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Jones Derm Exam 3

Total questions: 125

Worksheet time: 1hrs 10mins

Name
Class
Date
1.

Which of the following are functions of the skeletal system?

a)

Protection

b)

Movement

c)

Production of body heat

d)

acid base balance

e)

Blood cell production

2.

What bones form sutures?

a)

Sutural bones

b)

Long bones

c)

Flat bones

3.

What type of bones are used for movement?

a)

flat bones

b)

Long bones

c)

Sutural bones

4.

Which of the following are mature cells, found in the bone matrix (GAP junctions to receive signals)

a)

Osteoblasts

b)

Osteocytes

c)

Osteoclasts

d)

Osteoprogenitor cells

5.

Which of the following are stem cells, which produce osteoblasts and are found in the inner region of bone

a)

Osteocytes

b)

Osteoblasts

c)

Osteoclasts

d)

Osteoprogenitor cells

6.

Which of the following are responsible for resorption/degrading of bone matrix (most active-low Ca2+)

a)

Osteoclasts

b)

Osteoblasts

c)

Osteoprogenitor cells

d)

Osteocytes

7.

Which of the following are immature cells, synthesize new bone (most active-high Ca2+)

a)

Osteocytes

b)

Osteoprogenitor cells

c)

Osteoclasts

d)

Osteoblasts

8.

Which of the following is true regarding compact bone vs spongy bone?

a)

Spongy bone has osteons and are not vascularized, compact bone has no osteons

b)

Spongy bone and compact bone are both composed of osteons, while spongy bone is not vascularized

c)

Spongy bone is not composed of osteons and is not vascularized, compact bone is composed of osteons

d)

spongy bone is not composed of osteons and is vascularized, compact bone is composed of osteons

9.

Which of the following is an incomplete inner layer covering trabecular bone?

a)

Periosteum

b)

Endosteum

10.

Which of the following isolates bone from surrounding tissues, route for blood and nerve entry, connections.

(2 layers)

a)

Endosteum

b)

Periosteum

11.

Located in spongy bone, produces blood cells

a)

Red bone marrow

b)

Yellow bone marrow

12.

Located in bone shaft, adipose tissue for energy source

a)

Red bone marrow

b)

Yellow bone marrow

13.

Which bone growth is categorized as outward bone growth (mediated by osteoclasts and osteoblasts)

a)

Elongation

b)

Appositional

14.

Which of the following is categorized as chondrocytes laying down cartilage which get replaced by osteoid matrix via osteoclasts, and new cartilage gets laid down again?

a)

Elongation

b)

Appositional growth

15.

Which of the following hormones Stimulates bone growth/collagen synthesis?

a)

Cortisol

b)

Estrogen

c)

Growth hormone

d)

Testosterone

16.

Which of the following hormone(s) stimulate osteoblasts and promote ossification, while depleting cartilage and close epiphysial plate?

a)

Estrogen

b)

Growth hormone

c)

Testosterone

d)

Cortisol

17.

Which of the following vitamins Stimulates osteoblast differentiation and are needed for collagen synthesis?

a)

Vitamin A

b)

Vitamin B

c)

Vitamin C

d)

Vitamin K

18.

Which of the following vitamins are Required for osteocalcin (protein secreted by osteoblast)?

a)

Vitamin A

b)

Vitamin B

c)

Vitamin C

d)

Vitamin K

19.

Which of the following can be excreted in feces, absorbed or reabsorbed into soft tissues, absorbed or filtered through the kidneys, and be used to form bones?

a)

Calcium

b)

Phosphate

20.

A decrease in ECF calcium or phosphate will trigger the release of ______?

a)

Estrogen

b)

Cortisol

c)

Parathyroid hormone

d)

Growth hormone

21.

Which of the following will cause the PTH to be inhibited?

a)

Low calcium in ECF

b)

Adequate calcium in ECF

22.

Increase in PTH causes

a)

Decrease in ECF calcium

b)

Increase in ECF calcium

c)

Increase in ECF phosphate

d)

Decrease in ECF phosphate

23.

Increase in calcium causes

a)

Increased calcitriol

b)

increased calcitonin

c)

Decreased calcitonin

24.

