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NURS 6501 Advanced Pathophysiology Exam -2 QUESTIONS AND VRIFIED CORRECT ANSWERS.

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NURS 6501 Advanced Pathophysiology Exam -2 QUESTIONS AND VRIFIED CORRECT ANSWERS.

Institution
NUR 6501
Course
NUR 6501

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Patho – Osteoporosis EXAM
LATEST QUESTIONS AND
VERIFIED CORRECT
ANSWERS
Hormones that DECREASE RANKL - correct answer These DECREASE cytokines like RANKL:

- TGF-B (growth factor)

-17B-estradiol (estrogen)



OPG (osteoprotegrin) - correct answer OPG _ a glycoprotein - decreases the risk of osteoporosis

- attaches to teh same receptors on clast cells and blocks RANKL = clasts die through apoptosis
(normal life span)



Hormones that INCREASE OPG - correct answer -TGF

-17-B estradoil



Hormones that DECREASE OPG - correct answer -PTH

-PgE2

-glucocorticoids



Common early signs of Osteoporosis - correct answer -Back pain (r/t altered vertebra causing
pressure on nerves

-kyphosis / scoliosis (r/t vertebrae becoming compressed)

-Compression fractures of vertebrae

-Spontaneous fractures of head of femur

, **slow healing of fractures due to poor functioning of blasts needed to heal fracture



Osteoporosis r/t Menopause - correct answer Loss of estrogen => increased RANKL =
suppressed clasts apoptosis

- Estrogen = promotes apoptosis of clasts,

anti -apoptotic for blasts

Loss of Estrogen = decreased OPG, longer clast life span



Steroids r/t Osteoporosis - correct answer Glucocorticoids :

-increase RANKL

-decrease OPG

Steroids induce osteoporosis



OP: Men vs Women - correct answer Men and women have different balance of hormones

-(why hormone replacement can be helpful for women)



Men preserve bone mass longer

-greater peak bone mass

-have androgenic stimulation of OPG (clast inhibition)



Osteomyelitis - correct answer Bone infection:

-Usually bacterial (can be fungal, viral, or parasitic)

-Comes from either Endogenous/hematogenous source * or * Exogenous source



Endogenous Osteomyelitis - correct answer Comes from another source inside the body:
Pathogen travels through the blood stream to the bone / site of infection.

-Soft tissue infection travels to bone by blood

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