 t score
✔✔What t score defines osteopenia - ✔✔-1.5 to -2.5
✔✔what t score defines osteoporosis - ✔✔less than -2.5
, ✔✔what z score defines osteoporosis before menopause? - ✔✔z score less than 2.0
and a history of a fragility fracture
✔✔Who is at highest risk of osteoporosis? - ✔✔white and hispanic populations
✔✔What amount of women require long term care after hip fracture?
What amount of women have long term loss of mobility after hip fracture? - ✔✔1 in 4
women (25%) require long term care
1 in 2 woemn (50%) have long term loss of mobility
✔✔Asians have ____BMD than white people? - ✔✔lower
✔✔Black women have ____BMD than white people? - ✔✔higher
✔✔Over 3 servings of alcohol daily and risk for fracture? - ✔✔38% for osteoporotic
fracture and 68% for hip fracture
✔✔What 4 ethnic specific versions of FRAX are there? - ✔✔white, asiain, black,
hispanic
✔✔Dairy free diet amount of calicum. How much do they need to supplement? -
✔✔dairy free diet-300mg calcium daily.
Needs 800-1200mg
✔✔Tibolone and osteoporosis
where is it approved?
why wasn't it submitted for approval in the US and canada? - ✔✔approved in mexico
decreased risk of vertebral and nonvertebral fracture
increased risk of stroke
✔✔Why was estrogen not approved for osteoporosis? - ✔✔decreased risk of vertebral
and hip fracture in low fracture risk population, but estrogen has not been shown to
decrease fracture risk in women with osteoporosis. More prevention than treatment.
✔✔Black box warning for PTH receptor agonists? - ✔✔osteosarcoma
✔✔caution using PTH receptor agonists in what condition? - ✔✔hypercalcemia
✔✔when would you use PTH receptor agonists? - ✔✔someone incredibly high risk for
vertebral fracture
✔✔raloxifene helps with what kind of fractures? - ✔✔vertebral fractures
ANSWERS SURE A+
✔✔when did they start screening blood for hep c? - ✔✔1992, so women who have
received blood products or organ transplants prior to 1992 may have acquired heptatitis
c
✔✔why do we screen for hep C? - ✔✔most infections become chronic and most are
asymptomatic until liver damage is detected years later. Our treatments are improving
so if we catch this earlier in people, outcomes will be better
✔✔all adults born from what year to what year should recieve one time hep c testing? -
✔✔1945 to 1965
✔✔routine screening of all adults for hepatitis c. is it reocmmended? - ✔✔routine
screening for all adults is not recommended, however baby boomers are at the highest
risk. infection rates are 5x other birth cohorts.
✔✔what hpv is high risk? - ✔✔16 and 18
✔✔by age 50 what percentage of US women will have acquired a genital HPV
infection? - ✔✔80%-HPV is very common, but it is the high risk ones to worry about
✔✔what is the most commonly sexually transmitted infection in the US? - ✔✔HPV
✔✔What percentage of bone loss do women have from the menopause transition? -
✔✔10-12% on average, about 1 t score
✔✔What t score defines osteopenia - ✔✔-1.5 to -2.5
✔✔what t score defines osteoporosis - ✔✔less than -2.5
, ✔✔what z score defines osteoporosis before menopause? - ✔✔z score less than 2.0
and a history of a fragility fracture
✔✔Who is at highest risk of osteoporosis? - ✔✔white and hispanic populations
✔✔What amount of women require long term care after hip fracture?
What amount of women have long term loss of mobility after hip fracture? - ✔✔1 in 4
women (25%) require long term care
1 in 2 woemn (50%) have long term loss of mobility
✔✔Asians have ____BMD than white people? - ✔✔lower
✔✔Black women have ____BMD than white people? - ✔✔higher
✔✔Over 3 servings of alcohol daily and risk for fracture? - ✔✔38% for osteoporotic
fracture and 68% for hip fracture
✔✔What 4 ethnic specific versions of FRAX are there? - ✔✔white, asiain, black,
hispanic
✔✔Dairy free diet amount of calicum. How much do they need to supplement? -
✔✔dairy free diet-300mg calcium daily.
Needs 800-1200mg
✔✔Tibolone and osteoporosis
where is it approved?
why wasn't it submitted for approval in the US and canada? - ✔✔approved in mexico
decreased risk of vertebral and nonvertebral fracture
increased risk of stroke
✔✔Why was estrogen not approved for osteoporosis? - ✔✔decreased risk of vertebral
and hip fracture in low fracture risk population, but estrogen has not been shown to
decrease fracture risk in women with osteoporosis. More prevention than treatment.
✔✔Black box warning for PTH receptor agonists? - ✔✔osteosarcoma
✔✔caution using PTH receptor agonists in what condition? - ✔✔hypercalcemia
✔✔when would you use PTH receptor agonists? - ✔✔someone incredibly high risk for
vertebral fracture
✔✔raloxifene helps with what kind of fractures? - ✔✔vertebral fractures
