Family Nurse Practitioner Exam

Which demographic is likely at a higher risk of developing osteoporosis?

1. 70-year-old female who exercises regularly

2. 42-year-old woman on long-term prednisone

3. 55-year-old aerobics instructor

4. 4-year-old on steroids

The correct answer is: 42-year-old woman on long-term prednisone

The demographic that is likely at a higher risk of developing osteoporosis is a 42-year-old woman on long-term prednisone. Prolonged use of corticosteroids like prednisone has significant implications for bone health. Corticosteroids can inhibit the osteoblast function, which is crucial for bone formation, and increase bone resorption, thus leading to a net loss in bone density. This increased risk of osteoporosis is particularly concerning in individuals who are of middle age or older since the natural bone loss associated with aging is exacerbated by the use of these medications. While other demographics may have certain risk factors, the combination of the patient's age, gender, and long-term steroid use creates a situation where the likelihood of developing osteoporosis is significantly heightened. It's important for healthcare providers to monitor bone density in patients on chronic steroid therapy and consider preventive measures to mitigate this risk.