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Final
lecture 5
59
Agriculture
1st Grade
12/01/2012

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Term
osteoporosis is characterized by what 2 things
Definition
low bone density
deteriation of bone tissue
Term
osteopenia is defined as
Definition
precursor conditon with low bone densisty
Term
osteoporis bone fractures are more common in what gender
Definition
women
Term
bone mineral density is expressed as a
Definition
T score
Term
T score shows the BMD as a _ above or below the mean BMD fro normal person
Definition
standard deviation
Term
Equation for T score
Definition
Persons BMD-avg BMD/ SD of normal
Term
normal t score is
Definition
1 SD
Term
osteopenia has t score
Definition
between -1 and -2.5
Term
osteopororis t score is
Definition
less than -2.5
Term
is osteoporosis common?
Definition
yes- 10 mill
Term
are most OP cases diagnosed and treated?
Definition
no
Term
when adj by BMD, weight , etc- which 2 races have higher fragility fracture rate
Definition
white and hispanic
Term
what type of fracture is more common among seniors?
Definition
hip
Term
what type of fracture costs the most
Definition
hip
Term
_ % of ppl with hip fracture die within 1 year
Definition
24
Term
3 categoires of OP
Definition
age related, postmenopasual, secondary
Term
post menopausal OP is caused by loss of ?
affects primarily what bones
Definition
estrogen
trabecular
Term
age related OP caused by rate of bone _ exceding rate of _
Definition
resorption
formation
Term
postmenopasusal OP lose _% of density within 5-10 yrs
Definition
20
Term
estrogen loss induces release of _ from osteoblasts and monocytes?
this causes increase in
_, decrease in _
Definition
cytokines
RANKL
OPG
Term
estrogen loss end result is activation of
Definition
osteoclasts
Term
the more bone remodeling sites- the deeper _
Definition
bone resoprtion pits
Term
when does bone mineral density peak?
Definition
btwn 2nd and 4th decade of life
Term
women have less bone mass at maturity- so-
Definition
need less lost to reach OP
Term
after age _ resoprtion exceeds formation
Definition
40
Term
age related bone los results from:
decrease _ function
decreased _ intake
reduced synth of _
decreased
Definition
osteoblast
Ca and Vit D
sex hormones
mechanical stress
Term
what drugs can cause OP-4
Definition
glucoceteroids
heparine
thyroid
anticonvulsants
Term
diseases that can cause OP 4
Definition
hyperparathyroid, hypo/hyperthyroid, type 1 diabetes
Term
modifiable risk factors- 5
Definition
BMD- diet exercise
smoking
alcohol
low estrogen
minimal sun
Term
what is kyphosis
Definition
exagerated curve of thoracic spine-roundback
Term
what is lordosis
Definition
curve of lumbar spine- swayback
Term
multiple fractures lead to
-
Definition
dowagers hump
Term
what is the most common fracture overall? which is the worst?
Definition
verrtebral
hip
Term
_% of hip fracture pateints are unable to walk after
_% will need nursing home
Definition
50
25
Term
what contains 99% of total calcium in body
Definition
skeleton
Term
what increases calcium excretion
Definition
caffeine
Term
calcium intake for regular
for OP
Definition
1000
1200
Term
what % of Ca is absorbed
Definition
20-40
Term
what are the 2 methods of calcium uptake
Definition
active trnasport by Vit D
facilitated diffusion
Term
how much Ca is excreted each day?
Definition
150 mg
Term
reabsoprtion of Ca is regulated by
Definition
PTH
Term
what is bone remodeling
is there more osteoblast or clast activity in it?
Definition
process of breakdown and renewal;
osteoblast
Term
which type of bone has more remodleing?
Definition
trabecular
Term
multinuclear osteoclasts are activated by
Definition
osteoblasts
Term
osteoclasts produce what
Definition
projections that attach to bone
Term
what 2 things does osteoclasts secrete to dissolve bone matrix
Definition
acid
proteolytic enzymes
Term
resorption phase is complete when _ replace the resorbed bone
Definition
osteoblasts
Term
osteoblasts secrete _ which is a deocy for
Definition
OSP
RANKL
Term
D2 or D3
ergocalciferol
cholecalciferol
Definition
D2
D3
Term
D2 and D3 obtained how?
Definition
diet
Term
just D3 can be obtained from?
Definition
production from UV B light action of 7-dehydrocholest
Term
liver converts Vit D to
Definition
25 hydroxyvit D

calcidiol
Term
25hydroxyvitamin D converted to dihydroxyvit D by -?
what is the other name for this vit D metab?
Definition
1a-hydroxylase
calcitrol
Term
where is calcitrol made
Definition
kindeys
Term
calcitrol is stimulated by 2 things
Definition
PTH
estrogen
Term
plasma half life of PTH
Definition
4 min
Term
PTH enhance Ca reabsorption where
Definition
kidney
Term
PTH enhances production of
Definition
1,25 dihydroxyvit D
Term
bad side affect of PTH is it also increases -
Definition
bone resorption
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