Msk 1 & 2 Flashcards

1
Q

What is the organic part of bone extracellular matrix called?

A

Osteoid - >90% type 1 collagen fibers 1.7

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2
Q

What is the mineral part of bone extracellular matrix called?

A

hydroxyapatitie - Ca10(PO4)6(OH)2 1.7

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3
Q

Which bone cell type senses mechanical stress?

A

Osteocytes 1.8

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4
Q

What is another name for “dense bone?”

A

Cortical bone 1.9

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5
Q

What happens in intramembranous ossification?

A

Bone develops from mesenchyme or fibrous conective tissue: flat bones of skull, mandible, clavicles 1.13

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6
Q

What happens in endochondral ossification?

A

Bone replaces existing cartilage; bone grows on epiphyseal plate (epiphyseal growth) 1.12, 1.16

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7
Q

What differentiates calcification from ossification?

A

Calcification is mineralization of bone. Ossification is formation of bone.

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8
Q

How does epiphysesal closure occur during puberty/teenage years?

A

Sex homones increase bone formation rate. Rate is faster than cartilage formation. Inhibition of osteoclasts. Plate becomes line. 1.16

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9
Q

What is another name for “bones growing thicker?”

A

Appositional growth 1.16

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10
Q

PTH stimulates osteoblasts to release what molecules?

A

IL-6 & RANK Ligand promote maturation and activation of osteoclasts 1.20

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11
Q

Do osteoclasts have PTH receptors?

A

No. They are stimulated by IL-6 & RANK Ligand Ibinds to RANK) 1.20

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12
Q

What is the purpose of a ruffled osteoclast membrane?

A

Increases surface area for maximal bone contact 1.20

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13
Q

What does RANK stand for?

A

Receptor for Activation of Nuclear factor kappa B (NF-KB)

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14
Q

Which protein limits osteoclast activity?

A

Osteoprotegerin (OPG) produced by osteoblasts and stromal cells 1.21

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15
Q

What does OPG do?

A

Binds RANK ligand and blocks RANK interaction to limit osteoclast activity 1.21

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16
Q

Genetic defects of _____ and/or _____ cause bone disorders.

A

RANK Ligand, OPG expression 1.21

17
Q

Which enzyme is important for normal osteoclast activity?

A

Carbonic anhydrase (CA) - provides H+ 1.23

18
Q

How do osteoclasts seal themselves to bone?

A

Integrin-vitronectin interaction (vitronectin on bone) 1.23

19
Q

What is the most common cause of osteoporosis in post-menopausal women?

A

Estrogen deficiency

20
Q

What are the criteria for bone mineral density of normal, osteopenia, and osteoporosis?

A

Above -1.0 SD
Btwn -1.0 and -2.5 SD
Below -2.5 SD

21
Q

Group of genetic diseases - reduced bone resorption due to low osteoclast activity, skeletal scerosis (stonelike quality), abnormally brittle bones

A

Osteopetrosis

22
Q

Erlenmeyer flask deformity seen on xray - distal metaphyses of ulna & radius are poorly formed

A

Osteopetrosis

23
Q

Poor bone mineralization, Vit D & P/Ca deficiencies in adults

A

Osteomalacia

24
Q

Vit D & P/Ca deficiencies in childhood, poor mineralization, bowing of legs

A

Rickets

25
Q

Pseudofractures seen on radiograph

A

osteomalacia or rickets

26
Q

Chronically elevated PTH
high bone turnover
high bone formation markers (alkaline phosphatase)
high bone resorption markers (hydroxyproline)

A

Hyperparathyroid Bone Disease (Osteitis Fibrosa Cystica - OFC)

27
Q

The classic “salt-and-pepper” appearance of the skull.

A

Osteitis fibrosa cystica (OFC) - only seen when PTH levels are extremely high

28
Q

Acidemia or Alkalemia decreases PTH secretion?

A

Acidemia - increased H binds to albumin, thus increased ionized Ca. High plasma Ca binds to CaSR, which decreases PTH secretion

29
Q

Effect of PTH on bone?

A

Increased osteoclast activity

30
Q

Effect of PTH in kidney?

A

Inhibits phosphate reabsorption, stimulates Ca reabsorption in distal tubule

31
Q

When would you see phosphaturia?

A

Elevated PTH in kidney

32
Q

Effect of PTH in small intestine?

A

Indirect - activation of vit D via stimulation of renal 1a-hydroxylase. Increased plasma Ca, decreased plasma P