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What is the function of cartilage located in the epiphyseal plates?
Site of bone elongation and growth.
Provides passageway for blood vessels.
Forms articular surface.
Supports soft tissues.
Provides flexibility for bending.
Site of bone elongation and growth.
Which type of cartilage is found in the intervertebral discs?
Hyaline cartilage
Fibrocartilage
Reticular cartilage
Articular cartilage
Elastic cartilage
Fibrocartilage
Which is an alternate term for compact bone?
Cancellous bone
Trabecular bone
Spongy bone
Diploe
Cortical bone
Cortical bone
If a clinician were looking to harvest bone marrow that made blood cells, which bone of a donor would be sampled?
Distal head of femur
Os coxa
Phalanges
Distal humerus
Os coxa
Which is false regarding the periosteum?
It includes two layers: outer fibrous and inner cellular.
It is composed of dense regular connective tissue.
It provides stem cells for bone growth and repair.
It is anchored to the bone by collagen fibers.
It covers the entire bone surface, with the exception of articular areas.
It is composed of dense regular connective tissue.
Flat bones
protect underlying soft tissue and may be slightly curved.
have elaborate shapes, and sometimes resemble sesame seeds.
include the bones of the wrist that glide across each other.
are, by definition, not at all curved.
have a diaphysis and an epiphysis.
protect underlying soft tissue and may be slightly curved.
Bone is considered an important storage reservoir for
calcium, phosphate, and lipids.
steroids, proteins, and complex carbohydrates.
glycogen, nitrogenous bases, and calcium.
phosphate, glycogen, and nonpolar amino acids.
calcium, complex carbohydrates, and polar amino acids.
calcium, phosphate, and lipids.
What are the matrix rings of compact bone that surround the central canal of each osteon?
Canaliculi
Concentric lamellae
Circumferential lamellae
Perforating canals
Interstitial lamellae
Concentric lamellae
Consider the classifications of bone, and examples of each. Which classification comprises bones used primarily for movement rather than protection?
Short bones
Long bones
Flat bones
Irregular bones
Regular bones
Long bones
The knobby region of a long bone at the end that is farthest from the trunk is the
distal diaphysis.
proximal epiphysis.
distal epiphysis.
superior diaphysis
distal epiphysis.
Which type of cell produces new bone tissue by secreting matrix?
Osteocytes
Osteoclasts
Osteoblasts
Osteoprogenitor cells
Bone-lining cells
Osteoblasts
What gives bone its flexibility?
Inorganic salts
Yellow bone marrow
Collagen fibers
Trabeculae
Elastic fibers
Collagen fibers
Severe anemia may trigger an adaptive conversion of
yellow marrow to red marrow.
red marrow to yellow marrow.
spongy bone to compact bone.
bone marrow to spongy bone.
yellow marrow to red marrow.
Before beginning orthopedic treatment, a patient may have her wrist and hand x-rayed to determine her stage of growth. What feature of the long bones will the orthopedist use to assess this?
Osteon
Periosteum
Spongy bone
Epiphyseal plate
Compact bone
Epiphyseal plate
Hyaline cartilage contains a _________ percentage of water; cartilage cells reside in small spaces called _________.
low; lacunae
low; canaliculi
high; lacunae
high; canaliculi
high; lacunae
Which is not a function of bone?
Protection
Mineral storage
Body movement
Generation of heat
Hematopoiesis
Generation of heat
Bone is _________ and contains mainly _________ nerves.
avascular, sensory
avascular, motor
highly vascularized, sensory
highly vascularized, motor
highly vascularized, sensory
As the bone matrix calcifies and the secreting cells become walled in,
osteoblasts become osteocytes.
osteogenic progenitors become osteoclasts.
osteoblasts become osteoclasts.
osteoclasts become osteocytes.
osteoblasts become osteocytes.
Which region of a growing bone contains the epiphyseal plate?
Distal epiphysis
Proximal epiphysis
Metaphysis
Diaphysis
Periphysis
Metaphysis
Compact bone
is located deep to spongy bone in the diaphysis.
is composed of tubular units called osteons.
has a brace-like arrangement of trabeculae.
is avascular.
All of the choices are correct.
is composed of tubular units called osteons.
What helps bone resist compression?
Yellow bone marrow
Reticular fibers
Inorganic salts
Red bone marrow
Endosteum
Inorganic salts
The bones of the fingers and toes (phalanges) are categorized as _________ bones.
long
irregular
short
flat
sesamoid
long
Osteoid is the
organic part of the bone matrix that gives it rigidity.
organic part of the bone matrix that gives it tensile strength.
inorganic part of the bone matrix that gives it rigidity.
inorganic part of the bone matrix that gives it tensile strength.
organic part of the bone matrix that gives it tensile strength.
