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Kaplan Qbank USMLE



Author12 Posts
  #1

45-year-old woman comes after falling down in market place and brought to emergency room and after getting done x ray fracture of right side of hip bone is diagnosed.she is taking steroids for long time for rheumatoid arthritis and on x ray she is having osteoporosis what occurs in osteoporosis?
a.decrease in osteoid
b.decrease in mineralisation.
c.hapazard management of osteons or mozaic paatern
d.fibrous tissue laid down in bone
e.proportional decreases in osteiod and mineralisation

  #2

e...

  #3

C

  #4

e

  #5

could you explain




  #6

i think e. wats the ans sridevi.

  #7

E

  #8

E

  #9

yeah it is E. because in osteoporosis there will be generalised decrease in density of bone

  #10

bit FA says that bone mineralization is normal. any thoughts?

  #11

twesting2173 wrote:
bit FA says that bone mineralization is normal. any thoughts?


Its E no doubt. The overall bone density is decreased in osteoporosis. However the mineralisation of the remaining osteoid is normal. Thats what FA means to say.

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  #12

Right. That's not a good description of OP. The authur, i think, is going to say proportional decreased bone formation and bone resorption. Yes, in OP, patients have lower bone turnover, definitely, osteoid formation slows down, and with normal level of Vit D, mineralization will proportionally couple with osteoid apposition.

That's my specialty.








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