Deck 6: The Skeletal System: Bone Tissue

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Question
In endochondral ossification,what is the original source of osteoblasts?

A)endoderm
B)mesenchyme
C)mucus connective tissue
D)osteoprogenitor cells
E)ectoderm
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Question
What statements describe bone remodeling.
1.It occurs throughout your lifetime.
2.It involves bone resorption.
3.It involves bone deposition.
4.It occurs at different rates at different locations.
5.It occurs at a faster rate in compact bone than spongy bone.
6.Osteoclasts and osteoblasts will be working on the same tunnel simultaneously.
7.Osteoclasts place calcium and phosphorus directly into the bloodstream.
Question
The _______ is the region of long bone that contains hyaline cartilage used for growth in length.

A)epiphyseal plate
B)epiphyseal line
C)metaphysis
D)diaphyseal
E)articular cartilage
Question
The cells active in fracture repair during the production of the hard (spongy bone)callus.

A)fibroblasts
B)osteoclasts
C)osteocytes
D)osteoblasts
E)chondroblasts
Question
Which of following selections lists bone cells in the order from unspecialized stem cell to highly specialized mature bone cell?

A)osteoprogenitor cells,osteoclasts,osteocytes
B)osteoclasts,osteoprogenitor cells,osteoblasts,osteocytes
C)osteoprogenitor cells,osteocytes,osteoblasts
D)osteoblasts,osteoprogenitor cells,osteocytes
E)osteoprogenitor cells,osteoblasts,osteocytes,osteoclasts
Question
How are osteons in compact bone tissue aligned? How does the osteon arrangement affect bone strength?

A)horizontal to the metaphysis;the epiphyseal plate resists tearing due to the arrangement of osteons.
B)parallel to the epiphysis;the spongy bone follows the alignment of the osteons increasing the strength of the bone ends.
C)parallel to the length of the diaphysis;the shaft resists bending even when stresses are applied in certain directions.
D)randomly between the epiphyseal plates;the random arrangement of osteons makes the shaft strong no matter what direction the bone is stressed.
E)parallel to the perforating canals;the osteons running adjacent to the canals protects the vessels and nerves from becoming damaged.
Question
The ______is composed of hyaline cartilage and reduces friction between bones involved in a joint.

A)periosteum
B)distal epiphysis
C)epiphyseal line
D)articular cartilage
E)epiphyseal plate
Question
What area of long bone is composed of dense irregular connective tissue and osteogenic cells?

A)periosteum
B)endosteum
C)medullary cavity
D)epiphyseal plate
E)articular cartilage
Question
What are the extracellular fluid filled extensions of the lacunae called?

A)interosteonic (perforating)canals
B)osteonic (Haversian)canals
C)concentric lamellae
D)canaliculi
E)perforating (Sharpey's)fibers
Question
Briefly describe the steps in bone deposition.
Question
Which region of a long bone articulates with other bones?

A)diaphysis
B)epiphysis
C)proximal metaphysis
D)epiphyseal plate
E)distal metaphysis
Question
The shaft of a long bone is the

A)diaphysis.
B)epiphysis.
C)metaphysis.
D)periosteum.
E)medullary cavity.
Question
The ______is composed of hyaline cartilage and allows the diaphysis to grow in length.

A)periosteum
B)distal epiphysis
C)epiphyseal line
D)articular cartilage
E)epiphyseal plate
Question
List the order of the zones in an epiphyseal plate from the diaphyseal region to the distal epiphysis.
A: Zone of calcified cartilage
B: Zone of hypertrophic cartilage
C: Zone of proliferating cartilage
D: Zone of resting cartilage

A)a,c,d,b
B)b,a,c,d
C)a,b,d,c
D)a,b,c,d
Question
Cells active when cartilage needs to be removed so new bone can be produced.

A)osteoprogenitor cells
B)osteoclasts
C)osteocytes
D)osteoblasts
E)chondroblasts
Question
Briefly describe the steps in bone resorption.
Question
Which two minerals are needed in large quantities when bones are growing?

A)calcium and chlorine
B)magnesium and sulfur
C)calcium and phosphorous
D)manganese and sulfur
E)potassium and phosphorous
Question
Which type of fracture is considered a partial fracture and is only seen in children?

A)open
B)comminuted
C)impacted
D)greenstick
E)stress
Question
This cell is active once the matrix of bone calcifies.The cells sits in a lacunae.

A)osteoprogenitor cells
B)osteoclasts
C)osteocytes
D)osteoblasts
E)chondroblasts
Question
Why would running and jumping have a larger effect on bone health than walking?

A)Osteoblasts are less active and osteoclast are more active when there is mechanical stress placed on bones.
B)Osteoblasts are more active and osteoclast maintain normal activity when there is mechanical stress placed on bones.
C)Mechanical stress does not have an influence on osteoblast and osteoclast activity.
D)Running and jumping will prevent demineralization over time.
Question
Where in the diagram can you find red bone marrow in an adult?
<strong>Where in the diagram can you find red bone marrow in an adult?  </strong> A)A B)A and B C)A and C D)C <div style=padding-top: 35px>

A)A
B)A and B
C)A and C
D)C
Question
Which bone cell in the diagram is located in the inner layer of the periosteum,the endosteum,and perforating and Haversian canals?
<strong>Which bone cell in the diagram is located in the inner layer of the periosteum,the endosteum,and perforating and Haversian canals?  </strong> A)A B)B C)C D)D <div style=padding-top: 35px>

A)A
B)B
C)C
D)D
Question
Which bone cell in the diagram below transports nutrients and wastes through tiny canals radiating from the lacunae?
<strong>Which bone cell in the diagram below transports nutrients and wastes through tiny canals radiating from the lacunae?  </strong> A)A B)B C)C D)D <div style=padding-top: 35px>