PTH stimulates _______ production in the kidney via increasing the synthesis of 1-α hydroxylase.

a)

Calcitriol

b)

Calcitonin

c)

Cortisol

d)

Growth hormone

25.

Which of the following are functions of calcium?

a)

Regulates neural excitability

b)

Role in blood coagulation

c)

Muscle contraction

d)

Fount in ATP

e)

Acid base balance

26.

Decreased calcium in the kidneys will retain ______ calcium ions in our blood and excrete _____ in our urine

a)

More, more

b)

More, less

c)

Less, more

d)

Less, less

27.

PTH and vitamin D receptors of the bone are located on

a)

Osteoclasts

b)

Osteocytes

c)

bone Matrix

d)

Osteoblasts

28.

When PTH and Vitamin D bind to the receptors, they signal the release of

a)

Osteoblasts

b)

RANKL

c)

M-CSF

d)

osteoclasts

29.

proteoclasts bind to to RANKL and M-CSF which will stimulate the differentiation of preosteoclast into an active osteoclast freeing up calcium and vitamin D to enter the blood stream

a)

True

b)

False

30.

High levels of calcium and phosphate activate osteoblasts to build bone.

a)

True

b)

False

31.

Vitamin D deficiency can result in

a)

Osteomyelitis

b)

Osteomalacia

c)

rickets

d)

Osteoporosis

32.

Which of the following is secreted by C-cells of the thyroid gland?

a)

PTH

b)

Calcitriol

c)

Calcitonin

d)

Cortisol

33.

Your patient is experiencing muscle weakness and tetany. After running some labs, you realize that the patients PTH is too low. You believe this is a genetic disease. What is the disease and what would you recommend for treatment?

a)

Hypercalemia, calcium and vitamin D supplementation

b)

Hypocalcemia, calcium and vitamin D restricted diet

c)

Hypercalcemia, calcium and vitamin D restricted diet

d)

Hypocalcemia, calcium and vitamin D supplementation

34.

Your patient is experiencing depression and osteopenia. They also note that they were in the hospital a week ago for kidney stones. You suspect this is a congenital disease. What would the diagnosis be and how would you treat it?

a)

Hypocalcemia, calcium and vitamin D supplementation

b)

Hypercalcemia, calcium and vitamin D supplementation

c)

Hypercalcemia, calcium and vitamin D restricted diet

d)

Osteoporosis, increase calcium, vitamin D, and vitamin K intake, and exercise

35.

Your (60yo) patient tells you that they have shrunk! The physician ordered tests and determined that they have decreased bone density, resulting in a greater risk for fractures. It is determined that the patient has osteoporosis, which of the following would be adequate treatments?

a)

Increase calcium, Vitamin D and Vitamin K intake, and exercise

b)

Estrogen therapy

c)

Calcium and vitamin D restricted diet

d)

Estrogen antagonists

e)

Biophosphonates

36.

Joints serve as the interconnection between 2 bones which allows for range of motion and structure.

a)

True

b)

False

37.

synarthrosis joints are

a)

Slightly moveable

b)

Immovable

c)

Freely moveable

38.

Amphiarthrosis joints are

a)

Immovable

b)

Freely moveable

c)

Slightly moveable

39.

Diarthrosis joints are

a)

Immovable

b)

Slightly moveable

c)

Freely moveable

40.

Which of the following is an immovable joint made when the gap between 2 bones ossifies which forms a single bone.

a)

Bony Joints (synostosis)

b)

Fibrous joints (synarthrodial)

c)

Cartilaginous joints (amphiarthrodial)

d)

Synovial joints (Diarthrodial)

41.

Which of the following has no movement joints with 2 bones liked with cartilage?

a)

Bony Joints (synostosis)

b)

Cartilaginous joints (synarthrodial)

c)

Cartilaginous joints (amphiarthrodial)

d)

Fibrous joints (amphiarthrodial)

42.

Which of the following are freely moving joints at the ends of long bones, and allow for a wide range of movements?

a)

Fibrous joints (amphiarthrodial)

b)

Cartilaginous joints (amphiarthrodial)

c)

Bony Joints (synostosis)

d)

Synovial joints (Diarthrodial)

43.

Which of the following attach the teeth to the jaw via a fibrous collagen ligament?

a)

Sutures

b)

Syndesmoses

c)

Gomphoses

44.

