Bone Diseases and Alkaline Phosphatase
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Questions and Answers

Which bone disease is associated with the highest level of serum alkaline phosphatase activity?

  • osteomalacia
  • Paget's disease (correct)
  • hypophosphatasia
  • rickets

In which condition are ALP levels significantly decreased due to the absence of bone isoenzymes?

  • osteogenic bone cancer
  • hypophosphatasia (correct)
  • Paget's disease
  • osteomalacia

Which condition shows moderate rises in serum alkaline phosphatase activity that decrease following Vitamin D therapy?

  • healing bone fractures
  • hypophosphatasia
  • osteomalacia (correct)
  • Paget's disease

During which phases are increased levels of ALP observed?

<p>physiologic bone growth (D)</p> Signup and view all the answers

Which bone disease involves inadequate bone calcification due to subnormal ALP activity?

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

Study Notes

Bone Diseases and Alkaline Phosphatase (ALP) Levels

  • Paget's disease and osteogenic bone cancer, including metastases, have the highest level of serum alkaline phosphatase (ALP) activity.
  • Moderate increases in ALP levels are seen in osteomalacia and rickets, which decrease with Vitamin D therapy.
  • ALP levels are elevated during healing bone fractures and periods of physiologic bone growth.
  • Hypophosphatasia, an inherited condition, is characterized by significantly decreased ALP levels due to the absence of bone isoenzymes, leading to inadequate bone calcification.

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Quiz about bone diseases and their relation to alkaline phosphatase levels, including Paget's disease, osteomalacia, and rickets.

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