A)A
B)B
C)C
D)D
Question
An archeologist and an anthropologist are studying two skeletons from an ancient tomb that had apparently been looted in an earlier time.Both skeletons are females and both are approximately the same height.However,the anthropologist is absolutely certain that one skeleton is the remains of someone from the privileged class while the other skeleton is the remains of a servant or slave.
How could the anthropologist be so sure of the economic status of the individuals based solely on their skeletal remains?
Question
In which region of the diagram would yellow bone marrow be located?
<strong>In which region of the diagram would yellow bone marrow be located?  </strong> A)A B)B C)C D)D E)E <div style=padding-top: 35px>

A)A
B)B
C)C
D)D
E)E
Question
Which bone cell in the diagram below is an osteoclast?
<strong>Which bone cell in the diagram below is an osteoclast?  </strong> A)A B)B C)C D)D <div style=padding-top: 35px>

A)A
B)B
C)C
D)D
Question
Briefly describe what is happening in each of the numbered stages of intramembranous ossification as observed in a child's skull shown in the diagram below.
Briefly describe what is happening in each of the numbered stages of intramembranous ossification as observed in a child's skull shown in the diagram below.  <div style=padding-top: 35px>
Question
In the diagram,what bone is considered the strongest?
<strong>In the diagram,what bone is considered the strongest?  </strong> A)A B)C C)D D)E E)F <div style=padding-top: 35px>

A)A
B)C
C)D
D)E
E)F
Question
What type of bone cell secretes hydroxyapatite and collagen fibers?
<strong>What type of bone cell secretes hydroxyapatite and collagen fibers?  </strong> A)A B)B C)C D)D <div style=padding-top: 35px>

A)A
B)B
C)C
D)D
Question
What hormone(s)is/are released from the control center when the control center receives cAMP input;also important in increasing blood calcium serum levels.Choose the best answer.

A)calcitriol and parathyroid hormone
B)parathyroid
C)calcitonin
D)parathyroid hormone and insulinlike growth factors
E)human growth hormone and estrogen
Question
Describe the signs and symptoms of osteoporosis and describe the risk factors for developing osteoporosis.
Question
Bone mass reduction is promoted by which hormone?

A)calcitriol
B)calcitonin
C)human growth hormone
D)parathyroid hormone
E)insulin
Question
In the diagram,which is the first blood vessel that enters the bone model in endochondral ossification?
<strong>In the diagram,which is the first blood vessel that enters the bone model in endochondral ossification?  </strong> A)D B)E C)F D)G E)H <div style=padding-top: 35px>

A)D
B)E
C)F
D)G
E)H
Question
Describe the steps in bone repair.
Question
Briefly describe the processes by which bone increases in length and diameter.
Question
Jamie has a tumor of the parathyroid glands that causes a hypersecretion of PTH from these glands.Predict the effect this hypersecretion would have on the skeletal system and on the secretion of calcitonin from the thyroid gland.
Question
In the diagram,what area allows communication from the outermost region to the innermost region of bone?
<strong>In the diagram,what area allows communication from the outermost region to the innermost region of bone?  </strong> A)B B)C C)D D)E E)F <div style=padding-top: 35px>

A)B
B)C
C)D
D)E
E)F
Question
Mary,an avid runner,was complaining that her lower leg hurt.After going to the doctor,they did not see anything on x-rays of her tibia or fibula.The doctor ordered a bone scan and saw tiny fissures throughout her tibia without any other tissue damage.What is Mary's likely diagnosis?

A)Pott fracture
B)Colles fracture
C)Impacted fracture
D)Comminuted fracture
E)Stress fracture
Question
What area in the diagram would the primary ossification center be formed?
<strong>What area in the diagram would the primary ossification center be formed?  </strong> A)A B)B C)C D)D E)E <div style=padding-top: 35px>

A)A
B)B
C)C
D)D
E)E
Question
Which hormone is the MOST important for Ca2+ regulation?

A)parathyroid hormone
B)calcitriol
C)thyroid hormone
D)calcitonin
E)aldosterone
Question
Which of the labeled structures in the diagram are fragments of older osteons that have been partially destroyed during bone rebuilding or growth?
<strong>Which of the labeled structures in the diagram are fragments of older osteons that have been partially destroyed during bone rebuilding or growth?  </strong> A)A B)B C)C D)D E)E <div style=padding-top: 35px>

A)A
B)B
C)C
D)D
E)E
Question
List and briefly describe the six main functions of the skeletal system.
Question
During fracture repair,what area will have mesenchymal cells that differentiate into fibroblasts,chondroblasts and osteoblasts?
<strong>During fracture repair,what area will have mesenchymal cells that differentiate into fibroblasts,chondroblasts and osteoblasts?  </strong> A)A B)B C)D D)E E)G <div style=padding-top: 35px>

A)A
B)B
C)D
D)E
E)G
Question
Which of the following labeled structures in the diagram is a site of red blood cell production in adult bones?
<strong>Which of the following labeled structures in the diagram is a site of red blood cell production in adult bones?  </strong> A)A B)B C)E D)F E)G <div style=padding-top: 35px>

A)A
B)B
C)E
D)F
E)G
Question
Where in the diagram is dense irregular connective tissue located?
<strong>Where in the diagram is dense irregular connective tissue located?  </strong> A)B B)C C)D D)E E)F <div style=padding-top: 35px>

A)B
B)C
C)D
D)E
E)F
Question
PTH will increase _______activity while Calcitonin will decrease __________activity.

A)Osteoblast;osteoclast
B)Osteoclast;osteoblast
C)Osteoblast;osteoblast
D)Osteoclast;osteoclast
Question
Briefly describe what is happening in each step of fracture repair shown in the diagram.
Briefly describe what is happening in each step of fracture repair shown in the diagram.  <div style=padding-top: 35px>
Question
Which labeled structure in the figure was once an osteoprogenitor cell?
<strong>Which labeled structure in the figure was once an osteoprogenitor cell?  </strong> A)A B)B C)C D)D E)E <div style=padding-top: 35px>

A)A
B)B
C)C
D)D
E)E
Question
Osteoporosis is most common in elderly women because of the lack of __,which would inhibit ___.

