Three of the following interventions are appropriately used to prevent osteoporosis

after menopause. Which one is NOT?

Avoidance of corticosteroids

Performance of weight-bearing activities for 40 mins at least 5 days/week

Estrogen replacement therapy

Adequate calcium & vitamin D intake

C.

Prevention of osteoporosis may be optimized by elimination of risk factors and

engaging in interventions that maximize bone density. Good nutrition from infancy

throughout adulthood is a major component of good bone health. Others include

engaging in weight-bearing exercises, adequate intake of calcium and vitamin D,

smoking cessation, limiting alcohol consumption to moderate amounts, and

avoidance when possible of medications that may decrease bone density

(corticosteroids, anticonvulsants). Osteoporosis occurs at accelerated rates in

women who are post-menopausal. The lack of estrogen can produce rapid bone loss

due to bone resorption. Estrogen replacement is not used to prevent or treat

osteoporosis.

A patient who is scheduled for pelvic exam with PAP smear should be advised to

avoid douching, sexual intercourse, and tampon use before her exam. For how long

should she be advised to avoid these activities for optimal evaluation?

24 hours

48 hours

36 hours

1 week