Chapter 21 |Hormonal Control of Calcium
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Questions and Answers

What is the role of plasma proteins in binding with Ca2+?

  • They inhibit Ca2+ binding
  • They are less ionized at high pH
  • They are more ionized at high pH (correct)
  • They have no impact on Ca2+ binding

How much Ca2+ is exchanged between plasma and the stable pool of bone calcium per day?

  • 1000 mmol
  • 500 mmol
  • 7.5 mmol (correct)
  • 50 mmol

What regulates the distal tubular reabsorption of Ca2+ in the kidneys?

  • Brush border cells
  • Proximal tubules
  • PTH (correct)
  • Plasma proteins

How much of the filtered Ca2+ in the kidneys is reabsorbed?

<p>98-99% (B)</p> Signup and view all the answers

What is the active form of vitamin D that is also called calcitriol?

<p>1,25-dihydroxycholecalciferol (B)</p> Signup and view all the answers

How is vitamin D3 mainly produced in mammals?

<p>By the action of ultraviolet light on 7-dehydrocholesterol (A)</p> Signup and view all the answers

Where does the conversion of 25-hydroxycholecalciferol to 1,25-dihydroxycholecalciferol mainly occur?

<p>In the proximal tubules of the kidneys (D)</p> Signup and view all the answers

Which protein transports vitamin D3 and its hydroxylated derivatives in the plasma?

<p>Vitamin Dbinding protein (DBP) (D)</p> Signup and view all the answers

Which form of calcium is a vital second messenger in the body fluids?

<p>Ionized calcium (Ca2+) (A)</p> Signup and view all the answers

What is the consequence of a decrease in extracellular Ca2+ in vivo?

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

Why is it important to know the plasma protein level when evaluating total plasma calcium?

<p>To understand the extent of Ca2+ binding by plasma proteins (C)</p> Signup and view all the answers

How do symptoms of tetany vary with changes in total calcium levels?

<p>Increased total calcium levels worsen tetany symptoms (B)</p> Signup and view all the answers

Which compounds in the body contain phosphate?

<p>ATP, cyclic adenosine monophosphate (cAMP), and many proteins (C)</p> Signup and view all the answers

Where is 85-90% of the total body phosphorus found?

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

How much phosphorus normally enters bone per kg per day?

<p>3 mg (A)</p> Signup and view all the answers

What is the main site of Pi reabsorption in the kidney involving sodium-dependent Pi cotransporters?

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

What is the primary action of parathyroid hormone (PTH) in calcium homeostasis?

<p>Mobilize calcium from bone (B)</p> Signup and view all the answers

Which hormone is derived from vitamin D and plays a significant role in calcium homeostasis?

<p>1,25-Dihydroxycholecalciferol (B)</p> Signup and view all the answers

What is the main function of calcitonin in calcium metabolism?

<p>Inhibit bone resorption (B)</p> Signup and view all the answers

Which organs or tissues respond to changes in extracellular calcium concentrations by mobilizing, excreting, or taking up calcium?

<p>Kidneys, bones, intestine (D)</p> Signup and view all the answers

What stimulates calcitonin secretion in the body?

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

Where are the receptors for calcitonin found in the body?

<p>Bones and kidneys (A)</p> Signup and view all the answers

What is the primary source of calcitonin in mammals?

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

In which syndrome is the plasma calcitonin level elevated?

<p>Zollinger–Ellison syndrome (D)</p> Signup and view all the answers

What is the primary function of phosphorylation and dephosphorylation of proteins in the body?

<p>To regulate cell function (A)</p> Signup and view all the answers

Where is the majority of filtered Pi reabsorbed in the kidneys?

<p>Proximal tubule (A)</p> Signup and view all the answers

What happens to NaPi-IIa when it is inhibited by PTH?

<p>It undergoes internalization and degradation (C)</p> Signup and view all the answers

Which process is stimulated by many factors that also increase Ca2+ absorption?

<p>Pi absorption (A)</p> Signup and view all the answers

Which cells are responsible for bone formation?

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

What contributes to the differentiation of osteoblasts?

<p>Extensive growth factor regulation (B)</p> Signup and view all the answers

How do osteoclasts attach to bone?

<p>Via integrins in a sealing zone (C)</p> Signup and view all the answers

What is the function of the periosteum?

<p>Site of ligament attachment (D)</p> Signup and view all the answers

What happens to the cartilage cells at the end of long bone growth during epiphysial closure?

<p>They secrete vascular endothelial growth factor (VEGF) (B)</p> Signup and view all the answers

Which hormone has the most significant impact on the width of the epiphysial plate?

<p>Insulin-like Growth Factor I (IGF-I) (A)</p> Signup and view all the answers

What leads to the closure of the epiphyses in bones?

<p>Hypertrophy of cartilage cells (B)</p> Signup and view all the answers

How is the 'bone age' of a young individual typically determined?

<p>By radiographing the skeleton (A)</p> Signup and view all the answers

Which hormone is responsible for orderly temporal sequence closure of the epiphyses after puberty?

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

What is the primary function of the periosteum in relation to bone structure?

<p>Covering and nourishing bone surfaces (A)</p> Signup and view all the answers

How does linear bone growth continue until epiphysial closure?

<p>By new bone formation at the shaft ends (C)</p> Signup and view all the answers

What is the role of Vascular Endothelial Growth Factor (VEGF) in bone development and maturation?

<p>It leads to vascularization and ossification (B)</p> Signup and view all the answers

What is determined by radiographing a young individual's skeleton in relation to bone health?

<p>The 'bone age' based on open or closed epiphyses (A)</p> Signup and view all the answers

Proton pumps acidify the area to approximately pH 7.0.

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

Pyridinolines can be measured in the urine as an index of bone resorption rate.

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

Bone turnover rate is higher in infants than in adults.

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

Bone remodeling involves the deposition of new bone by osteoclasts.

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

Modeling drifts involve changes in bone shapes due to bone resorption and addition in different locations.

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

Osteoblasts break down collagen during bone remodeling.

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

The primary function of pyridinolines is to acidify the bone matrix.

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

Bone resorption rate decreases with age.

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

Bone-remodeling units involve only osteoblasts working in isolation.

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

Osteoclasts resorb bone primarily by forming shallow depressions in the bone.

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

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