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{{WBRQuestion
{{WBRQuestion
|QuestionAuthor={{PB}}
|QuestionAuthor= {{PB}}
|ExamType=USMLE Step 2 CK
|ExamType=USMLE Step 2 CK
|MainCategory=Internal medicine
|MainCategory=Internal medicine
|SubCategory=Endocrine
|SubCategory=Endocrine, Endocrine
|MainCategory=Internal medicine
|MainCategory=Internal medicine
|SubCategory=Endocrine
|SubCategory=Endocrine, Endocrine
|MainCategory=Internal medicine
|MainCategory=Internal medicine
|SubCategory=Endocrine
|SubCategory=Endocrine, Endocrine
|MainCategory=Internal medicine
|MainCategory=Internal medicine
|MainCategory=Internal medicine
|MainCategory=Internal medicine
|SubCategory=Endocrine
|SubCategory=Endocrine, Endocrine
|MainCategory=Internal medicine
|MainCategory=Internal medicine
|SubCategory=Endocrine
|SubCategory=Endocrine, Endocrine
|MainCategory=Internal medicine
|MainCategory=Internal medicine
|SubCategory=Endocrine
|SubCategory=Endocrine, Endocrine
|MainCategory=Internal medicine
|MainCategory=Internal medicine
|SubCategory=Endocrine
|SubCategory=Endocrine, Endocrine
|MainCategory=Internal medicine
|MainCategory=Internal medicine
|MainCategory=Internal medicine
|MainCategory=Internal medicine
|SubCategory=Endocrine
|SubCategory=Endocrine, Endocrine
|Prompt=The patient is moving to Nepal for next 4 years, which of the following tests  you will recommend to follow up with a new primary care doctor?
|Prompt=The patient is moving to Nepal for next 4 years, which of the following tests  you will recommend to follow up with a new primary care doctor?
|Explanation=Osteoporosis is followed up with bone density scan or DXA.
|Explanation=Osteoporosis is followed up with bone density scan or DXA.
|AnswerA=X ray survey of entire body
|AnswerA=X ray survey of entire body
|AnswerAExp=X ray survey of entire body is not indicated, not only it causes excess radiation exposure but also, it will not be helpful to monitor the change in the bone density.
|AnswerAExp=X ray survey of entire body is not indicated, not only it causes excess radiation exposure but also, it will not be helpful to monitor the change in the bone density.
|AnswerB=Bone density scan
|AnswerB=Bone density scan
|AnswerBExp=Dual-energy X-ray absorptiometry is considered the gold standard for the diagnosis of osteoporosis.  Osteoporosis is diagnosed when the bone mineral density is less than or equal to 2.5 standard deviations below that of a young (30–40-year-old, healthy adult women reference population.  This is translated as a T-score.
|AnswerBExp=Dual-energy X-ray absorptiometry is considered the gold standard for the diagnosis of osteoporosis.  Osteoporosis is diagnosed when the bone mineral density is less than or equal to 2.5 standard deviations below that of a young (30–40-year-old, healthy adult women reference population.  This is translated as a T-score.
* Normal: T-score 1.0
* Normal:  T-score 1.0
*[[Osteopenia]]: −2.5 < T-score < −1.0
*[[Osteopenia]]: T-score < −1.0to −2.5
*Osteoporosis: T-score ≤ −2.5  
*Osteoporosis: T-score ≤ −2.5  
*Severe osteoporosis: T-score ≤ −2.5 with fragility fracture
*Severe osteoporosis: T-score ≤ −2.5 with fragility fracture

Latest revision as of 02:45, 28 October 2020

 
Author [[PageAuthor::Pratik Bahekar, MBBS [1]]]
Exam Type ExamType::USMLE Step 2 CK
Main Category MainCategory::Internal medicine
Sub Category SubCategory::Endocrine, SubCategory::Endocrine
Prompt Prompt::The patient is moving to Nepal for next 4 years, which of the following tests you will recommend to follow up with a new primary care doctor?
Answer A AnswerA::X ray survey of entire body
Answer A Explanation AnswerAExp::X ray survey of entire body is not indicated, not only it causes excess radiation exposure but also, it will not be helpful to monitor the change in the bone density.
Answer B AnswerB::Bone density scan
Answer B Explanation [[AnswerBExp::Dual-energy X-ray absorptiometry is considered the gold standard for the diagnosis of osteoporosis. Osteoporosis is diagnosed when the bone mineral density is less than or equal to 2.5 standard deviations below that of a young (30–40-year-old, healthy adult women reference population. This is translated as a T-score.
  • Normal: T-score ≥ 1.0
  • Osteopenia: T-score < −1.0to −2.5
  • Osteoporosis: T-score ≤ −2.5
  • Severe osteoporosis: T-score ≤ −2.5 with fragility fracture


A bone density scan is used to monitor osteoporosis irrespective of it's etiology.]]

Answer C AnswerC::MRI
Answer C Explanation AnswerCExp::MRI is not indicated, and will not be helpful in the change in the bone density. If osteoporosis results in fracture nerve entrapment, a MRI is done to dignose and manage bone compression.
Answer D AnswerD::CAT scan
Answer D Explanation AnswerDExp::CAT scan is not indicated, it can cause excess radiation exposure. Osteoporosis is followed up with a bone density scan or DXA.
Answer E AnswerE::PET scan
Answer E Explanation AnswerEExp::The PET scan is indicated to identify metastasis in the body. Osteoporosis is followed up with a bone density scan or DXA.
Right Answer RightAnswer::B
Explanation [[Explanation::Osteoporosis is followed up with bone density scan or DXA.

Educational Objective:
References: http://www.ncbi.nlm.nih.gov/pubmed/18334497]]

Approved Approved::No
Keyword WBRKeyword::Hyperthyroidism, WBRKeyword::osteoporosis
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