A)hGH;osteoclast activity
B)estrogen;osteoclast activity
C)IGFs;chondrocyte activity
D)PTH;osteoblast activity
E)Calcitonin;osteoclast activity
Question
Which of the following is the correct sequence of steps in the repair of a bone fracture?

A)fracture hematoma,bony callus formation,fibrocartilaginous callus formation,bone remodeling
B)fibrocartilaginous callus formation,bony callus formation,fracture hematoma,bone remodeling
C)bony callus formation,fracture hematoma,fibrocartilaginous callus formation,bone remodeling
D)bone remodeling,fracture hematoma,fibrocartilaginous callus formation,bony callus formation
E)fracture hematoma,fibrocartilaginous callus formation,bony callus formation,bone remodeling
Question
Which labeled structures in the figure are canaliculi?
<strong>Which labeled structures in the figure are canaliculi?  </strong> A)A B)B C)C D)D E)E <div style=padding-top: 35px>

A)A
B)B
C)C
D)D
E)E
Question
Which of the labeled structures in the diagram are composed of trabeculae,which are bony structures that lack osteons?
<strong>Which of the labeled structures in the diagram are composed of trabeculae,which are bony structures that lack osteons?  </strong> A)B B)C C)D D)F E)G <div style=padding-top: 35px>

A)B
B)C
C)D
D)F
E)G
Question
Which of the labeled structures in the diagram secure dense irregular and osteogenic layers to the bone matrix?
<strong>Which of the labeled structures in the diagram secure dense irregular and osteogenic layers to the bone matrix?  </strong> A)A B)B C)C D)D E)E <div style=padding-top: 35px>

A)A
B)B
C)C
D)D
E)E
Question
Which illustration and radiograph in the figure shows a Pott's fracture?
<strong>Which illustration and radiograph in the figure shows a Pott's fracture?  </strong> A)A B)B C)C D)D E)E <div style=padding-top: 35px>

A)A
B)B
C)C
D)D
E)E
Question
In the diagram,where do cells lose the ability to divide and increase in size?
<strong>In the diagram,where do cells lose the ability to divide and increase in size?  </strong> A)A B)B C)C D)D <div style=padding-top: 35px>

A)A
B)B
C)C
D)D
Question
Where would reticular connective tissue be located in the diagram below?
<strong>Where would reticular connective tissue be located in the diagram below?  </strong> A)A B)D C)E D)F E)G <div style=padding-top: 35px>

A)A
B)D
C)E
D)F
E)G
Question
Where in the diagram does the secondary ossification center form?
<strong>Where in the diagram does the secondary ossification center form?  </strong> A)A B)B C)D D)G E)G <div style=padding-top: 35px>

A)A
B)B
C)D
D)G
E)G
Question
Briefly,explain how blood calcium level is regulated.
Question
If collagen is removed from bone,what happens to the bone? Choose the best answer.

A)The bone becomes stiff and brittle.
B)The bone becomes soft and flexible.
C)The bone shows no noticeable difference.
D)The bone will break into numerous pieces.
Question
Which labeled structures in the figure are lamellae?
<strong>Which labeled structures in the figure are lamellae?  </strong> A)A B)B C)C D)D E)E <div style=padding-top: 35px>

A)A
B)B
C)C
D)D
E)E
Question
Place the events of a fracture repair in order.
A: A hematoma will form and will form a temporary connection between the ends of the bones.
B: Fibroblasts and chondroblasts migrate from the periosteum and begin to produce fibrocartilage to connect the ends of the bones.
C: Osteoclasts resorb dead portions of the new bony area,and compact bone replaces spongy bone.
D:Osteoprogenitor cells differentiate into osteoblasts and produce spongy bone.
E: Phagocytes and osteoclasts begin to remove dead and damaged tissue.

A)A,B,E,C,D
B)A,E,B,D,C
C)E,A,B,D,C
D)A,E,D,B,C
Question
Why do greenstick fractures commonly occur in children?

A)Their bones contain higher amounts of collagen.
B)Their bones contain higher amounts of hydroxyapatite.
C)Their bones are still composed of hyaline cartilage.
D)Their bones are still composed of mesenchymal tissue.
Question
Which statement describes blood calcium levels accurately?

A)Blood calcium levels increase when bone breaks down,and decreases when bone is built.
B)Blood calcium levels decrease when bone breaks down,and increases when bone is built.
C)Blood calcium levels remain constant regardless of whether bone is built or broken down.
Question
Complete the sentence with the best term.
Dropdown Options:
Build new bone
Calcitriol
Cyclic AMP
Decrease absorption of calcium
Decrease reabsorption of calcium
GI tract and osteoclasts
Increase absorption of calcium
Increase reabsorption of calcium
Kidney cells
Osteoclasts
Osteoclasts and kidney cells
Parathyroid hormone
PT gland cells
Release calcium to enter blood
[dropdown 1] the receptors,respond to low blood calcium levels.
[dropdown 2] input activates the control center when blood calcium is low.
[dropdown 3] is/are the effector(s)of PTH.
Osteoclasts [dropdown 4] in response to PTH:
The kidney [dropdown 5] in response to PTH:
[dropdown 6] is secreted in response to PTHs effects on the kidney.
Question
Mechanical stress [dropdown 1] osteoblast activity in bone,and removal of mechanical stress [dropdown 2] osteoblast activity in bone.
Optional answers for dropdown
Decreases
Increases
Maintains
Question
Briefly describe the major differences between compact and spongy bone.
Question
1,2,3,4
Question
Which of the following important body functions is calcium involved? Select all that apply.

