Osteoporosis Test Bank
2024/2025 updated
Questions And Answers 100% correct
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Which of the following are common side effects of the bisphosphonates? (Select ALL that
apply.)
Answer
A
Joint pain
B
Back pain
C
Stomach upset, nausea, heartburn
D
Dizziness
E
Pancreatitis ✔✔A, B, C. Incorrect
All the bisphosphonates can cause esophageal ulceration, and GI upset and burning. The
bisphosphonates are very irritating to the GI tract and cannot be crushed or chewed. Patients can
experience bone pain with these agents, and joint aches.
A 73 year-old woman has a T-score of -4.3 in her right hip, -4.7 in her left hip and has had
several vertebral fractures in her lumbar spine. Her only known medical conditions are
osteoporosis and hypertension. She has never had any surgeries. This woman may be a candidate
for the following therapy: (Select ALL that apply.)
Answer
Osteoporosis Test Bank 2024-2025 updated Questions And Answers 100% correct Verified
,A
Prolia
B
Estrogen, such as in Premarin, taken with Provera
C
Forteo
D
Teriparatide
E
Denosumab ✔✔A, C, D, E. Incorrect
Denosumab (Prolia) and teriparatide (Forteo) may both be useful in this very high-risk patient.
Due to her age she is not a reasonable candidate for estrogen.
Carla is having trouble swallowing her alendronate 70 mg weekly medication due to very dry
mouth. What should the pharmacist suggest?
Answer
A
Take the medication with food.
B
Crush the tablet and mix with a small amount of applesauce (approximately one teasponful).
C
Take after eating something bready and with a full glass of water.
D
Discuss switching to a bisphosphonate injection, given once yearly.
E
Switch to monthly ibandronate for improved tolerability.
Incorrect
Plain water only-not mineral water or anything else. Notice the counseling must say at least 30
minutes (longer would let more of the drug get absorbed). The bisphosphonates are very
irritating to the GI tract and cannot be crushed or chewed. ✔✔D. Plain water only-not mineral
Osteoporosis Test Bank 2024-2025 updated Questions And Answers 100% correct Verified
, water or anything else. Notice the counseling must say at least 30 minutes (longer would let
more of the drug get absorbed). The bisphosphonates are very irritating to the GI tract and cannot
be crushed or chewed.
In Margot's lumbar spine the lowest T-score measurement is -1.8. In the right trochanter the
Tscore is -0.9 and the left trochanter the T-score is -1.1. She has not had any fractures as an adult.
Margot has multiple sclerosis and takes the following medications daily: Copaxone, Zanaflex,
Paxil, Detrol and Provigil. Which of the following statements are correct? (Select ALL that
apply.)
Answer
A
Margot has risk for falling due to her medical condition.
B
She should begin Prolia therapy.
C
She should begin Forteo therapy.
D
Margot has osteoporosis.
E
Margot has risk for falling due to her medicines. ✔✔A, E. Incorrect
Margot has osteopenia, based on the T-scores given. She is not a candidate for the high-risk
agents, based on her bone density readings and fracture history.
A woman suffers from severe hot flashes and night sweats. She has no cardiovascular or breast
cancer risk and wishes to use the most effective therapy available to treat these vasomotor
symptoms of menopause. Which of the following represents the most effective therapy for this
patient?
Answer
A
Medroxyprogesterone
B
Black cohosh
Osteoporosis Test Bank 2024-2025 updated Questions And Answers 100% correct Verified
2024/2025 updated
Questions And Answers 100% correct
Verified
Which of the following are common side effects of the bisphosphonates? (Select ALL that
apply.)
Answer
A
Joint pain
B
Back pain
C
Stomach upset, nausea, heartburn
D
Dizziness
E
Pancreatitis ✔✔A, B, C. Incorrect
All the bisphosphonates can cause esophageal ulceration, and GI upset and burning. The
bisphosphonates are very irritating to the GI tract and cannot be crushed or chewed. Patients can
experience bone pain with these agents, and joint aches.
A 73 year-old woman has a T-score of -4.3 in her right hip, -4.7 in her left hip and has had
several vertebral fractures in her lumbar spine. Her only known medical conditions are
osteoporosis and hypertension. She has never had any surgeries. This woman may be a candidate
for the following therapy: (Select ALL that apply.)
Answer
Osteoporosis Test Bank 2024-2025 updated Questions And Answers 100% correct Verified
,A
Prolia
B
Estrogen, such as in Premarin, taken with Provera
C
Forteo
D
Teriparatide
E
Denosumab ✔✔A, C, D, E. Incorrect
Denosumab (Prolia) and teriparatide (Forteo) may both be useful in this very high-risk patient.
Due to her age she is not a reasonable candidate for estrogen.
Carla is having trouble swallowing her alendronate 70 mg weekly medication due to very dry
mouth. What should the pharmacist suggest?
Answer
A
Take the medication with food.
B
Crush the tablet and mix with a small amount of applesauce (approximately one teasponful).
C
Take after eating something bready and with a full glass of water.
D
Discuss switching to a bisphosphonate injection, given once yearly.
E
Switch to monthly ibandronate for improved tolerability.
Incorrect
Plain water only-not mineral water or anything else. Notice the counseling must say at least 30
minutes (longer would let more of the drug get absorbed). The bisphosphonates are very
irritating to the GI tract and cannot be crushed or chewed. ✔✔D. Plain water only-not mineral
Osteoporosis Test Bank 2024-2025 updated Questions And Answers 100% correct Verified
, water or anything else. Notice the counseling must say at least 30 minutes (longer would let
more of the drug get absorbed). The bisphosphonates are very irritating to the GI tract and cannot
be crushed or chewed.
In Margot's lumbar spine the lowest T-score measurement is -1.8. In the right trochanter the
Tscore is -0.9 and the left trochanter the T-score is -1.1. She has not had any fractures as an adult.
Margot has multiple sclerosis and takes the following medications daily: Copaxone, Zanaflex,
Paxil, Detrol and Provigil. Which of the following statements are correct? (Select ALL that
apply.)
Answer
A
Margot has risk for falling due to her medical condition.
B
She should begin Prolia therapy.
C
She should begin Forteo therapy.
D
Margot has osteoporosis.
E
Margot has risk for falling due to her medicines. ✔✔A, E. Incorrect
Margot has osteopenia, based on the T-scores given. She is not a candidate for the high-risk
agents, based on her bone density readings and fracture history.
A woman suffers from severe hot flashes and night sweats. She has no cardiovascular or breast
cancer risk and wishes to use the most effective therapy available to treat these vasomotor
symptoms of menopause. Which of the following represents the most effective therapy for this
patient?
Answer
A
Medroxyprogesterone
B
Black cohosh
Osteoporosis Test Bank 2024-2025 updated Questions And Answers 100% correct Verified
