QuestionQA
QuestionComment
when you interpret it as each fingertip = 1g :(
39625
User
subscriber
Supine Metabolism
Concept
Chapter
Osteoporosis, otherwise known as thin bones, is a condition associated with high risk of low trauma fractures due to reduced bone mineral density. Osteoclast activity exceeds osteoblast activity, meaning that bone resorption is occurring at a greater rate than bone formation.

**Symptoms and Signs**

- Generally asymptomatic until a fragility fracture occurs
- Back pain
- Kyphosis (stooped posture)
- Fragility fractures

**Risk factors**

- Female sex
- Increasing age
- Smoking
- Corticosteroid use
- Low BMI (< 20-25kg/m<sup>2</sup>)
- Low body weight (<58kg)
- Vitamin D deficiency

**Protective factors**

- Higher BMI
- Exercise - mechanical loading stimulates bone formation

**Diagnosis**
Osteoporosis can be detected on dual-energy x-ray absorptiometry (DEXA) scan.
A T score of < -2.5 indicates osteoporosis

**Management**

- Fall prevention
- Vitamin D and calcium supplementation
- Hormone replacement therapy (postmenopausal women)
- Oral bisphosphonates
2657
3624
Prescribing Emollients
Topic
92
General Practice
1 x 2 = 2g used daily

2g x 14 = 28g used in 2 weeks

28 x 250 = 7000 micrograms of betamethasone = 7mg
10094
QuestionQAAnswer
7
mg
A 36-year-old patient has eczema that affects her hands. She uses 2 finger-tip units per application (one finger-tip for each hand), which is equivalent to 1g of Betnovate cream. Betnovate cream contains 250 micrograms per 1 gram of the active ingredient, betamethasone.

If she is applying Betnovate cream twice daily, how many mg of betamethasone will she use in 2 weeks? 