A)blood clotting.
B)nervous cell stability.
C)muscle cell stability
D)acting as a cofactor in some enzymatic reactions.
E)being the primary cation that regulates osmotic balance in cells.
Question
Match the term with the best description
[dropdown 1]: Proliferation of osteoclasts,which leads to rapid bone remodeling,and weakening the bones.
[dropdown 2]: Severe bone density loss.
[dropdown 3]: Bone fails to calcify when remodeled.
[dropdown 4]: Bacterial infection causing inflammation,pain and rigid muscles.
[dropdown 5]: Bone cancer primarily affecting osteoblasts.
Drop Down Choices:
Osteomalacia
Osteomyelitis
Osteoporosis
Osteosarcoma
Paget's disease
Question
During endochondral ossification in a fetus,bones initially develop as a cartilage model that was formed from

A)periosteum.
B)endosteum.
C)perichondrium.
D)mesenchyme.
E)mucous connectivetissue.
Question
Which statements describe spongy bone?
1)Composed of trabeculae.
2)Made up of osteons
3)Found in higher amounts in the diaphysis.
4)Found lining the superficial regions of all bones.
5)Arranged along lines of force that are encountered.
6)Gaps filled with marrow.
7)Maintains strength with light weight.
8)Has the same purpose structurally as compact bone.
9)Has lamellae,osteocytes,lacunae and canaliculi.
10)Has lamellae,osteocytes,lacunae,canaliculi,and central canals.

A)1,5,6,7,9
B)2,3,4,10
C)1,3,5,7,9
D)4,6,7,8,10
E)1,2,4,6,8
Question
If bone is analogous to a bank,calcium is analogous to ______.

A)deposits
B)withdrawals
C)money
D)bank teller
E)automatic teller machine
Question
Which of the following hormones are more important post-puberty for bone growth?

A)insulinlike growth factors
B)thyroid hormones
C)human growth hormone
D)insulin
E)sex hormones
Question
Which of the following selections correctly lists the sequence of events that occur during intramembranous ossification?

A)Ossification center develops > Calcification > Formation of trabeculae > Development of new periosteum.
B)Calcification > Ossification center develops > Formation of trabeculae > Development of new periosteum.
C)Ossification center develops > Formation of trabeculae > Calcification > Development of new periosteum.
D)Development of new periosteum > Ossification center develops > Calcification > Formation of trabeculae.
E)Ossification center develops > Calcification > Development of new periosteum > Formation of trabeculae.
Question
Match between columns
______ is an increase in blood calcium levels.
Calcitonin
______ is an increase in blood calcium levels.
Calcitriol
______ is an increase in blood calcium levels.
Chief cells
______ is an increase in blood calcium levels.
Decrease
______ is an increase in blood calcium levels.
Hypercalcemia
______ is an increase in blood calcium levels.
Hypocalcemia
______ is an increase in blood calcium levels.
Increase
______ is an increase in blood calcium levels.
Osteoblast
______ is an increase in blood calcium levels.
Osteoclast
______ is an increase in blood calcium levels.
Parafollicular cells
______ is an increase in blood calcium levels.
PT gland cells
______ is an increase in blood calcium levels.
PTH
______ respond when there is an increase in blood calcium levels.
Calcitonin
______ respond when there is an increase in blood calcium levels.
Calcitriol
______ respond when there is an increase in blood calcium levels.
Chief cells
______ respond when there is an increase in blood calcium levels.
Decrease
______ respond when there is an increase in blood calcium levels.
Hypercalcemia
______ respond when there is an increase in blood calcium levels.
Hypocalcemia
______ respond when there is an increase in blood calcium levels.
Increase
______ respond when there is an increase in blood calcium levels.
Osteoblast
______ respond when there is an increase in blood calcium levels.
Osteoclast
______ respond when there is an increase in blood calcium levels.
Parafollicular cells
______ respond when there is an increase in blood calcium levels.
PT gland cells
______ respond when there is an increase in blood calcium levels.
PTH
______ is the output in response to high blood calcium levels.
Calcitonin
______ is the output in response to high blood calcium levels.
Calcitriol
______ is the output in response to high blood calcium levels.
Chief cells
______ is the output in response to high blood calcium levels.
Decrease
______ is the output in response to high blood calcium levels.
Hypercalcemia
______ is the output in response to high blood calcium levels.
Hypocalcemia
______ is the output in response to high blood calcium levels.
Increase
______ is the output in response to high blood calcium levels.
Osteoblast
______ is the output in response to high blood calcium levels.
Osteoclast
______ is the output in response to high blood calcium levels.
Parafollicular cells
______ is the output in response to high blood calcium levels.
PT gland cells
______ is the output in response to high blood calcium levels.
PTH
In response to the output when blood calcium levels are high, a(n) ______ in bone deposition occurs.
Calcitonin
In response to the output when blood calcium levels are high, a(n) ______ in bone deposition occurs.
Calcitriol
In response to the output when blood calcium levels are high, a(n) ______ in bone deposition occurs.
Chief cells
In response to the output when blood calcium levels are high, a(n) ______ in bone deposition occurs.
Decrease
In response to the output when blood calcium levels are high, a(n) ______ in bone deposition occurs.
Hypercalcemia
In response to the output when blood calcium levels are high, a(n) ______ in bone deposition occurs.
Hypocalcemia
In response to the output when blood calcium levels are high, a(n) ______ in bone deposition occurs.
Increase
In response to the output when blood calcium levels are high, a(n) ______ in bone deposition occurs.
Osteoblast
In response to the output when blood calcium levels are high, a(n) ______ in bone deposition occurs.
Osteoclast
In response to the output when blood calcium levels are high, a(n) ______ in bone deposition occurs.
Parafollicular cells
In response to the output when blood calcium levels are high, a(n) ______ in bone deposition occurs.
PT gland cells
In response to the output when blood calcium levels are high, a(n) ______ in bone deposition occurs.
PTH
In response to the output when the blood calcium levels are high, there is a decrease in ______ activity.
Calcitonin
In response to the output when the blood calcium levels are high, there is a decrease in ______ activity.
Calcitriol
In response to the output when the blood calcium levels are high, there is a decrease in ______ activity.
Chief cells
In response to the output when the blood calcium levels are high, there is a decrease in ______ activity.
Decrease
In response to the output when the blood calcium levels are high, there is a decrease in ______ activity.
Hypercalcemia
In response to the output when the blood calcium levels are high, there is a decrease in ______ activity.
Hypocalcemia
In response to the output when the blood calcium levels are high, there is a decrease in ______ activity.
Increase
In response to the output when the blood calcium levels are high, there is a decrease in ______ activity.
Osteoblast
In response to the output when the blood calcium levels are high, there is a decrease in ______ activity.
Osteoclast
In response to the output when the blood calcium levels are high, there is a decrease in ______ activity.
Parafollicular cells
In response to the output when the blood calcium levels are high, there is a decrease in ______ activity.
PT gland cells
In response to the output when the blood calcium levels are high, there is a decrease in ______ activity.
PTH
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Deck 6: The Skeletal System: Bone Tissue
1
In endochondral ossification,what is the original source of osteoblasts?

