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Osteoporosis y fracturas en la tercera edad

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Osteoporosis y fracturas en la tercera edad

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Quiz sobre osteoporosis y fracturas

Created by

Javier Ordonez
Javier Ordonez
Colombia

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Osteoporosis y fracturas en la tercera edad
 

Osteoporosis y fracturas en la tercera edadOnline version

Quiz sobre osteoporosis y fracturas

by Javier Ordonez
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1. Una fractura por sentarse bruscamente en una mujer de 72 años sugiere:

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2. Mecanismo fisiopatológico principal de la osteoporosis postmenopáusica es:

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3. Hallazgo de acortamiento y rotación externa del miembro inferior indica:

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4. Estudio inicial más indicado para confirmar el diagnóstico de fractura es:

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5. Según la OMS, la osteoporosis se define con un T-score:

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6. ¿Cuál factor aumenta el riesgo de osteoporosis en esta paciente?

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7. Principal consecuencia clínica a largo plazo tras fractura de cadera en adultos mayores es:

Explicación

Las fracturas por fragilidad ocurren con traumas mínimos; la más probable es osteoporosis subyacente.

La disminución de estrógeno tras la menopausia incrementa la resorción ósea.

La tracción muscular sobre el fragmento distal genera rotación externa y acortamiento en fracturas de cadera.

La radiografía simple confirma la fractura; la densitometría evalúa osteoporosis y no es útil en fase aguda.

Un T-score ≤ -2.5 define osteoporosis; entre -1 y -2.5 es osteopenia.

La menopausia precoz implica mayor tiempo de déficit estrogénico y pérdida ósea.

La fractura de cadera se asocia a pérdida de independencia, institucionalización y mayor mortalidad.

 
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