Bone and Joint Disorders Quiz
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Questions and Answers

What is the function of PTH?

  • Indirectly increases phosphate reabsorption in the kidneys, stimulates bone resorption, decreases plasma calcium levels
  • Mobilizes calcium from bone, enhances renal reabsorption of calcium, indirectly increases intestinal absorption of calcium (correct)
  • Stimulates bone formation, decreases plasma calcium levels, decreases intestinal absorption of calcium
  • Inhibits calcium reabsorption in the kidneys, decreases plasma calcium levels, decreases bone resorption

What is the function of calcitriol (1,25-dihydroxycholecalciferol/Vitamin D3)?

  • Decreases plasma calcium levels, inhibits bone formation
  • Regulated at the kidneys by PTH, increases intestinal absorption of calcium (correct)
  • Enhances renal excretion of calcium, decreases phosphate reabsorption in the kidneys
  • Stimulates bone resorption, inhibits calcium reabsorption in the intestines

What activates adenylyl cyclase and intracellular calcium mobilization in response to PTH binding?

  • PTH (correct)
  • Calcitonin
  • PTH-related peptide (PTHrP)
  • Calcitriol

Where is the Ca2+-Sensing Receptor (CaSR) expressed?

<p>Kidneys, thyroid C cells, brain (A)</p> Signup and view all the answers

Which hormone is primarily responsible for enhancing Ca2+ uptake from the small intestine?

<p>Calcitriol (C)</p> Signup and view all the answers

What is the major effect of PTH on phosphate handling?

<p>Promote phosphate excretion (D)</p> Signup and view all the answers

Which hormone is released when plasma Ca2+ increases?

<p>Calcitonin (B)</p> Signup and view all the answers

What is the primary target of 1, 25-(OH)2D3 (Vitamin D)?

<p>Intestines and bone (C)</p> Signup and view all the answers

What is the most common cause of hypercalcemia in primary hyperparathyroidism?

<p>Chief cell adenomas (C)</p> Signup and view all the answers

What is the treatment for hypoparathyroidism?

<p>Vitamin D supplements and PTH therapy (C)</p> Signup and view all the answers

What is the most important etiologic factor in osteoporosis?

<p>Gonadal steroid deficiency (C)</p> Signup and view all the answers

What is the mechanism of action of Bisphosphonates?

<p>Stimulate osteoclast apoptosis (A)</p> Signup and view all the answers

What is the primary action of PTH Derivatives like teriparatide (Forteo)?

<p>Stimulate new bone formation (C)</p> Signup and view all the answers

What is the most common cause of osteomalacia in children?

<p>Vitamin D deficiency (B)</p> Signup and view all the answers

What is the primary effect of estrogen deficiency in osteoporosis?

<p>Increased bone turnover and enhanced resorption (A)</p> Signup and view all the answers

What is the cause of hypercalcitoninemia in Medullary Carcinoma (Thyroid)?

<p>High calcitonin (D)</p> Signup and view all the answers

What is the primary function of parathyroid hormone (PTH)?

<p>Mobilizes calcium from bone (C)</p> Signup and view all the answers

What is the function of the Ca2+-Sensing Receptor (CaSR)?

<p>Responds to changes in extracellular calcium levels (A)</p> Signup and view all the answers

What is the main site of production regulation for calcitriol (1,25-dihydroxycholecalciferol/Vitamin D3)?

<p>Kidneys (C)</p> Signup and view all the answers

Which hormone is considered most important for calcium balance in adults?

<p>Parathyroid hormone (PTH) (A)</p> Signup and view all the answers

What is the primary target of parathyroid hormone (PTH)?

<p>Bone (B)</p> Signup and view all the answers

What is the function of oxyphil cells in the parathyroid glands?

<p>Produce parathyroid hormone (PTH) (B)</p> Signup and view all the answers

What activates adenylyl cyclase and intracellular calcium mobilization in response to parathyroid hormone (PTH) binding?

<p>Calcium ions (B)</p> Signup and view all the answers

Which hormone enhances renal reabsorption of calcium?

<p>Parathyroid hormone (PTH) (B)</p> Signup and view all the answers

What is the primary ligand for the Ca2+-Sensing Receptor (CaSR)?

<p>Calcium (Ca2+) (C)</p> Signup and view all the answers

What is the size range of chief cells in the parathyroid glands?

<p>Small (4-8 µm) (C)</p> Signup and view all the answers

Which hormone controls calcium homeostasis and is very sensitive to small changes in serum calcium concentration?

<p>Parathyroid hormone (PTH) (A)</p> Signup and view all the answers

What is the physiological function of calcium in the body?

<p>All of the above (D)</p> Signup and view all the answers

What is the primary function of Calcitonin?

<p>Blocks bone resorption induced by hormones like PTH and Vitamin D (C)</p> Signup and view all the answers

What is the main effect of Fibroblast Growth Factor-23 (FGF-23)?

<p>Regulates serum phosphate homeostasis, vitamin D metabolism, bone mineralization (B)</p> Signup and view all the answers

What is the primary target of 1, 25-(OH)2D3 (Vitamin D)?

<p>Intestines and bone (C)</p> Signup and view all the answers

What is the main effect of PTH on phosphate handling?

<p>Promotes phosphate excretion in the kidneys (D)</p> Signup and view all the answers

What is the mechanism of action of Bisphosphonates?

<p>Suppress bone resorption (A)</p> Signup and view all the answers

What is the most common cause of hypercalcemia in primary hyperparathyroidism?

<p>Chief cell adenomas (A)</p> Signup and view all the answers

What is the primary effect of estrogen deficiency in osteoporosis?

<p>Increased bone turnover and enhanced resorption (D)</p> Signup and view all the answers

What is the primary action of PTH Derivatives like teriparatide (Forteo)?

<p>Stimulate new bone formation (A)</p> Signup and view all the answers

Where is the Ca2+-Sensing Receptor (CaSR) predominantly expressed?

<p>Parathyroid glands (C)</p> Signup and view all the answers

What is the cause of hypercalcitoninemia in Medullary Carcinoma (Thyroid)?

<p>Calcitonin overproduction (A)</p> Signup and view all the answers

What is the most important etiologic factor in osteoporosis?

<p>Gonadal steroid deficiency (C)</p> Signup and view all the answers

What is the primary function of Osteocytes?

<p>Mechanoreception and transduction of loading signals (D)</p> Signup and view all the answers

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