Which of the following are long collagen fibers connecting 2 bones, permits some movement?

a)

Sutures

b)

Syndesmoses

c)

Gomphoses

45.

Which of the following line each bone coming into the joint?

a)

Synovial membrane

b)

Joint capsule

c)

Articular cartilage

d)

Joint cavity

46.

Which of the following consists of an inner synovial membrane and an outer fibrous capsule?

a)

Joint cavity

b)

Joint capsule

c)

Articular cartilage

d)

Bursae

47.

The articular cartilage is made up of (a)   cartilage.

48.

Which of the following is the name for the space created between bones and the synovial membrane?

a)

Meniscus

b)

Joint cavity

c)

Joint capsule

d)

Synovial fluid

49.

Synovial fluid is the Interstitial fluid with proteoglycans secreted by cells in the synovial membrane. The synovial fluid helps with:

a)

Lubrication

b)

Shock absorption

c)

Structural support

d)

Nutrient and waste movement

50.

When a joint moves, the _____ move in and cushions the bone.

a)

Ligaments

b)

Tendons

c)

Meniscus

d)

Fat pad

51.

tendons bind muscle to the bone. Which of the following are also functions of the tendons?

a)

Helps hold bone in place

b)

Absorbs force

c)

Reduce friction

d)

Limits the range of motion of a joint

52.

Which of the following attach bone to bone?

a)

Ligaments

b)

Tendons

c)

Bursae

d)

Meniscus

53.

What type of movements are linear movements where 2 opposing surfaces slide past each other?

a)

Angular

b)

Gliding

c)

Flexion

d)

Hyperextension

54.

Which type of movement allows for angle changes, rotation, and circumduction?

a)

Flexion

b)

gliding

c)

Extention

d)

Angular

55.

If a joint can move two ways (I.e. forward and backward, and side to side) it is called:

a)

Multiaxial

b)

Biaxial

c)

Monoaxial

56.

What joint movement is she exhibiting?

a)

Extension

b)

Flexion

c)

Abduction

d)

Rotation

57.

Which joint movement is this?

a)

Flexion

b)

Adduction

c)

Abduction

d)

Extension

58.

Which of the following joint movements does this picture depict?

a)

Abduction

b)

Extension

c)

Adduction

d)

Circumduction

59.

Which of the following joint movements is this?

a)

Circumduction

b)

Abduction

c)

rotation

d)

Adduction

60.

you are looking left when something falls from the bookshelf on your right. As a result you turn your head to the right. This is an example of:

a)

Circumduction

b)

Adduction

c)

Rotation

d)

Abduction

61.

Your elbow, jaw and knee are examples of what kind of joint?

a)

hinge

b)

Ball-and-socket

c)

Condylar

d)

Ellipsoid

e)

Saddle

62.

Your shoulder and hip are an example of what kind of joint?

a)

Hinge

b)

Ball-and-socket

c)

Condylar

d)

Pivot

63.

Your patient comes in with inflammation of the bursae. Which of the following could have caused their bursitis?

a)

Friction due to repetitive movement

b)

Pressure

c)

Chemical irritation

d)

Too much exercise

e)

Infection in the joint

64.

Your patient was diagnosed with bursitis, which of the following would be considered a treatment?

a)

Surgical removal of bursae

b)

Injections

c)

Antihistamine

d)

Anti inflammatory

e)

Antibiotic

65.

Your patient complains of pain in their face, clicking sounds when moving their jaw, and radiating headaches. In addition, they are experiencing limited movement, making it hard to eat certain foods. This patient has TMJ. What are appropriate treatments?

a)

Anti inflammatory drug

b)

Physical Therapy

c)

Psych therapy

d)

Soft foods

e)

Splints

66.

Arthritis ALWAYS involves damage to the articular cartilage.

a)

True

b)

False

67.

What type of arthritis causes aging joints, damage to cartilage, (age over 60) leading to exposed bones, causing bone spurs, restricted movement and pain?

a)

Rheumatic Arthritis

b)

Osteoarthritis

c)

Gouty arthritis

68.

What type of arthritis results from the immune system attacking joint tissue?

a)

Osteoarthritis

b)

Rheumatic arthritis

c)

Gouty arthritis

69.

