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</p> Signup and view all the answers

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

    <p>Calcitriol</p> Signup and view all the answers

    What is the major effect of PTH on phosphate handling?

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

    Which hormone is released when plasma Ca2+ increases?

    <p>Calcitonin</p> Signup and view all the answers

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

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

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

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

    What is the treatment for hypoparathyroidism?

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

    What is the most important etiologic factor in osteoporosis?

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

    What is the mechanism of action of Bisphosphonates?

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

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

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

    What is the most common cause of osteomalacia in children?

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

    What is the primary effect of estrogen deficiency in osteoporosis?

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

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

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

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

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

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

    <p>Kidneys</p> Signup and view all the answers

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

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

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

    <p>Bone</p> Signup and view all the answers

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

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

    Which hormone enhances renal reabsorption of calcium?

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

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

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

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

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

    What is the physiological function of calcium in the body?

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

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

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

    What is the main effect of PTH on phosphate handling?

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

    What is the mechanism of action of Bisphosphonates?

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

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

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

    What is the primary effect of estrogen deficiency in osteoporosis?

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

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

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

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

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

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

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

    What is the most important etiologic factor in osteoporosis?

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

    What is the primary function of Osteocytes?

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

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