A)endoderm
B)mesenchyme
C)mucus connective tissue
D)osteoprogenitor cells
E)ectoderm
D
2
What statements describe bone remodeling.
1.It occurs throughout your lifetime.
2.It involves bone resorption.
3.It involves bone deposition.
4.It occurs at different rates at different locations.
5.It occurs at a faster rate in compact bone than spongy bone.
6.Osteoclasts and osteoblasts will be working on the same tunnel simultaneously.
7.Osteoclasts place calcium and phosphorus directly into the bloodstream.
1.1
2.2
3.3
5.4
3
The _______ is the region of long bone that contains hyaline cartilage used for growth in length.

A)epiphyseal plate
B)epiphyseal line
C)metaphysis
D)diaphyseal
E)articular cartilage
C
4
The cells active in fracture repair during the production of the hard (spongy bone)callus.

A)fibroblasts
B)osteoclasts
C)osteocytes
D)osteoblasts
E)chondroblasts
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5
Which of following selections lists bone cells in the order from unspecialized stem cell to highly specialized mature bone cell?

A)osteoprogenitor cells,osteoclasts,osteocytes
B)osteoclasts,osteoprogenitor cells,osteoblasts,osteocytes
C)osteoprogenitor cells,osteocytes,osteoblasts
D)osteoblasts,osteoprogenitor cells,osteocytes
E)osteoprogenitor cells,osteoblasts,osteocytes,osteoclasts
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6
How are osteons in compact bone tissue aligned? How does the osteon arrangement affect bone strength?

A)horizontal to the metaphysis;the epiphyseal plate resists tearing due to the arrangement of osteons.
B)parallel to the epiphysis;the spongy bone follows the alignment of the osteons increasing the strength of the bone ends.
C)parallel to the length of the diaphysis;the shaft resists bending even when stresses are applied in certain directions.
D)randomly between the epiphyseal plates;the random arrangement of osteons makes the shaft strong no matter what direction the bone is stressed.
E)parallel to the perforating canals;the osteons running adjacent to the canals protects the vessels and nerves from becoming damaged.
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7
The ______is composed of hyaline cartilage and reduces friction between bones involved in a joint.

A)periosteum
B)distal epiphysis
C)epiphyseal line
D)articular cartilage
E)epiphyseal plate
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8
What area of long bone is composed of dense irregular connective tissue and osteogenic cells?

A)periosteum
B)endosteum
C)medullary cavity
D)epiphyseal plate
E)articular cartilage
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9
What are the extracellular fluid filled extensions of the lacunae called?

A)interosteonic (perforating)canals
B)osteonic (Haversian)canals
C)concentric lamellae
D)canaliculi
E)perforating (Sharpey's)fibers
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10
Briefly describe the steps in bone deposition.
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11
Which region of a long bone articulates with other bones?

A)diaphysis
B)epiphysis
C)proximal metaphysis
D)epiphyseal plate
E)distal metaphysis
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12
The shaft of a long bone is the

A)diaphysis.
B)epiphysis.
C)metaphysis.
D)periosteum.
E)medullary cavity.
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13
The ______is composed of hyaline cartilage and allows the diaphysis to grow in length.

A)periosteum
B)distal epiphysis
C)epiphyseal line
D)articular cartilage
E)epiphyseal plate
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14
List the order of the zones in an epiphyseal plate from the diaphyseal region to the distal epiphysis.
A: Zone of calcified cartilage
B: Zone of hypertrophic cartilage
C: Zone of proliferating cartilage
D: Zone of resting cartilage

A)a,c,d,b
B)b,a,c,d
C)a,b,d,c
D)a,b,c,d
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15
Cells active when cartilage needs to be removed so new bone can be produced.

A)osteoprogenitor cells
B)osteoclasts
C)osteocytes
D)osteoblasts
E)chondroblasts
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16
Briefly describe the steps in bone resorption.
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17
Which two minerals are needed in large quantities when bones are growing?

A)calcium and chlorine
B)magnesium and sulfur
C)calcium and phosphorous
D)manganese and sulfur
E)potassium and phosphorous
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18
Which type of fracture is considered a partial fracture and is only seen in children?

A)open
B)comminuted
C)impacted
D)greenstick
E)stress
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19
This cell is active once the matrix of bone calcifies.The cells sits in a lacunae.

A)osteoprogenitor cells
B)osteoclasts
C)osteocytes
D)osteoblasts
E)chondroblasts
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20
Why would running and jumping have a larger effect on bone health than walking?

A)Osteoblasts are less active and osteoclast are more active when there is mechanical stress placed on bones.
B)Osteoblasts are more active and osteoclast maintain normal activity when there is mechanical stress placed on bones.
C)Mechanical stress does not have an influence on osteoblast and osteoclast activity.
D)Running and jumping will prevent demineralization over time.
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21
Where in the diagram can you find red bone marrow in an adult?
<strong>Where in the diagram can you find red bone marrow in an adult?  </strong> A)A B)A and B C)A and C D)C

A)A
B)A and B
C)A and C
D)C
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22
Which bone cell in the diagram is located in the inner layer of the periosteum,the endosteum,and perforating and Haversian canals?
<strong>Which bone cell in the diagram is located in the inner layer of the periosteum,the endosteum,and perforating and Haversian canals?  </strong> A)A B)B C)C D)D

A)A
B)B
C)C
D)D
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23
Which bone cell in the diagram below transports nutrients and wastes through tiny canals radiating from the lacunae?
<strong>Which bone cell in the diagram below transports nutrients and wastes through tiny canals radiating from the lacunae?  </strong> A)A B)B C)C D)D