What type of arthritis occurs due to accumulation of uric acid crystals in the joints?

a)

Osteoarthritis

b)

Rheumatic arthritis

c)

Gouty arthritis

70.

Which of the following are treatments for arthritis?

a)

Physical Therapy

b)

Antibiotics

c)

anti inflammatories

d)

Surgery

71.

Which of the following events will occur when calcium levels are high in the blood?

a)

Calcium sensing receptors are activated

b)

Parathyroid hormone secretion increases

c)

Neural hyperexcitability

d)

Muscle weakness

e)

Active vitamin D levels increase

72.

Which of the following is a cell stimulated by PTH?

a)

Osteoclast

b)

Osteocyte

c)

Osteoblast

73.

Which of the following is a mature bone cell embedded in the bone matrix?

a)

Osteoclast?

b)

Osteoblast

c)

Osteocyte

74.

With a decrease in plasma calcium, the calcium receptor on the parathyroid gland in binds calcium which releases PTH and decreases active vitamin D.

a)

True

b)

False

75.

Place them in the correct order.

1. C-cells of the thyroid gland secrete calcitonin

2. osteoclast activity is inhibited

3. Bone deposition increases

4. plasma calcium increases

a)

1, 4, 2, 3

b)

4, 1, 2, 3

c)

3, 1, 2, 4

d)

4, 2, 1, 3

76.

The cartilage joint between the diaphysis and the epiphysis is

a)

Moveable

b)

Immovable

77.

The hip joint is

a)

Moveable

b)

Immovable

78.

Which of the following is a hinge joint with olecranon?

a)

Jaw

b)

Shoulder

c)

Knee

d)

Elbow

79.

Which of the following contains the posterior and anterior cruciate ligaments?

a)

Hip

b)

Knee

c)

Shoulder

d)

Jaw

80.

Trabeculae are structural characteristics of compact bone.

a)

True

b)

False

81.

A femur includes both compact and spongy bone tissues.

a)

True

b)

False

82.

Most bones develop from hyaline cartilage.

a)

True

b)

False

83.

The growth zone of the long bones of adolescents is the articular cartilage.

a)

True

b)

False

84.

Osteoclasts develop from osteoblasts.

a)

True

b)

False

85.

Osteocytes develop from osteoblasts.

a)

True

b)

False

86.

The protein of the bone matrix is called hydroxyapatite.

a)

True

b)

False

87.

Blood vessels travel through the central canals of compact bone.

a)

True

b)

False

88.

Vitamin D promotes bone deposition, not resorption.

a)

True

b)

False

89.

Parathyroid hormone promotes bone resorption and raises blood calcium concentration.

a)

True

b)

False

90.

Synovial joints are also known as synarthroses.

a)

True

b)

False

91.

The femur is held tightly in the acetabulum mainly by the round ligament.

a)

True

b)

False

92.

Unlike most ligaments, the periodontal ligaments do not attach one bone to another.

a)

True

b)

False

93.

synovial fluid is secreted by the synovial membrane of the joint capsule and fills the bursae.

a)

True

b)

False

94.

1. Calcium is required for all of the following except __________.

a)

Nerve conduction

b)

Blood clotting

c)

Muscle contraction

d)

All of these require calcium

95.

Which of the following mineral gives bone it's rigid structure?

a)

Calcium

b)

Phosphate

c)

Collagen

d)

Hydroxyapatite

96.

Bones are made up of which of the following three tissue types?

a)

Spongy bone and trabecular bone

b)

Spongy bone, fat, and bone marrow

c)

Compact bone, spongy bone, and bone marrow

d)

Compact bone, white marrow and red marrow

97.

Bones are made up of which of the following three tissue types?

a)

Spongy bone and trabecular bone

b)

Spongy bone, fat, and bone marrow

c)

Compact bone, spongy bone, and bone marrow

d)

Compact bone, white marrow and red marrow

98.

Which of the following is the term for the functional unit of compact bone?

a)

Haversian canal

b)

Trabeculae

c)

Osteon

d)

Lamellae

99.

Which of the following cells is responsible for depositing hydroxyapatite into bone matrix?

a)

Osteocytes

b)

Myelocytes

c)

Osteoclasts

d)

Osteoblasts

e)

Melanocytes

100.

