Bone Homeostasis Flashcards
Bone Homeostasis
a. calcitonin decreases serum calcium
a. True
b. alendronate causes oesophagitis
b. True
c. parathyroid hormone increases calcium excretion in urine
c. False, PTH decreases calcium excretion
d. vitamin D increases calcium absorption in the GIT
d. True
e. pamidronate is 90% absorbed from the GIT
e. False, Pamidronate is given IV no GI effect
Bone Homeostasis
a. osteoclast resorption is inhibited by calcitonin
a. False. Osteoclast activity promoted by PTH and vitamin D. Inhibited by bisphosphonates and estrogens
b. vitamin D inhibits osteoclasts and osteoblasts
b. False. Vitamin D stimulates osteoclast activity. Osteoblasts are inhibited by steroids and ethanol
c. hypocalcaemia is treated with calcitonin
c. False. Calcitonin will causes hypocalcaemia. Treatment: Ca2+ salts, PTH, Vitamin D
d. alendronate is commonly used in osteoporosis patients
d. True. Alendronate and pamidronate are used to treat osteoporosis, glucocorticoidassociated osteoporosis and Paget’s disease
Bone Homeostasis
a. calcitonin decreases serum calcium
a. True
b. alendronate causes oesophagitis
b. True
c. parathyroid hormone increases calcium excretion in urine
c. False
d. vitamin D increases calcium absorption in the GIT
d. True
e. pamidronate is 90% absorbed from the GIT
e. False. IV
Bone Homeostasis
a. osteoclast resorption is inhibited by calcitonin
a. False. Inhibited by bisphosphonates and estrogens
b. vitamin D inhibits osteoclasts and osteoblasts
b. False,
c. hypocalcaemia is treated with calcitonin
c. False
d. alendronate is commonly used in osteoporosis patients
d. True
e. calcium carbonate causes allergic reactions more frequently than calcitonin
e. True. Calcium carbonate can causes hypersensitivity reactions, whereas calcitonin is a naturally occurring substance
Bone Homeostasis
a. teriparatide is a parathyroid hormone analogue
a. True.
b. raloxifene stimulates bone resorption
b. False, raloxifene inhibits bone resorption
c. phytic acid decreases the absorption of calcium
c. True. Phytic acid (bran) and oxalic acid (spinach) decreases calcium absorption
d. alendronate is used in the treatment of osteoporosis
d. True
e. alendronate is used to treat oesophageal ulceration
e. False. Causes
Bone Homeostasis
a. alendronate is administered intravenously
a. False. Alendronate is administered orally and pamidronate is administered IV
b. raloxifene is a selective estrogen receptor modulator
b. True. Raloxifene is a SERM
c. bisphosphonates induce osteoclastic bone reabsorption
c. False. Bisphosphonates interfere with osteoclastic function and induce osteoclastic apoptosis
d. calcitonin increases the renal reabsorption of calcium
d. False
e. strontium ranelate is used in the treatment of postmenopausal osteoporosis
e. True