Bone cells called _________ break down bone by secreting hydrochloric acid and enzymes that dissolve the matrix.
osteoprogenitor cells
osteoid cells
osteocytes
osteoclasts
osteoblasts
osteoclasts
The periosteum is anchored to the bone by collagen fibers called _________ fibers.
transverse
perforating
penetrating
connecting
cementing
perforating
An example of a flat bone would be the
femur (of thigh).
radius (of forearm).
trapezoid (of wrist).
sternum (breast bone).
calcaneus (heel).
sternum (breast bone).
What would be the effect on bone growth of insufficient dietary calcium?
There would be no effect, because the body is able to synthesize calcium.
The matrix would be softer.
The bone would be less flexible.
The epiphyseal plates would ossify earlier in development.
There would be increased formation of spongy bone.
The matrix would be softer.
Spongy bone
contains no osteocytes.
has spaces filled with yellow marrow.
is composed of tubular units called osteons.
forms diploe in the cranial bones.
All of the choices are correct.
forms diploe in the cranial bones.
Which is characteristic of cartilage connective tissue?
Gel-like ground substance
Matrix of protein fibers
Cells called chondrocytes
Avascular
All of the choices are correct.
All of the choices are correct.
If a bone is immersed in a weak acid such as vinegar for several days, its inorganic components will dissolve. What will be the result of such an experiment?
The bone will dissolve completely.
The compact bone will dissolve, leaving only the inner spongy bone.
The bone will become extremely brittle.
The bone will become soft and bendable.
The spongy bone will dissolve, leaving only the outer compact bone.
The bone will become soft and bendable.
In compact bone, _________ connect adjacent lacunae, thereby providing pathways for nutrients and other materials to pass between osteocytes.
osteonic canals
blood vessels
lamellae
canaliculi
perforating canals
canaliculi
Which is a sesamoid bone?
Patella
Cuboid
Talus
Sphenoid
Scaphoid
Patella
The bones of the wrist are classified as _________ bones.
long
regular
short
irregular
flat
short
Which vitamin is required for the normal synthesis of collagen?
Vitamin D
Vitamin B
Vitamin A
Vitamin C
Vitamin K
Vitamin C
What is the incomplete layer of cells that covers all internal surfaces of the bone within the medullary cavity?
Diaphysis
Epiphysis
Endosteum
Periosteum
Trabecula
Endosteum
Where does hematopoiesis occur?
Epiphyseal line
Endosteum
Red bone marrow
Yellow bone marrow
Nutrient foramina
Red bone marrow
Which is not correct about spongy bone?
Its spaces hold red bone marrow.
It is located deep to compact bone.
It forms diploe in the cranial bones.
It is composed of tubular units called osteons.
It is located in the epiphyses of long bones.
It is composed of tubular units called osteons.
Place in correct order the following steps in the process of appositional growth of cartilage. a: New matrix is produced and secreted. b: Chondrocytes differentiate, each in its own lacuna. c: Stem cells undergo mitosis. d: Committed cells differentiate into chondroblasts.
c. - d. - a. - b.
d. - c. - b. - a.
c. - d. - b. - a.
a. - c. - b. - d.
a. - c. - d. - b.
c. - d. - a. - b.
During appositional growth of cartilage, the cells that produce the matrix are the
chondrocytes.
osteocytes.
fibroblasts.
chondroblasts.
osteoblasts.
chondroblasts.
Interstitial growth of cartilage increases its _________ and occurs in the _________ region of the cartilage.
length, internal
length, peripheral
width, internal
width, peripheral
length, internal
Which choice places the steps of intramembranous ossification in correct chronological order? a: Formation of lamellar bone. b: Osteoid undergoes calcification. c: Ossification centers form. d: Formation of woven bone and its periosteum.
b - a - c - d
c - b - d - a
c - b - a - d
a - c - d - b
b - c - d - a
c - b - d - a
Achondroplastic dwarfism is a disorder that affects endochondral ossification. Which of the following bones will be affected?
Most bones of the body.
Long bones in the fingers and toes.
The humerus (long bone) of the upper limb.
The tibia (long bone) of the leg.
All of the choices are correct.
Most bones of the body.
The formation of bone from a cartilaginous model is termed
mesenchymal ossification.
intramembranous ossification.
bone remodeling.
orthodontia.
endochondral ossification.
endochondral ossification.
When during human development does the process of endochondral ossification begin?
