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What is the most beneficial type of exercise to include in an exercise program for a patient at risk for osteoporosis?


A) Swimming
B) Weight bearing
C) Nonweight bearing
D) Isometric

E) A) and C)
F) None of the above

Correct Answer

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B

The WHO's definition of osteoporosis is a BMD greater than _____ standard deviations below the mean for healthy 20- to 29-year-old adults.


A) 1
B) 1.5
C) 2
D) 2.5

E) None of the above
F) B) and C)

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When is the peak bone mass of a female typically achieved?


A) By the end of adolescence
B) By approximately 30 years of age
C) Within the decade preceding menopause
D) After the onset of menopause

E) C) and D)
F) B) and D)

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Which of the following female patients is at risk for osteoporosis?


A) An African American woman who was normal age at menopause and has a large frame and poor intake of calcium.
B) A White woman who is overweight, had multiple pregnancies and late menopause, and consumes alcohol.
C) A White woman who is underweight, had premature menopause, does not exercise, and smokes cigarettes.
D) An Asian woman who is premenopausal and has a large frame, a high calcium intake, and a sedentary lifestyle.

E) A) and B)
F) B) and D)

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Which of the following statements about exercise and bone is TRUE?


A) Regular weight-bearing exercise has little influence on BMD.
B) Upper body strength activities may improve overall BMD.
C) Walking several miles each day has a large impact on hip BMD.
D) Swimming regularly has a large impact on vertebral BMD.

E) B) and C)
F) A) and D)

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B

Which of the following bone measurements is more appropriate for individuals from late adolescence to the elderly years?


A) BMC
B) BMD
C) PBM
D) Alkaline phosphatase

E) A) and D)
F) C) and D)

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Which of the following is a characteristic of type II, or age-related, osteoporosis?


A) Occurs after 50 years of age
B) Loss of height occurs
C) Only affects trabecular bone
D) Rarely occurs in males

E) B) and D)
F) All of the above

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Which of the following is necessary for the maturation of osteocalcin?


A) Vitamin K
B) Vitamin D
C) Vitamin E
D) Vitamin A

E) A) and B)
F) C) and D)

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Which of the following changes related to nutrition and bone metabolism does NOT occur in elderly subjects?


A) Decreased intake of protein
B) Reduction of skin biosynthesis of vitamin D
C) Increased renal excretion of calcium
D) Decline in osteoblast function

E) B) and C)
F) C) and D)

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Which of the following dietary variables is NOT related to low bone mass?


A) Inadequate calcium
B) Excessive phosphorus
C) Inadequate vitamin D
D) Excessive potassium

E) A) and D)
F) A) and C)

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Bisphosphonates treat osteoporosis by


A) stimulating estrogen production.
B) increasing calcium absorption.
C) inhibiting osteoclasts.
D) inhibiting phosphorus absorption.

E) B) and C)
F) All of the above

Correct Answer

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Which of the following is associated with the bone tissue at the end of the long bones?


A) Trabecular bone
B) Cortical bone
C) Haversian systems
D) Osteons

E) All of the above
F) C) and D)

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Which of the following is NOT a risk associated with excessive calcium supplementation?


A) Constipation
B) Iron deficiency
C) Urinary tract stones
D) High blood pressure

E) B) and D)
F) A) and B)

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Which of the following are bone-forming cells?


A) Osteocytes
B) Osteoblasts
C) Osteoclasts
D) Osteocalcins

E) B) and C)
F) None of the above

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A chronic elevation of which circulating hormone typically leads to an increase in bone resorption and bone loss?


A) Thyroid hormone
B) Parathyroid hormone
C) Corticosteroid hormone
D) Glucagon

E) C) and D)
F) B) and C)

Correct Answer

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Bone tissue consists of the mineral phase and the organic _____ phase.


A) collagen
B) cartilage
C) matrix
D) osteocalcin

E) A) and D)
F) All of the above

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What does uncoupling of bone remodeling mean?


A) Bone formation precedes bone resorption.
B) Bone formation both exceeds and precedes bone resorption.
C) Bone resorption precedes bone formation.
D) Bone resorption both precedes and exceeds bone formation.

E) A) and D)
F) A) and C)

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Which of the following is NOT a characteristic of hormone-related (type I) osteoporosis?


A) Rapid rate of bone loss and therefore of BMD
B) Cessation of ovarian estrogen production
C) Decrease in dietary calcium intake
D) Increased risk of fracture of wrist and vertebrae

E) A) and C)
F) None of the above

Correct Answer

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Which of these is NOT a risk factor for developing osteoporosis?


A) Hispanic ethnicity
B) European or Asian ethnicity
C) Cigarette smoking
D) Female athlete triad

E) A) and B)
F) C) and D)

Correct Answer

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A

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