A 73-year-old woman is brought to the emergency department after she sustained a fall an hour ago. The patient was walking down the stairs when she lost her balance and fell onto the right side of her body. She is being treated for different medical conditions including hypertension, congestive heart failure, type 2 diabetes mellitus, and gastroesophageal reflux disease. She is 163 cm (5 ft 4 in) tall and weighs 50 kg (110 lb); BMI is 19 kg/m2. She appears pale. Vital signs are within normal limits. The right leg seems shorter than the left and is rotated externally. Pulses are intact in both lower extremities. Palpation of the right hip causes severe pain and the range of motion is limited. Her bone density, measured by quantitative x-ray densitometry, is consistent with osteoporosis. Which of the following drugs, had it been used as part of the medical regimen, would have had a beneficial effect on calcium homeostasis and reduced this patient's fracture risk?

Question

A 73-year-old woman is brought to the emergency department after she sustained a fall an hour ago. The patient was walking down the stairs when she lost her balance and fell onto the right side of her body. She is being treated for different medical conditions including hypertension, congestive heart failure, type 2 diabetes mellitus, and gastroesophageal reflux disease. She is 163 cm (5 ft 4 in) tall and weighs 50 kg (110 lb); BMI is 19 kg/m2. She appears pale. Vital signs are within normal limits. The right leg seems shorter than the left and is rotated externally. Pulses are intact in both lower extremities. Palpation of the right hip causes severe pain and the range of motion is limited. Her bone density, measured by quantitative x-ray densitometry, is consistent with osteoporosis.  Which of the following drugs, had it been used as part of the medical regimen, would have had a beneficial effect on calcium homeostasis and reduced this patient's fracture risk?

Quizplus · Accepted Answer

Eductional Objective: In osteopatic patients with hypertension have a high risk to deveolp a bone fracture. Therefore, Thiazide diuretics adminstration will promote calcium absorption in the distal convoluted tubules within the nephron, which leads to increase bone mineral density and are recommended for treatment of hypertension in patients at risk for osteoporosis

A 73-Year-Old Woman Is Brought to the Emergency Department After