12 weeks after birth.
8th-9th month of embryonic development.
8th week of embryonic development.
3-4 months of age.
10-25 years of age.
8th week of embryonic development.
When bone forms by intramembranous ossification, the ossification centers are within
hyaline cartilage.
compact bone.
mesenchyme.
elastic cartilage.
spongy bone.
mesenchyme.
The epiphyseal plates in the _________ are the last ones in the body to ossify.
femur
humerus
clavicle
radius
tibia
clavicle
The steps in the process of endochondral ossification are a: Ossification center forms in the diaphysis. b: Cartilage calcifies and a bone collar forms. c: Ossification centers form in the epiphyses. d: Bone replaces cartilage. e: Epiphyseal plates ossify. f: Cartilage model develops. The correct chronological order for these steps is
f. --> b. --> c. --> d. --> a. --> e.
b. --> c. --> f. --> a. --> e. --> d.
a. --> c. --> b. --> d. --> e. --> f.
f. --> b. --> a. --> c. --> d. --> e.
a. --> e. --> c. --> d. --> b. --> f.
f. --> b. --> a. --> c. --> d. --> e.
During the process of endochondral ossification, chondrocytes in the cartilage model die. Why does this occur?
Blood supply to the cartilage is cut off by the developing periosteum.
Canaliculi connecting adjacent chondrocyte lacunae fuse.
Nutrients cannot diffuse to the chondrocytes through the calcified matrix.
The developing bone collar secretes enzymes that destroy the chondrocytes.
Phagocytic osteoclasts in the new bone engulf and destroy the chondrocytes.
Nutrients cannot diffuse to the chondrocytes through the calcified matrix.
Which bone forms by intramembranous ossification?
Zygomatic
Radius
Axis
Hamate
First metatarsal
Zygomatic
Endochondral ossification begins with a(n) _________ model.
mesenchyme
dense connective tissue
hyaline cartilage
membranous
osteoid
hyaline cartilage
To trigger bone growth, growth hormone stimulates the
liver to produce somatomedin.
liver to produce calcitonin.
brain to produce serotonin.
parathyroid to produce parathyroid hormone.
thyroid to produce calcitriol.
liver to produce somatomedin.
Bone growth in which the bone increases in diameter is called
interstitial growth.
epiphyseal growth.
appositional growth.
endosteal growth.
cancellous bone growth.
appositional growth.
Mechanical stress of bones, such as that caused by weight lifting, is detected by
osteocytes, which then communicate to osteoblasts to increase synthesis of osteoid.
osteoclasts, which then communicate to osteocytes to increase the size of lacunae.
chondrocytes, which then trigger osteoblasts to increase bone in a lengthwise fashion.
osteoblasts, which then communicate to osteocytes and osteoclasts to deposit more hydroxyapatite.
osteocytes, which then communicate to osteoblasts to increase synthesis of osteoid.
The zones found in an epiphyseal plate are
a: Calcified cartilage
b: Hypertrophic cartilage
c: Ossification
d: Resting cartilage
e: Proliferating cartilage
The correct order for these zones, beginning with the edge closest to the epiphysis and proceeding toward the diaphysis, is
c - a - b - e - d.
d - b - e - a - c.
e - d - a - c - b.
c - d - e - a - b.
d - e - b - a - c.
d - e - b - a - c.
Within which zone of the epiphyseal plate do cartilage cells undergo mitosis?
The zone closest to the medullary cavity.
The zone closest to the epiphysis.
The second closest zone to the medullary cavity.
The second closest zone to the epiphysis.
The second closest zone to the epiphysis.
Which is false regarding bone remodeling?
It occurs throughout life.
It assists in the maintenance of calcium and phosphate levels in the body.
It occurs at both the endosteal and periosteal surfaces of the bone.
It occurs only at articular surfaces.
It can occur in response to stress on a bone.
It occurs only at articular surfaces.
Which is an accurate description of appositional bone growth?
Osteoblasts build bone at the circumferential lamellae while osteoclasts widen the medullary cavity.
Osteoclasts build bone at the concentric lamellae while osteoblasts build bone at the interstitial lamellae.
Osteoblasts build bone at the concentric lamellae while osteoclasts build bone at the epiphyses.
Osteocytes build bone at the interstitial lamellae while osteoclasts expand the length of the medullary cavity.
Osteocytes and osteoclasts expand the bone at its epiphyses, chondrocytes construct cartilage.
Osteoblasts build bone at the circumferential lamellae while osteoclasts widen the medullary cavity.