A)A
B)B
C)C
D)D
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24
An archeologist and an anthropologist are studying two skeletons from an ancient tomb that had apparently been looted in an earlier time.Both skeletons are females and both are approximately the same height.However,the anthropologist is absolutely certain that one skeleton is the remains of someone from the privileged class while the other skeleton is the remains of a servant or slave.
How could the anthropologist be so sure of the economic status of the individuals based solely on their skeletal remains?
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25
In which region of the diagram would yellow bone marrow be located?
<strong>In which region of the diagram would yellow bone marrow be located?  </strong> A)A B)B C)C D)D E)E

A)A
B)B
C)C
D)D
E)E
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26
Which bone cell in the diagram below is an osteoclast?
<strong>Which bone cell in the diagram below is an osteoclast?  </strong> A)A B)B C)C D)D

A)A
B)B
C)C
D)D
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27
Briefly describe what is happening in each of the numbered stages of intramembranous ossification as observed in a child's skull shown in the diagram below.
Briefly describe what is happening in each of the numbered stages of intramembranous ossification as observed in a child's skull shown in the diagram below.
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28
In the diagram,what bone is considered the strongest?
<strong>In the diagram,what bone is considered the strongest?  </strong> A)A B)C C)D D)E E)F

A)A
B)C
C)D
D)E
E)F
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29
What type of bone cell secretes hydroxyapatite and collagen fibers?
<strong>What type of bone cell secretes hydroxyapatite and collagen fibers?  </strong> A)A B)B C)C D)D

A)A
B)B
C)C
D)D
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30
What hormone(s)is/are released from the control center when the control center receives cAMP input;also important in increasing blood calcium serum levels.Choose the best answer.

A)calcitriol and parathyroid hormone
B)parathyroid
C)calcitonin
D)parathyroid hormone and insulinlike growth factors
E)human growth hormone and estrogen
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31
Describe the signs and symptoms of osteoporosis and describe the risk factors for developing osteoporosis.
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32
Bone mass reduction is promoted by which hormone?

A)calcitriol
B)calcitonin
C)human growth hormone
D)parathyroid hormone
E)insulin
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33
In the diagram,which is the first blood vessel that enters the bone model in endochondral ossification?
<strong>In the diagram,which is the first blood vessel that enters the bone model in endochondral ossification?  </strong> A)D B)E C)F D)G E)H

A)D
B)E
C)F
D)G
E)H
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34
Describe the steps in bone repair.
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35
Briefly describe the processes by which bone increases in length and diameter.
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36
Jamie has a tumor of the parathyroid glands that causes a hypersecretion of PTH from these glands.Predict the effect this hypersecretion would have on the skeletal system and on the secretion of calcitonin from the thyroid gland.
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37
In the diagram,what area allows communication from the outermost region to the innermost region of bone?
<strong>In the diagram,what area allows communication from the outermost region to the innermost region of bone?  </strong> A)B B)C C)D D)E E)F

A)B
B)C
C)D
D)E
E)F
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38
Mary,an avid runner,was complaining that her lower leg hurt.After going to the doctor,they did not see anything on x-rays of her tibia or fibula.The doctor ordered a bone scan and saw tiny fissures throughout her tibia without any other tissue damage.What is Mary's likely diagnosis?

A)Pott fracture
B)Colles fracture
C)Impacted fracture
D)Comminuted fracture
E)Stress fracture
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39
What area in the diagram would the primary ossification center be formed?
<strong>What area in the diagram would the primary ossification center be formed?  </strong> A)A B)B C)C D)D E)E

A)A
B)B
C)C
D)D
E)E
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40
Which hormone is the MOST important for Ca2+ regulation?

A)parathyroid hormone
B)calcitriol
C)thyroid hormone
D)calcitonin
E)aldosterone
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41
Which of the labeled structures in the diagram are fragments of older osteons that have been partially destroyed during bone rebuilding or growth?
<strong>Which of the labeled structures in the diagram are fragments of older osteons that have been partially destroyed during bone rebuilding or growth?  </strong> A)A B)B C)C D)D E)E

A)A
B)B
C)C
D)D
E)E
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42
List and briefly describe the six main functions of the skeletal system.
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43
During fracture repair,what area will have mesenchymal cells that differentiate into fibroblasts,chondroblasts and osteoblasts?
<strong>During fracture repair,what area will have mesenchymal cells that differentiate into fibroblasts,chondroblasts and osteoblasts?  </strong> A)A B)B C)D D)E E)G

A)A
B)B
C)D
D)E
E)G
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44
Which of the following labeled structures in the diagram is a site of red blood cell production in adult bones?
<strong>Which of the following labeled structures in the diagram is a site of red blood cell production in adult bones?  </strong> A)A B)B C)E D)F E)G

A)A
B)B
C)E
D)F
E)G
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45
Where in the diagram is dense irregular connective tissue located?
<strong>Where in the diagram is dense irregular connective tissue located?  </strong> A)B B)C C)D D)E E)F

A)B
B)C
C)D
D)E
E)F
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46
PTH will increase _______activity while Calcitonin will decrease __________activity.

A)Osteoblast;osteoclast
B)Osteoclast;osteoblast
C)Osteoblast;osteoblast
D)Osteoclast;osteoclast
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47
Briefly describe what is happening in each step of fracture repair shown in the diagram.
Briefly describe what is happening in each step of fracture repair shown in the diagram.
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48
Which labeled structure in the figure was once an osteoprogenitor cell?
<strong>Which labeled structure in the figure was once an osteoprogenitor cell?  </strong> A)A B)B C)C D)D E)E

A)A
B)B
C)C
D)D
E)E
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49
Osteoporosis is most common in elderly women because of the lack of __,which would inhibit ___.

A)hGH;osteoclast activity
B)estrogen;osteoclast activity
C)IGFs;chondrocyte activity
D)PTH;osteoblast activity
E)Calcitonin;osteoclast activity
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50
Which of the following is the correct sequence of steps in the repair of a bone fracture?