In regards to bone marrow, "red marrow" is primarily made up of ___________ cells, while "yellow marrow" is primarily made up of ___________ cells.

a)

Active, dormant

b)

Erythrocytic, leukocytic

c)

Hematopoietic, fat

d)

Proliferating, calcified

101.

1. The length of long bones is increased via the hypertrophy and eventual apoptosis of chondrocytes which leave cavities that are then colonized by osteoprogenitor cells. This process is referred to as __________.

a)

Osteoblast mineralization

b)

Endochondrial mineralization

c)

Apoptotic ossification

d)

Endochondrial ossification

102.

Muscle is attached to the periosteum of bone via which of the following?

a)

Articular cartilage

b)

Ligaments

c)

Tendons

d)

Sutures

103.

Which of the following tissues is not part of a bone as an organ?

a)

Dense connective

b)

Cartilage

c)

Muscle

d)

Blood

104.

The organic matter of living bone includes

a)

Calcium phosphate

b)

Collagen fibers and cells

c)

Calcium carbonate

d)

Magnesium and fluoride

105.

The _______ is an example of a sesamoid bone.

a)

Vertebra

b)

Femur

c)

Carpal

d)

Patella

106.

The epiphyseal plate represents the

a)

Ends of the epiphyses

b)

Shaft between the epiphyses

c)

Growth zone of hyaline cartilage

d)

Membrane around bone

107.

The central canal of a bone osteon contains

a)

Blood vessels and nerves

b)

Osteocytes

c)

Red bone marrow

d)

Yellow bone marrow

108.

Internal and external rotation of the humerus are made possible by which joint?

a)

Pivot

b)

Condylar

c)

Ball-and-socket

d)

Saddle

e)

Hinge

109.

Which of the following is the least movable?

a)

A diarthrosis

b)

A synostosis

c)

A symphysis

d)

A synovial joint

e)

A condylar joint

110.

Which of the following joints has anterior and posterior cruciate ligaments?

a)

Shoulder

b)

Elbow

c)

Hip

d)

Knee

e)

Ankle

111.

Which cells have a ruffled border and secrete hydrochloric acid?

a)

C-cells

b)

Osteocytes

c)

Osteogenic cells

d)

Osteoblasts

e)

Osteoclasts

112.

The marrow cavity of an adult bone may contain

a)

Myeloid tissue (blood tissue)

b)

Hyaline cartilage

c)

Periosteum

d)

Osteocytes

e)

Articular cartilages

113.

The spurt of growth in puberty results from cell proliferation and hypertrophy in the

a)

Epiphysis

b)

Epiphyseal line

c)

Compact bone

d)

Epiphyseal plate

e)

Spongy bone

114.

Osteoclasts are most closely related, by common descent, to

a)

Osteoprogenitor cells

b)

Osteogenic cells

c)

Blood cells

d)

Macrophage

e)

Osteoblasts

115.

Which of these is not an effect of PTH?

a)

Rise in blood phosphate level

b)

Reduction of calcium excretion

c)

Increased intestinal calcium absorption

d)

Increased number of osteoclasts

e)

Increased calcitriol synthesis

116.

One long bone meets another at its

a)

Diaphysis

b)

epiphyseal plate

c)

Periosteum

d)

Metaphysis

e)

Epiphysis

117.

Calcitriol is made from

a)

Calcitonin

b)

7-dehydrocholesterol

c)

Hydroxyapatite

d)

Estrogen

e)

PTH

118.

what is the function of calcitonin?

a)

Increased calcium levels

b)

Inhibition of osteoblast

c)

Decreases calcium levels

d)

Inhibits osteoclasts

119.

Which of these could result from hyperparathyroidism?

a)

increased bone deposition

b)

Fractures

c)

Convulsions

d)

All of the above

120.

The lubricant of diarthrosis is called (a)  

121.

A fluid filled sac that eases the movement of a tendon over a bone is called a/an

(a)  

122.

The joint between a tooth and mandible is called a/an

(a)  

123.

In a (a)   suture, the articulate bones have interlocking wavy margins, somewhat like a dovetail joint in carpentry.

124.

While kicking a football, what type of action does the knee joint exhibit?

(a)  

125.

The menisci of the knee are functionally similar to the (a)   of the temporomandibular joint.