Glucocorticoids increase bone _________; high levels of serotonin lead to _________ bone density.
formation, high
formation, low
loss, high
loss, low
loss, low
Which affects osteoblast and osteoclast activity?
Gravity
Mechanical stress
Calcitonin and parathyroid hormone levels
Blood calcium level
All of the choices are correct.
All of the choices are correct.
The type of bone tissue that is replaced more frequently is _________ bone; the part of the femur that is replaced more frequently is the _________.
compact, distal epiphysis
compact, diaphysis
spongy, distal epiphysis
spongy, diaphysis
spongy, distal epiphysis
What explains the dramatic acceleration in lengthwise bone growth at puberty?
Increased activity of osteoclasts occurs in response to parathyroid hormone stimulation.
Increased rate of calcium deposition occurs due to high blood calcium levels.
Increased physical activity causes lengthwise growth in response to bone stress.
Increased secretion of sex hormones promotes epiphyseal plate growth.
Increased absorption of dietary vitamins and minerals strengthens the matrix.
Increased secretion of sex hormones promotes epiphyseal plate growth.
Which hormone inhibits bone growth?
Calcitonin
Estrogen and testosterone
Thyroid hormone
Parathyroid hormone
Growth hormone
Parathyroid hormone
Parathyroid hormone and calcitriol
stimulate osteoclasts to resorb bone and release calcium into the blood.
stimulate osteoblasts to deposit bone by producing calcified matrix.
stimulate osteoblasts to resorb bone and lower blood calcium levels.
stimulate osteoclasts to move calcium from the blood and into the bone.
stimulate osteoclasts to resorb bone and release calcium into the blood.
High blood calcium and exercise cause calcitonin release to
increase.
decrease.
increase.
Parathyroid hormone release is triggered by _________ levels of calcium in the blood.
high
low
low
Rickets, a disease characterized by overproduction and deficient calcification of osteoid tissue, is caused by a lack of sufficient
Vitamin D.
Calcitonin.
Thyroid hormone.
Vitamin A.
Vitamin C.
Vitamin D.
In the kidneys, parathyroid hormone acts to _________ production of calcitriol and to _________ excretion of calcium in urine.
increase, increase
increase, decrease
decrease, decrease
decrease, increase
increase, decrease
Which hormone normally has a more significant effect on blood calcium levels in adults?
Calcitonin
Parathyroid hormone
Parathyroid hormone
Calcidiol circulates in the blood and is converted to calcitriol in the
kidney.
skin.
liver.
bone.
kidney.
Calcitonin _________ osteoclast activity, which will _________ blood calcium levels.
stimulates, increase
stimulates, decrease
inhibits, increase
inhibits, decrease
inhibits, decrease
Which sex tends to lose more bone mass with aging?
Women
Men
Women
Which is a change in bone architecture or mass related to aging?
Insufficient calcification
Demineralization
Reduction in the organic content of the matrix
Loss of flexibility and increase in brittleness
All of the choices are correct.
All of the choices are correct.
The process of bone repair includes these steps: a: Fracture hematoma forms b: Bone is remodeled c: Fibrocartilaginous callus forms d: Bony callus forms The correct chronological order for these steps is
a --> c --> d --> b.
a --> b --> d --> c.
c --> d --> b --> a.
d --> a --> b --> c.
b --> a --> c --> d.
a --> c --> d --> b.
The break of a bone that has been weakened by disease is a _________ fracture; when a broken end of the bone pierces the skin, the fracture is _________.
stress, greenstick
epiphyseal, stress
greenstick, simple
pathologic, compound
pathologic, simple.
pathologic, compound
A fracture parallel to the long axis of the bone is a(n) _________ fracture.
transverse
oblique
linear
comminuted
medial
linear
Which is the definition for a greenstick fracture?
The bone is twisted as it fractures.
The fracture is at right angles to the long axis of the bone.
The bone is splintered into several fragments.
Only one side of the bone is broken; the other side is bent.
The fracture is at an oblique angle to the long axis of the bone.
Only one side of the bone is broken; the other side is bent.
During bone repair, when does the bony callus form?
Before the fracture hematoma.
After the soft callus forms.
Before the soft callus forms.
After bone remodeling.
After the soft callus forms.
Which is not involved in the process of bone repair following a fracture?
Fibroblasts produce collagen fibers to connect broken pieces of bone.
A fibrocartilaginous callus serves as a model for new bone growth.
Osteoclasts remove excess bone from the hard callus.
The fracture hematoma reorganizes to form a procallus.
No exceptions; all of the choices are involved in the process of bone repair.
No exceptions; all of the choices are involved in the process of bone repair.