A)fracture hematoma,bony callus formation,fibrocartilaginous callus formation,bone remodeling
B)fibrocartilaginous callus formation,bony callus formation,fracture hematoma,bone remodeling
C)bony callus formation,fracture hematoma,fibrocartilaginous callus formation,bone remodeling
D)bone remodeling,fracture hematoma,fibrocartilaginous callus formation,bony callus formation
E)fracture hematoma,fibrocartilaginous callus formation,bony callus formation,bone remodeling
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51
Which labeled structures in the figure are canaliculi?
<strong>Which labeled structures in the figure are canaliculi?  </strong> A)A B)B C)C D)D E)E

A)A
B)B
C)C
D)D
E)E
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52
Which of the labeled structures in the diagram are composed of trabeculae,which are bony structures that lack osteons?
<strong>Which of the labeled structures in the diagram are composed of trabeculae,which are bony structures that lack osteons?  </strong> A)B B)C C)D D)F E)G

A)B
B)C
C)D
D)F
E)G
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53
Which of the labeled structures in the diagram secure dense irregular and osteogenic layers to the bone matrix?
<strong>Which of the labeled structures in the diagram secure dense irregular and osteogenic layers to the bone matrix?  </strong> A)A B)B C)C D)D E)E

A)A
B)B
C)C
D)D
E)E
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54
Which illustration and radiograph in the figure shows a Pott's fracture?
<strong>Which illustration and radiograph in the figure shows a Pott's fracture?  </strong> A)A B)B C)C D)D E)E

A)A
B)B
C)C
D)D
E)E
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55
In the diagram,where do cells lose the ability to divide and increase in size?
<strong>In the diagram,where do cells lose the ability to divide and increase in size?  </strong> A)A B)B C)C D)D

A)A
B)B
C)C
D)D
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56
Where would reticular connective tissue be located in the diagram below?
<strong>Where would reticular connective tissue be located in the diagram below?  </strong> A)A B)D C)E D)F E)G

A)A
B)D
C)E
D)F
E)G
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57
Where in the diagram does the secondary ossification center form?
<strong>Where in the diagram does the secondary ossification center form?  </strong> A)A B)B C)D D)G E)G

A)A
B)B
C)D
D)G
E)G
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58
Briefly,explain how blood calcium level is regulated.
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59
If collagen is removed from bone,what happens to the bone? Choose the best answer.

A)The bone becomes stiff and brittle.
B)The bone becomes soft and flexible.
C)The bone shows no noticeable difference.
D)The bone will break into numerous pieces.
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60
Which labeled structures in the figure are lamellae?
<strong>Which labeled structures in the figure are lamellae?  </strong> A)A B)B C)C D)D E)E

A)A
B)B
C)C
D)D
E)E
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61
Place the events of a fracture repair in order.
A: A hematoma will form and will form a temporary connection between the ends of the bones.
B: Fibroblasts and chondroblasts migrate from the periosteum and begin to produce fibrocartilage to connect the ends of the bones.
C: Osteoclasts resorb dead portions of the new bony area,and compact bone replaces spongy bone.
D:Osteoprogenitor cells differentiate into osteoblasts and produce spongy bone.
E: Phagocytes and osteoclasts begin to remove dead and damaged tissue.

A)A,B,E,C,D
B)A,E,B,D,C
C)E,A,B,D,C
D)A,E,D,B,C
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62
Why do greenstick fractures commonly occur in children?

A)Their bones contain higher amounts of collagen.
B)Their bones contain higher amounts of hydroxyapatite.
C)Their bones are still composed of hyaline cartilage.
D)Their bones are still composed of mesenchymal tissue.
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63
Which statement describes blood calcium levels accurately?

A)Blood calcium levels increase when bone breaks down,and decreases when bone is built.
B)Blood calcium levels decrease when bone breaks down,and increases when bone is built.
C)Blood calcium levels remain constant regardless of whether bone is built or broken down.
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64
Complete the sentence with the best term.
Dropdown Options:
Build new bone
Calcitriol
Cyclic AMP
Decrease absorption of calcium
Decrease reabsorption of calcium
GI tract and osteoclasts
Increase absorption of calcium
Increase reabsorption of calcium
Kidney cells
Osteoclasts
Osteoclasts and kidney cells
Parathyroid hormone
PT gland cells
Release calcium to enter blood
[dropdown 1] the receptors,respond to low blood calcium levels.
[dropdown 2] input activates the control center when blood calcium is low.
[dropdown 3] is/are the effector(s)of PTH.
Osteoclasts [dropdown 4] in response to PTH:
The kidney [dropdown 5] in response to PTH:
[dropdown 6] is secreted in response to PTHs effects on the kidney.
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65
Mechanical stress [dropdown 1] osteoblast activity in bone,and removal of mechanical stress [dropdown 2] osteoblast activity in bone.
Optional answers for dropdown
Decreases
Increases
Maintains
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66
Briefly describe the major differences between compact and spongy bone.
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66
1,2,3,4
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67
Which of the following important body functions is calcium involved? Select all that apply.

A)blood clotting.
B)nervous cell stability.
C)muscle cell stability
D)acting as a cofactor in some enzymatic reactions.
E)being the primary cation that regulates osmotic balance in cells.
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68
Match the term with the best description
[dropdown 1]: Proliferation of osteoclasts,which leads to rapid bone remodeling,and weakening the bones.
[dropdown 2]: Severe bone density loss.
[dropdown 3]: Bone fails to calcify when remodeled.
[dropdown 4]: Bacterial infection causing inflammation,pain and rigid muscles.
[dropdown 5]: Bone cancer primarily affecting osteoblasts.
Drop Down Choices:
Osteomalacia
Osteomyelitis
Osteoporosis
Osteosarcoma
Paget's disease
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69
During endochondral ossification in a fetus,bones initially develop as a cartilage model that was formed from

A)periosteum.
B)endosteum.
C)perichondrium.
D)mesenchyme.
E)mucous connectivetissue.
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70
Which statements describe spongy bone?
1)Composed of trabeculae.
2)Made up of osteons
3)Found in higher amounts in the diaphysis.
4)Found lining the superficial regions of all bones.
5)Arranged along lines of force that are encountered.
6)Gaps filled with marrow.
7)Maintains strength with light weight.
8)Has the same purpose structurally as compact bone.
9)Has lamellae,osteocytes,lacunae and canaliculi.
10)Has lamellae,osteocytes,lacunae,canaliculi,and central canals.

