ISCD Exam - Clinical Management Questions And
Accurate Answers
Reasons why someone may have low bone mass (5) - Answer Sex hormone deficiency
Nutrient deficiency (Calcium, Vit D)
Sedentary lifestyle
Alcohol abuse
Tobacco usage
Hormonal/endocrine diseases/conditions associated with low BMD (4) - Answer
Hypogonadism
Hyperparathyroidism
Hyperthyroidism
Insulin-dependent diabetes mellitus
Autoimmune conditions associated with low BMD (1) - Answer Rheumatoid arthritis
Gatrointestinal conditions associated with low BMD - Answer Malabsorption diseases
(ex - gastrectomy, intestinal bypass, crohn's disease, celiac disease)
, Low BMD can be due to what? - Answer Osteoporosis (loss of bone tissue)
Osteopenia (impairment of bone mineralization; unmineralized osteoid)
A combo of osteoporosis and osteopenia
Other conditions like osteogenesis imperfecta (brittle bone disease)
Define osteomalacia - Answer Impairment of bone mineralization (unmineralized
osteoid)
**Softening of bone --> low BMD
Medications associated with reduced bone mass (4) - Answer Glucocorticoids
Thyroid hormones (at doses higher than needed to achieve normal levels)
Medroxyprogesterone (Depo-Provera)
Anticonvulsants
Clinical indications for BMD Measurements - Answer All women 65+, men 70+;
Post-menopausal women < 65 and men < 70 w/ risk factors for fracture
Adults with a disease/condition associated with low bone mass or bone loss
Adults taking meds associated with low bone mass or bone loss
Accurate Answers
Reasons why someone may have low bone mass (5) - Answer Sex hormone deficiency
Nutrient deficiency (Calcium, Vit D)
Sedentary lifestyle
Alcohol abuse
Tobacco usage
Hormonal/endocrine diseases/conditions associated with low BMD (4) - Answer
Hypogonadism
Hyperparathyroidism
Hyperthyroidism
Insulin-dependent diabetes mellitus
Autoimmune conditions associated with low BMD (1) - Answer Rheumatoid arthritis
Gatrointestinal conditions associated with low BMD - Answer Malabsorption diseases
(ex - gastrectomy, intestinal bypass, crohn's disease, celiac disease)
, Low BMD can be due to what? - Answer Osteoporosis (loss of bone tissue)
Osteopenia (impairment of bone mineralization; unmineralized osteoid)
A combo of osteoporosis and osteopenia
Other conditions like osteogenesis imperfecta (brittle bone disease)
Define osteomalacia - Answer Impairment of bone mineralization (unmineralized
osteoid)
**Softening of bone --> low BMD
Medications associated with reduced bone mass (4) - Answer Glucocorticoids
Thyroid hormones (at doses higher than needed to achieve normal levels)
Medroxyprogesterone (Depo-Provera)
Anticonvulsants
Clinical indications for BMD Measurements - Answer All women 65+, men 70+;
Post-menopausal women < 65 and men < 70 w/ risk factors for fracture
Adults with a disease/condition associated with low bone mass or bone loss
Adults taking meds associated with low bone mass or bone loss
