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113 Cards in this Set

  • Front
  • Back
1) Functions of the skeletal system include all of the following, except
A) Support.
B) Blood cell production.
C) Storage.
D) Movement.
E) Protection.
D) Movement.
2) The humerus is an example of a (n) ________ bone.
A) long
B) short
C) flat
D) irregular
E) sesamoid
A) long
3) The ankle bones are examples of ________ bones.
A) long
B) short
C) flat
D) irregular
E) sesamoid
B) short
4) The sternum is an example of a (n) ________ bone.
A) long
B) short
C) flat
D) irregular
E) sesamoid
C) flat
5) The vertebrae are examples of ________ bones.
A) Long
B) Short
C) Flat
D) Irregular
E) sesamoid
D) Irregular
6) Mature bone cells are called
A) Chondrocytes.
B) Osteoblasts.
C) Osteons.
D) Osteocytes.
E) Osteoclasts.
D) Osteocytes.
7) Cells that synthesize the organic components of the bone matrix are called
A) Osteocytes.
B) Osteoprogenitor cells.
C) Osteoclasts.
D) Chondrocytes.
E) Osteoblasts.
E) Osteoblasts.
8) Large, multinucleated cells that can dissolve the bony matrix are called
A) Chondrocytes.
B) Osteoprogenitor cells.
C) Osteoclasts.
D) Osteocytes.
E) Osteoblasts.
C) Osteoclasts.
9) In the process of osteolysis,
A) New bone is formed.
B) An organic framework is formed.
C) Fractured bones repair themselves.
D) Osteoblasts form the osteoid that is later calcified.
E) The bony matrix is dissolved to release the stored minerals.
E) The bony matrix is dissolved to release the stored minerals.
1) Bone contains all of the following, except
A) Calcium phosphate.
B) Chondroitin sulfate.
C) Hydroxyapatite.
D) Calcium carbonate.
E) Collagen fibers.
B) Chondroitin sulfate.
11) The narrow passageways that contain cytoplasmic extensions of osteocytes are called
A) Canaliculi.
B) Marrow cavities.
C) Lamellae.
D) Lacunae.
E) Matrices.
A) Canaliculi.
12) The central canal of an osteon contains
A) Concentric lamellae.
B) Blood vessels.
C) Osteocytes.
D) Bone marrow.
E) Lacunae.
B) Blood vessels.
13) The tiny plates of bone material found in spongy bone are called
A) Lacunae.
B) Interstitial lamellae.
C) Concentric lamellae.
D) Osteons.
E) Trabeculae.
E) Trabeculae.
14) The type of bone that is adapted to withstand stresses that arrive from a limited range of directions is ________ bone.
A) spongy
B) lamellar
C) irregular
D) compact
E) trabecular
D) compact
15) The medullary cavity of bones contains
A) Cartilage.
B) Osteons.
C) Periosteum.
D) Marrow.
E) Compact bone.
D) Marrow.
16) A shallow, basinlike depression in a bone is termed a
A) Facet.
B) Sulcus.
C) Fossa.
D) Line.
E) Fissure.
C) Fossa.
17) Large rounded projection; may be roughened
A) Tuberosity
B) Trochanter
C) Tubercle
D) Crest
E) Process
A) Tuberosity
18) Narrow ridge of bone; usually prominent
A) Tuberosity
B) Trochanter
C) Tubercle
D) Crest
E) Line
D) Crest
19) Very large, blunt, irregularly shaped process
A) Tuberosity
B) Trochanter
C) Tubercle
D) Crest
E) Process
B) Trochanter
20) Small rounded projection or process
A) Tuberosity
B) Trochanter
C) Tubercle
D) Crest
E) Process
C) Tubercle
21) Raised area on or above a condyle
A) Epicondyle
B) Condyle
C) Candy
D) Crest
E) Process
A) Epicondyle
22) Sharp, slender, often pointes projection
A) Spine
B) Crest
C) Process
D) Sinus
E) Ramus
A) Spine
23) Prominence or projection
A) Tuberosity
B) Trochanter
C) Tubercle
D) Crest
E) Process
E) Process
24) Bony expansion carried on a narrow neck
A) Head
B) Neck
C) Body
D) Facet
E) Condyle
A) Head
25) Smooth, nearly flat articular surface
A) Facet
B) Fissure
C) foramen
D) Crest
E) Process
A) Facet
26) Rounded articular projection
A) Condyle
B) Epicondyle
C) Tubercle
D) Crest
E) Process
A) Condyle
27) Arm like bar of bone
A) Line
B) Crest
C) Ramus
D) Branch
E) Ramon
C) Ramus
28) Space within a bone, filled with air and lined with mucous membrane
A) Sinus
B) Cavity
C) Foramen
D) Groove
E) fossa
A) Sinus
29) Narrow, slitlike opening
A) Fissure
B) Foramen
C) Groove
D) Sinus
E) crest
A) Fissure
30) Narrow ridge of bone; less prominent than a crest
A) Line
B) Fissure
C) Fossa
D) Spine
E) ramus
A) Line
31) Round or oval opening through a bone is termed a
A) Canaliculus.
