A 55-year-old woman who recently reached menopause and has a family history of osteoporosis is diagnosed with osteopenia following a dual energy x-ray absorptiometry (DEXA). During your teaching, you should explain that:
Explanation & Rationale
Choice A reason: While estrogen replacement therapy can help prevent bone loss, it is not the only strategy and is not always recommended as a first-line treatment due to potential risks such as cardiovascular disease and breast cancer. Therefore, this statement is not entirely accurate. Choice B reason: It is incorrect to state that there is no way to prevent or slow bone absorption in individuals with a family history of osteoporosis. Several strategies can help reduce the risk and progression of bone loss, such as lifestyle changes, medications, and nutritional adjustments. Choice C reason: Increasing calcium intake and engaging in weight-bearing exercises are well-established methods to slow calcium loss from bones and improve bone density. These interventions are recommended for individuals diagnosed with osteopenia to help prevent progression to osteoporosis. Choice D reason: Continuous, low-dose corticosteroid treatment is not effective in stopping osteoporosis; in fact, corticosteroids can contribute to bone loss and increase the risk of osteoporosis. This statement is incorrect and misleading.