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Question: 1 jean is a 70 yo female who is an...

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1. Jean is a 70 yo female who is an active person living in her own home. She does not smoke or drink. Her medical problems are diabetes well managed with pioglitazone, hypertension with a BP today of 150/94 on Lasix 20 mg/day, and heartburn treated with omeprazole 20 mg/day. However, her height is 2 inches shorter than when she was young, and she now complains of acute back pain much different than a usual stiff back. Please provide specific treatment recommendations for managing her back pain and possible bone issues.

2. Carmen is a 62 yo female who is a heavy smoker and drinker. Her BMD is measured at the hip as -2.3. Her FRAX calculation gives her 10 year risk of overall fracture as 18% and risk of hip fracture as 2.9%. Should she begin treatment with a bisphosphonate? Why?

3. Carmen is a 62 yo female who is a heavy smoker and drinker. Her BMD is measured at the hip as -2.3. Her FRAX calculation gives her 10 year risk of overall fracture as 18% and risk of hip fracture as 2.9%. Should she begin treatment with a bisphosphonate? Why?

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