Calcium Homeostasis Flashcards

1
Q

What happens if calcium levels are too low?

A

Osteoclast activity increases, release more calcium into the blood than osteoblasts need to take from the blood to make new bone

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2
Q

What happens if calcium levels are too high?

A

Osteoclast activity decreases. Osteoblasts remove more calcium from the blood than osteoclasts release.

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3
Q

Three hormones that regulate calcium homeostasis

A

Parathyroid hormone
Vitamin D
Calcitonin

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4
Q

Parathyroid hormone

A

The major regulator of Calcium
Located in the parathyroid gland
Sends signals to increase or decrease osteoclast activity

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5
Q

RANKL

A

What is produced when PTH bonds with osteoblasts/ stemcells?

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6
Q

RANK

A

When binding with RANKL, stimulates osteoblasts to become osteoclasts

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7
Q

Osteoprotegerin

A

Secreted by osteoblasts to inhibit osteoclast production

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8
Q

Calcitonin

A

Secreted from thyroid gland when blood calcium levels are too high.

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9
Q

Osteomyelitis

A

Bacterial infection in the bone

Results in devastating bone loss by causing apoptisys in osteoblasts and increased activity in osteoclasts.

Treated with 4-8 week course of antibiotics; in extreme cases, surgery and debridement of the dead tissues.

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10
Q

What hormones do osteoblasts produce

A

RANKL

OPG

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11
Q

What hormones do osteoclasts produce

A

RANK

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12
Q

OPG

A

Osteoprotegerin
Produced by osteoblasts
Inhibits osteoclast production

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13
Q

Why is bone matrix more brittle in older bones?

A

Decreased collagen production in the bones, which removes some of the bone’s flexibility.

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14
Q

When is bone denisity highest?

A

Around age 30

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15
Q

What is the rate of bone loss experienced after age 35?

A

.3-.5%

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16
Q

Which is lost first - spongy bone or compact bone?

A

Spongy bone

17
Q

How is spongy bone lost?

A

Trabeculae become thinner and weaker; they become disconnected from each other and struggle to support the weight. Eventually they disappear.

18
Q

Osteoporosis

A

Porous bone
It is a loss of the bone matrix
Results in bone deformation and bones that are prone to fracture

19
Q

Kyphosis

A

A hunched back, a result of osteoporosis in the vertebrae

20
Q

Treatment for osteoporosis

A

High calcium intake
Weight-bearing exercise
Medications