Skeletal System 2 - Bone Growth and Remodelling Flashcards

(32 cards)

1
Q

What is bone remodelling?

A

Ongoing replacement of old bone tissue by new bone tissue

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2
Q

The bone remodelling process relies on what 2 factors?

A

Bone resorption and Bone deposition

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3
Q

What is bone resorption?

A

Destruction of bone extracellular matrix
Performed by osteoclasts | Removal of minerals & collagen from bone

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4
Q

What is bone deposition?

A

Formation of bone extracellular matrix Performed by osteoblasts | Addition of minerals & to bone

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5
Q

What percentage of total bone mass is being remodelled at any given time?

A

5%

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6
Q

What percentage of compact bone is remodelled per year?

A

4%

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7
Q

What percentage of spongy bone is remodelled per year?

A

20%

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8
Q

True or False? Remodelling removes injured bone tissue.

A

True

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9
Q

True or False? Remodelling isn’t triggered by lifestyle factors

A

False

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10
Q

Is newer bone more resistant or less resistant to fracture than old bone?

A

more resistant

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11
Q

In resorption, osteoclasts attached to bone at the surface of where?

A

The endosteum or periosteum

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12
Q

In resorption, Calcium & phosphorus enter osteoclasts by?

A

endocytosis

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13
Q

What results in Excessive osteoblast activity?

A

Bones abnormally thick & heavy | Spurs

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14
Q

What results in Excessive osteoclast activity?

A

Loss of calcium and weakened bones | Osteoporosis

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15
Q

What factors underpin bone growth and remodelling?

A

Minerals - Calcium | Phosphorus | Magnesium | Fluoride | Manganese
Vitamins - Vitamin A | Vitamin C | Vitamin D | Vitamin K | Vitamin B12
Hormones - Insulin growth-like factor | Thyroid hormones | Oestrogen | Testosterone

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16
Q

What is a bone fracture?

A

Any break in the bone

17
Q

What is an open (compound) fracture?

A

Broken ends of bone protrude through skin

18
Q

What is a closed (simple) fracture?

A

Broken ends of bone do not break the skin

19
Q

What is a Comminuted fracture?

A

Bone is splintered, crushed or broken into pieces
Smaller bone fragments lie between two main fragments

20
Q

What is a greenstick fracture?

A

Partial fracture on one side of the bone
Other side bends

21
Q

What is a Compression fracture?

A

Compression force causes fracture in vertebrae

22
Q

What is a stress fracture?

A

Series of microscopic fissures that form in bine without
evidence of injury in other tissues

23
Q

What are the 4 steps of fractured bone repair?

A

Formation of fracture haematoma
Fibrocartilaginous callus formation
Bony callus formation
Bone remodelling

24
Q

Bone strength increases in response to what?

A

Mechanical stress

25
What type of activities promote increases in bone mass?
Weight bearing
26
True or False? Ageing promotes accelerated bone loss
True
27
Are women or men more at risk of osteoporosis?
Women Process begins during 30’s 30% of calcium lost by 70’s 8% of bone mass lost every 10 years
28
What Condition which causes porous bones?
Osteoporosis
29
What is osteopenia?
Low bone mass
30
What 2 types of medications are used to treat osteoporosis?
Antiresorptive drugs Slow down the progression of bone loss | Bisphosphonates Bone building drugs Promote increase in bone mass | Parathyroid hormone (PTH)
31
Ageing promotes what in bone?
demineralisation
32
How many people have osteoporosis in England and Wales?
>2 million people