A)1,5,6,7,9
B)2,3,4,10
C)1,3,5,7,9
D)4,6,7,8,10
E)1,2,4,6,8
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71
If bone is analogous to a bank,calcium is analogous to ______.

A)deposits
B)withdrawals
C)money
D)bank teller
E)automatic teller machine
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72
Which of the following hormones are more important post-puberty for bone growth?

A)insulinlike growth factors
B)thyroid hormones
C)human growth hormone
D)insulin
E)sex hormones
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73
Which of the following selections correctly lists the sequence of events that occur during intramembranous ossification?

A)Ossification center develops > Calcification > Formation of trabeculae > Development of new periosteum.
B)Calcification > Ossification center develops > Formation of trabeculae > Development of new periosteum.
C)Ossification center develops > Formation of trabeculae > Calcification > Development of new periosteum.
D)Development of new periosteum > Ossification center develops > Calcification > Formation of trabeculae.
E)Ossification center develops > Calcification > Development of new periosteum > Formation of trabeculae.
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75
Match between columns
______ is an increase in blood calcium levels.
Calcitonin
______ is an increase in blood calcium levels.
Calcitriol
______ is an increase in blood calcium levels.
Chief cells
______ is an increase in blood calcium levels.
Decrease
______ is an increase in blood calcium levels.
Hypercalcemia
______ is an increase in blood calcium levels.
Hypocalcemia
______ is an increase in blood calcium levels.
Increase
______ is an increase in blood calcium levels.
Osteoblast
______ is an increase in blood calcium levels.
Osteoclast
______ is an increase in blood calcium levels.
Parafollicular cells
______ is an increase in blood calcium levels.
PT gland cells
______ is an increase in blood calcium levels.
PTH
______ respond when there is an increase in blood calcium levels.
Calcitonin
______ respond when there is an increase in blood calcium levels.
Calcitriol
______ respond when there is an increase in blood calcium levels.
Chief cells
______ respond when there is an increase in blood calcium levels.
Decrease
______ respond when there is an increase in blood calcium levels.
Hypercalcemia
______ respond when there is an increase in blood calcium levels.
Hypocalcemia
______ respond when there is an increase in blood calcium levels.
Increase
______ respond when there is an increase in blood calcium levels.
Osteoblast
______ respond when there is an increase in blood calcium levels.
Osteoclast
______ respond when there is an increase in blood calcium levels.
Parafollicular cells
______ respond when there is an increase in blood calcium levels.
PT gland cells
______ respond when there is an increase in blood calcium levels.
PTH
______ is the output in response to high blood calcium levels.
Calcitonin
______ is the output in response to high blood calcium levels.
Calcitriol
______ is the output in response to high blood calcium levels.
Chief cells
______ is the output in response to high blood calcium levels.
Decrease
______ is the output in response to high blood calcium levels.
Hypercalcemia
______ is the output in response to high blood calcium levels.
Hypocalcemia
______ is the output in response to high blood calcium levels.
Increase
______ is the output in response to high blood calcium levels.
Osteoblast
______ is the output in response to high blood calcium levels.
Osteoclast
______ is the output in response to high blood calcium levels.
Parafollicular cells
______ is the output in response to high blood calcium levels.
PT gland cells
______ is the output in response to high blood calcium levels.
PTH
In response to the output when blood calcium levels are high, a(n) ______ in bone deposition occurs.
Calcitonin
In response to the output when blood calcium levels are high, a(n) ______ in bone deposition occurs.
Calcitriol
In response to the output when blood calcium levels are high, a(n) ______ in bone deposition occurs.
Chief cells
In response to the output when blood calcium levels are high, a(n) ______ in bone deposition occurs.
Decrease
In response to the output when blood calcium levels are high, a(n) ______ in bone deposition occurs.
Hypercalcemia
In response to the output when blood calcium levels are high, a(n) ______ in bone deposition occurs.
Hypocalcemia
In response to the output when blood calcium levels are high, a(n) ______ in bone deposition occurs.
Increase
In response to the output when blood calcium levels are high, a(n) ______ in bone deposition occurs.
Osteoblast
In response to the output when blood calcium levels are high, a(n) ______ in bone deposition occurs.
Osteoclast
In response to the output when blood calcium levels are high, a(n) ______ in bone deposition occurs.
Parafollicular cells
In response to the output when blood calcium levels are high, a(n) ______ in bone deposition occurs.
PT gland cells
In response to the output when blood calcium levels are high, a(n) ______ in bone deposition occurs.
PTH
In response to the output when the blood calcium levels are high, there is a decrease in ______ activity.
Calcitonin
In response to the output when the blood calcium levels are high, there is a decrease in ______ activity.
Calcitriol
In response to the output when the blood calcium levels are high, there is a decrease in ______ activity.
Chief cells
In response to the output when the blood calcium levels are high, there is a decrease in ______ activity.
Decrease
In response to the output when the blood calcium levels are high, there is a decrease in ______ activity.
Hypercalcemia
In response to the output when the blood calcium levels are high, there is a decrease in ______ activity.
Hypocalcemia
In response to the output when the blood calcium levels are high, there is a decrease in ______ activity.
Increase
In response to the output when the blood calcium levels are high, there is a decrease in ______ activity.
Osteoblast
In response to the output when the blood calcium levels are high, there is a decrease in ______ activity.
Osteoclast
In response to the output when the blood calcium levels are high, there is a decrease in ______ activity.
Parafollicular cells
In response to the output when the blood calcium levels are high, there is a decrease in ______ activity.
PT gland cells
In response to the output when the blood calcium levels are high, there is a decrease in ______ activity.
PTH
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