If Resorption < Formation:
↑ Bone Mass
↓ Bone Mass
Which of the following are bone mass determinants:
Genetics
Age
Mechanical loading
Protein intake
Calcium intake
Vitamin D
Sex steroids
Vitamin C
Sclerostin is released by which of the following?
Osteocytes
Osteoblasts
Osteoclasts
Lining Cells
Sclerostin __________ Wnt signalling in Osteoblasts/Osteocytes
Inhibits
Stimulates
With deformity of bone (on loading), sclerostin secretion:
Increases
Decreases
SOST = ??
SclerOSTin
Stimulated by OSTeocyte
Obligatory urine Calcium loss is 150-200 1000 25 300( 150-200, 1000, 25, 300 ) mg/d (although More Less( More, Less ) after menopause).
Recommended daily allowance for calcium changes according to age, but broadly mostly around:
1000
70
150-200
700
2000
1500-2000
25
300
Vitamin D Decreases Increases( Decreases, Increases ) gut Calcium absorption:
A non-Calcium-rich diet will usually have approximately ❌ mg/d Calcium. This is ❌% of recommended intake.
True or false: Exposure to the sun is [normally] our main source of Vitamin D.
True or false: Diet is [normally] our main source of Vitamin D.
What’s the recommended daily intake of Vitamin D?
1000IU (25μg)
25IU (1000μg)
Which of the following accelerates Vitamin D degradation?
Some medications
LOW Calcium intake
HIGH Calcium intake
HIGH PTH
LOW PTH
Which of the following groups are commonly associated with increased risk of Vitamin D deficiency?
Geriatric admissions to hospital
Dark-skinned people, especially with modest dress
Obese people
Fair skinned people with severe tan
Fair skinned people who avoid sun because of skin cancer risk
Office workers
Night shift workers
Farmers
In a study of 100 office workers in Sydney, sunscreen users had Higher Lower( Higher, Lower ) Vitamin D levels compared to non-users.
How does Vitamin D help bone health?
Increases gut Calcium absorption
Facilitates bone mineralisation
Important for muscle function
Permits release of bone stores of Calcium
It doesn’t
Vitamin D deficiency leads to increased bone turnover. Severe Vitamin D deficiency leads [primarily] to?
Osteomalacia
Osteoporosis
Both of the above
Neither of the above
Adequate levels of 25OHD 25HD 25OD 2OH5D 20O5HD( 25OHD, 25HD, 25OD, 2OH5D, 20O5HD ) are needed to maximise Calcium absorption and Suppress Increase( Suppress, Increase ) ParaThyroid Hormone (PTH).
25OHD = ??
25(OH) vitamin D
1,25(OH) vitamin D
1,25(OH)2 vitamin D
25(OH)2 vitamin D
Severe CALCIUM deficiency can lead to:
Rickets
Severe VITAMIN D deficiency can lead to Osteomalacia/Rickets. Are they the same thing?
Yeah
Nah
Which of the following helps to maintain normal balance between bone formation and resorption:
Androgens
Oestrogens
True or False: Oestrogens help to keep bone cells alive.
True or False: Androgens help to keep bone cells alive.
True or false: Anorexia leads to weak bones solely through nutrient deficiency.
Glucocorticoids (Cortisone etc) are catabolic at pharmacologic doses. Where does each manifestation occur? ↓ Calcium absorption in the ❌; ↑ Calcium losses in the ❌; ↓ IGF-1 in the ❌;
Protein intake helps:
Bone function
Muscle function
If a diet contains inadequate Calcium to replace urinary losses, what happens?
Raid bones for Calcium
Nothing