NATIONAL OSTEOPOROSIS FOUNDATION OSTEOPOROSIS CLINICAL UPDATES Vitamin D and Bone Health CE APPLICATION FORM

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1 NATIONAL OSTEOPOROSIS FOUNDATION OSTEOPOROSIS CLINICAL UPDATES Vitamin D and Bone Health CE APPLICATION FORM First Name: Last Name: Mailing Address: City: State: Zip/Postal Code: Country: Phone Number: Address: Please tell us about your practice: (circle all that apply) Degree/Credentials: Densitometrist Doctor of Osteopathy Medical Doctor MS/MPH Nurse Practitioner Registered Dietitian Registered Nurse Occupational Therapist Physician Assistant Pharmacist PhD Physical Therapist Radiology Technician Social Worker Student/Resident/Intern/Fellow Medical Specialty: Dietetics Emergency Medicine Endocrinology Family Practice Geriatrics Internal Medicine Obstetrics and Gynecology Oncology Orthopedics Pain Management Pediatrics Pharmacy Physical Therapy Physiatrist Public Health Radiology Rehabilitation Research Rheumatology Primary Practice Setting: Academic medical center Community/Rural Health Hospital Military/Veteran s Administration Osteoporosis Center Outpatient Care Center Pharmacy Private Practice Rehabilitation Center Radiology/Diagnostic Center Research facility Women s Center After completing this page, complete the post-test found on pages 2-3 and record your answers on the CE Reporting Form found on page 4. Once you have completed the post-test, please fill in your payment information, complete the evaluation on page 5, print/scan and return the form to NOF at: National Osteoporosis Foundation Education Department th Street NW, Suite 850, Washington, DC Fax: Attn: Clinical Updates CE

2 Vitamin D and Bone Health Continuing Education Post Test Test Questions: Please re c o rd your answers on the return CE Reporting Form found on the next page Which of the following statements is true? a. Vitamin D 2 (ergocalciferol)) is synthesized in the skin in response to UVB radiation. b. Vitamin D 3 (cholecalciferol) is synthesized in the skin in response to UVB radiation. c. Vitamin D 3 (cholecalciferol) is found in certain plants and UV-irradiated yeast. d. Vitamin D 2 (ergocalciferol)) is found in fatty fish, egg yolks, and liver. 2. Which of the following is a consequence of vitamin D deficiency? a. Decreased calcium absorption. b. Increased bone resorption and decreased bone mass. c. Mineralization defects and fractures. d. All of the above. 3. True or false. The skin s capacity to produce vitamin D declines with age. a. True. b. False. 4. At which of the serum levels listed here would a person be considered at risk of vitamin D deficiency? a. Less than 12 ng/ml. b. Less than 22 ng/ml. c. Less than 32 ng/ml. d. Less than 42 ng/ml. 5. What is the current RDI for vitamin D in adults age 70 and older? a. 400 IU/day. b. 600 IU/day. c. 800 IU/day. d IU/day. 6. In order to assess vitamin D status in a patient at risk of insufficiency, which of the following is measured? a. Serum vitamin D3, cholecalciferol. b. Serum calcidiol, 25(OH)D. c. Serum vitamin D2, ergocalciferol. d. Serum calcitriol 1,25(OH) 2 D. 7. Which of the following medications may negatively impact a patient s circulating vitamin D levels? a. Most anti-inflammatories, diuretics, and antihypertensives. b. Most NSAIDs, anti-diabetic agents, thyroid hormone. c. Most beta blockers, vasodilators, and bisphosphonates. d. Most anticonvulsants, cimetidine, and oral corticosteroids. 8. Which of the following populations is at risk for vitamin D deficiency? a. Homebound or institutionalized individuals, such as nursing home residents. b. Patients with malabsorption syndromes caused by bowel disease. c. Patients who are very obese, with BMI greater than 30. d. All of the above.

3 9. According to the Institute of Medicine, what is the tolerable upper limit for daily vitamin D intake? a IU. b IU. c IU. d IU. 10. Which of the following best summarizes the importance of vitamin D in maintenance of bone and overall health? a. Vitamin D regulates calcium absorption and mobilization. b. Vitamin D regulates production of cardiac and skeletal muscle. c. Vitamin D regulates protein excretion and retention in the kidney. d. Vitamin D regulates gastrointestinal function and nutrient absorption.

4 NATIONAL OSTEOPOROSIS FOUNDATION OSTEOPOROSIS CLINICAL UPDATES: Vitamin D and Bone Health CE APPLICATION FORM Each participant is eligible for continuing education credit or a certificate of completion upon reading the newsletter, passing the post test with a score of 70% or higher and returning the completed activity evaluation. There is a $10.00 processing fee which can be paid by check or credit card. To receive a continuing education certificate or certificate of completion, complete and send this reporting form and evaluation with payment to the address/fax listed below. After reading each question on the post-test, please circle your best answer: Payment: 1. a b c d 6. a b c d 2. a b c d 7. a b c d 3. a b c d 8. a b c d 4. a b c d 9. a b c d 5. a b c d 10. a b c d Check AmEx MasterCard Visa Name on Card Billing Address Credit Card Number: Expiration Date: Security Code: Mail or Fax this form to: National Osteoporosis Foundation Education Department th Street NW, Suite 850, Washington, DC Fax: Attn: Clinical Updates CE

5 OSTEOPOROSIS CLINICAL UPDATES: Vitamin D and Bone Health Educational Objectives Evaluation The educational objectives for this activity are listed below. Please use the following scale to rate how well this educational material enables you to achieve each objective. 1= Strongly Disagree; 2 = Disagree; 3 = Neutral; 4 = Agree; 5 = Strongly Disagree Educational Objectives Describe vitamin D synthesis and activation in the body. 2. Identify risk for vitamin D inadequacy in individual patients 3. List medications that can cause vitamin D deficiency. 4. Recommend dietary and supplemental sources of vitamin D 5. Determine a patient s recommended vitamin D intake. Educational Activity Elements 1. Participation in this activity will help me better identify and treat patients with osteoporosis and low bone mass. 2. Material presented promoted improvements and/or quality in healthcare 3. Material presented was organized and easy to follow 4. Topic(s) was relevant and applicable to my practice 5. Course format enhanced achievement of learning objectives 6. The instructional materials were of high quality 7. Teaching and learning methods were effective 8. Learning assessment activities were appropriate 9. Material presented did not promote proprietary interests of a commercial entity As a result of this activity, I will: 1. Recommend necessary vitamin D supplements based on tested vitamin D levels 2. Identify patients at risk for vitamin D inadequacy based on medical history

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