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33 Cards in this Set

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is achondroplasia autosomal recessive or dominant? what is the mutation?
dominant

impaired cartilage maturation in growth plate caused by fibroblast growth factor receptor (FGFR3) mutation
what type of ossification is spared in achondroplasia?
intramembranous
what is the main problem in osteoporosis?
reduction of bone mass but normal mineralization
what is the cause type I osteoporosis?
postmenopausal -- increased bone resorption due to decreased estrogen
what is type II osteoporosis? who is effected?
senile osteoporosis

men and women > 70 are affected
how do you prevent type II?
exercise and adequate calcium before age 30
what is osteopetrosis?
failure of normal bone resorption --- thickened, dense bones
what cells are defective in osteopetrosis?
osteoclasts
what are the levels of calcium, phos., and alk phos in osteopetrosis?
all normal
what is the genetic deficiency assoc. with osteopetrosis?
deficiency of carbonic anhydrase II
what does x-ray show in osteopetrosis?
"erlenmeyer flask" bones that flare out
what is the main problem in osteomalacia/ rickets?
defective mineralization/ calcification of osteoid leading to soft bones
what is the cause of osteomalacia/ rickets?
vitamin D deficiency (osteomalacia in adults, rickets in children)
what causes osteitis fibrosa cystica?
hyperparathyroidism
what bone problem is assoc. with brown tumors?
osteitis fibrosa cystica resulting from hyperparathyroidism
what is paget's disease?
abn bone architecture caused by increase in both osteoclastic and osteoblastic activity
what is the only marker increased in paget's disease?
alkaline phosphatase
what bone disease can result in high output CHF? by what mech?
paget's disease -- increased arteriovenous shunts
what is the most threatening complication of paget's disease?
osteogenic sarcoma
what is polyostotic fibrous dysplasia?
bone is replaced by fibroblasts, collagen and irregular bony trabeculae
what is McCune-Albright syndrome?
form of polyostotic fibrous dysplasia characterized by multiple unilateral bone lesions and endocrine abnormalities
what primary bone tumor is assoc. with Gardner's syndrome?
osteoma
where are osteoblastomas usually found?
vertebral column
where do giant cell primary bone tumors usually occur?
epiphyseal end of long bones
what is characteristic of giant cell primary bone tumors on x-ray?
"double bubble" or "soap bubble" appearance
what is the most common benign bone tumor?
osteochondroma
what type of bone is an enchondroma usually found?
intramedullary bone
what is the 2nd most common primary malignant tumor of bone after multiple myeloma?
osteosarcoma
what is the age of peak incidence of osteosarcoma?
10 - 20 years
what is characteristic of osteosarcoma on x-ray?
Codman's triangle or sunburst pattern
what are some of the predisposing factors for osteosarcoma?
Paget's disease of bone, bone infarcts, radiation, familial Rb
what is the characteristic appearance of Ewing's sarcoma in bone?
"onion-skin" appearance
"going out for Ewing's and onion rings"
what is the translocation assoc. with Ewings?
t(11;22)
11 + 22 = 33 -- Patrick Ewing's jersey number