B) Sinus.
C) Foramen.
D) Fossa.
E) Fissure.
C) Foramen.
32) A lack of exercise would
A) Have no effect on a bone.
B) Cause bones to store more calcium.
C) Result in thin and brittle bones.
D) Increase the length of a bone.
E) Cause bones to become thicker.
C) Result in thin and brittle bones.
33) The shaft of a long bone is called the
A) Metaphysis.
B) Diaphysis.
C) Epiphyseal plate.
D) Lamella.
E) Epiphysis.
B) Diaphysis.
34) The lining of the marrow cavity is called the
A) Epimysium.
B) Perimysium.
C) Periosteum.
D) Endosteum.
E) Perichondrium.
D) Endosteum.
35) Calcification refers to the
A) Repair of fractured bones.
B) Deposition of calcium salts within a bone.
C) Release of calcium from bone.
D) Deposition of calcium salts within a tissue.
E) Formation of new bone tissue.
D) Deposition of calcium salts within a tissue.
36) The smooth, rounded or oval articular process of a bone is termed a
A) Trochlea.
B) Head.
C) Crest.
D) Ridge
E) Condyle.
E) Condyle.
37) A small round projection of a bone is termed a
A) Ramus.
B) Trochanter.
C) Facet.
D) Tuberosity.
E) Tubercle.
E) Tubercle.
38) A condition that produces a reduction in bone mass sufficient to compromise normal function is
A) Osteopenia.
B) Osteitis.
C) Osteomalacia.
D) Osteoporosis.
E) Osteomyelitis.
D) Osteoporosis.
39) Endochondral ossification begins with the formation of
A) A fibrous connective-tissue model.
B) A calcified model.
C) A cartilage model.
D) A membranous model.
E) No model at all, just the presence of osteoblasts.
C) A cartilage model.
40) The following are major steps in the process of endochondral ossification.
1. Blood vessels invade the perichondrium.
2. Osteoclasts create a marrow cavity.
3. Chondrocytes enlarge and calcify.
4. Osteoblasts replace calcified cartilage with spongy bone.
5. The perichondrium is converted into a periosteum and the inner layer produces bone.
The correct order for these events is
A) 1, 5, 3, 4, 2.
B) 3, 1, 5, 4, 2.
C) 3, 1, 4, 5, 2.
D) 1, 3, 5, 4, 2.
E) 2, 3, 1, 5, 4.
B) 3, 1, 5, 4, 2.
41) Secondary ossification centers occur
A) In the dermis of the skin.
B) In the medullary cavity of the diaphysis.
C) At the outer surface of the diaphysis.
D) In the center of the epiphyses.
E) At the surface of the epiphyses.
D) In the center of the epiphyses.
42) When production of sex hormones increases, bone growth
A) Accelerates rapidly.
B) Increases, but only in thickness.
C) Slows down.
D) Is not affected.
E) Increases slowly.
A) Accelerates rapidly.
43) The most abundant mineral in the human body is
A) Potassium.
B) Sodium.
C) Sulfur.
D) Calcium.
E) Phosphorus.
D) Calcium.
44) Elevated levels of calcium ion in the blood stimulate the secretion of the hormone
A) Testosterone.
B) Calcitonin.
C) Thyroid hormone.
D) Parathyroid hormone.
E) Growth hormone.
B) Calcitonin.
45) Osteoclast-activating factor does all of the following, except that it
A) Increases the activity of osteoclasts.
B) Is released in larger concentrations earlier in life.
C) Is released by some cancer tumors.
D) Increases the number of osteoclasts in bone.
E) Produces a severe osteoporosis.
B) Is released in larger concentrations earlier in life.
46) The hormone calcitonin functions to
A) Stimulate both osteoblast and osteoclast activity.
