Bone Basics Flashcards

1
Q

What is the function of bone

A

Protect internal organs

Stores and releases fat

Produces blood cells

Stores and releases minerals

Facilitates movement

Supports the body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are the two types of bone marrow and what are their functions

A

red - produces blood cells/platelets

yellow - colour comes from fat mostly, produces white blood cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what kind of marrow do infants have

A

all red marrow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

in adults what is the distribution of the different types of bone marrow in the body

A

all limb bones are yellow marrow, and the red bone comes from the spine/ribs/skull

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what are the different cells in bone and what are their functions

A

Osteocytes
Maintains bone tissue
Forms from trapped osteoblasts in the matrix
Primary cell of mature bone

Osteoblasts
Forms bone matrix
In higher concentrations in areas of bone growth

Osteogenic cells
Undifferentiated cells
As osteocytes/osteoblasts cannot divide into other cells, this is the main source of mitosis in the bone

Osteoclasts
Forms from monocytes not osteogenic cells, so completely different structure
Resorbs bone
Typically found on the surface of bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what are the different types of bone

A

Woven bone

Lamellar Bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what are the properties of woven bone

A

Early, Healing bone

Rapidly formed with randomly aligned collagen fibres

Weak but more elastic

More even distibution of force

No lamellae

Found in embryonic/neonatal skeleton, fractures of young children

Pathologically found in pagets/Osteogenesis imperfectica etc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what are the types of lamellar bone

A

Cortical bone

Cancellous/spongy/trabecular bone

periosteum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are the properties of cortical bone

A

Tightly packed lamellae (lots of circles with a central vessel canal containing blood vessles, nerves lymph

Osteocytes typically found trapped between the circles

These circles are called osteons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are the properties of spongy bone

A

Still has osteocytes in laccunae

No osteons

Lattice like network called trabeculae

Lamellae not as concentric

Trabeculae form along lines of stress in the bone

Large surface area compared to cortical bone so much more metabolically active

Much less dense and tehrefore strong

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is periosteum

A

Outer fibrous layer

Inner osteogenic later

Contains osteogenic cells

Has some pain sensation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

where does vitamin D comes from predominantly

A

UV light

Diet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are the actions of vitamin D

A

Increases absorption of calcium/phosophate in gut and kidney to increase serum calcium/phosphate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

how is vitamin D metabolised

A

hyroxylated in liver then kidney to form the active 1,25,(OH)- Vit F

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are the actions of parathyroid hormone

A

secreted in response to low calcium

Increases bone resorption

Stimulates hydroxylation of 25(OH)VitD in kidney

Increases phosphate excretion

Increases intestinal absorption of calcium

Overall, calcium levels increase, phosphate decrease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are the actions of calcitonin

A

Responds to high calcium levels

Affects osteoclasts directly and inhibits them - although overall effect on calcium controversial

Secreted by parafollicular C cells

17
Q

how does oestrogen affect bone health

A

Protects against reduction in bone density

Thought to be due to the fluctuation of oestogen that causes an issue rather than a deficiency

Main reason women are more likely to have osteoporosis

18
Q

how do corticosteroids affect bone health

A

Reduce GI absorption and increase renal excretion of calcium

Cause hypocalcaemia

Indirectly causing hyperparathyroidism leading to bone resorption

High dose oral steroids should be given with calcium and vitamin D supplements

19
Q

how does hyperthyroidism affect bone health

A

favours resorption of bone

20
Q

how does diabetes affect bone health

A

Poorly controlled diabetics are at a higher risk for developing osteoporosis/bone loss