B) Decrease the level of calcium ion in the blood.
C) Decrease the rate of calcium excretion.
D) Decrease the rate of calcium absorption.
E) Stimulate osteoclast activity.
B) Decrease the level of calcium ion in the blood.
47) Parathyroid hormone functions in all of the following ways, except it
A) Decreases the rate of calcium excretion.
B) Stimulates osteoclast activity.
C) Stimulates osteoblast activity.
D) Raises the level of calcium ion in the blood.
E) Increases the rate of calcium absorption.
C) Stimulates osteoblast activity.
48) Small, flat, oddly shaped bones found between some of the large flat bones of the skull are called ________ bones.
A) tendon
B) sagittal
C) sesamoid
D) Sutural
E) irregular
D) Sutural
49) A large rough projection of a bone (found only on the femur) is termed a
A) Tubercle.
B) Trochanter.
C) Tuberosity.
D) Ramus.
E) Condyle.
B) Trochanter.
50) Excess growth hormone prior to puberty would result in
A) Dwarfism.
B) Osteopenia.
C) Rickets.
D) Giantism.
E) Osteoporosis.
D) Giantism.
51) Factors that are necessary for proper bone formation include all of the following, except
A) Vitamin D.
B) Vitamin C.
C) The hormone thyroxine.
D) Vitamin A.
E) Vitamin E.
E) Vitamin E.
52) Vitamin D is necessary for
A) Collagen formation.
B) Increasing osteoclast activity.
C) The formation of the organic framework of bone.
D) Absorption and transport of calcium and phosphate ions.
E) Reducing osteoblast activity.
D) Absorption and transport of calcium and phosphate ions.
53) The following are steps in the process of bone repair.
1. Cells of the periosteum and endosteum divide rapidly.
2. A fracture hematoma forms.
3. Osteoclasts and osteoblasts remodel the region of the injury.
4. An external callus encircles the bone at the level of the fracture and an internal callus organizes within the marrow cavity.
5. Osteoblasts replace the central cartilages with spongy bone.
6. Cells at the center of the callus differentiate into chondrocytes and cells at the edges of the callus differentiate into osteoblasts.
The correct order of these events is:
A) 2, 4, 1, 6, 5, 3.
B) 1, 2, 4, 6, 5, 3.
C) 3, 2, 1, 4, 6, 5.
D) 1, 4, 2, 5, 6, 3.
E) 2, 1, 4, 6, 5, 3.
E) 2, 1, 4, 6, 5, 3.
54) ________ Fractures are completely internal; they do not break through the skin.
A) Open
B) Closed
C) Recurrent
D) Compound
E) both B and D
B) Closed
55) A fracture where the shaft of one bone is broken and the adjacent bone is bent is best described as a ________ fracture.
A) Colles'
B) Greenstick
C) Compression
D) Displaced
E) Pott's
B) Greenstick
56) Bones that develop within tendons are called ________ bones.
A) Sutural
B) tendon
C) Wormian
D) Irregular
E) sesamoid
E) sesamoid
57) The basic functional units of mature compact bone are called
A) Canaliculi.
B) Osteons.
C) Lacunae.
D) Osteocytes.
E) Lamellae.
B) Osteons.
58) The deposition of calcium salts in tissues other than bone is referred to as
A) Calcification.
B) Remodeling.
C) Endochondral ossification.
D) Intramembranous ossification.
E) Osteogenesis.
A) Calcification.
59) A child with rickets would have
A) Oversized facial bones.
B) Weak, brittle bones.
C) Bowed legs.
D) Long limbs.
E) Inadequate muscle development.
C) Bowed legs.
60) ________ Bones develop inside tendons and are most commonly located near joints at the knees, the hands, and the feet.
A) Irregular
B) Flat
C) Long
D) Short
E) Sesamoid
E) Sesamoid
61) The patella is an example of a (n) ________ bone.
A) Sesamoid
B) long
C) short
D) irregular
E) flat
A) Sesamoid
62) If a human femur is found lying in a field, a pathologist can determine the age, sex, and general appearance of the individual as a result of studying which part of the bone?
A) surface features
B) marrow
C) tubercle
D) trochanter
E) head
A) surface features
63) The innermost part of compact bone is known as the
A) Medullary cavity.
B) Metaphysis.
C) Spongy bone.
D) Diaphysis.
E) Epiphysis.
A) Medullary cavity.
64) Which of the following is a characteristic of bone?
A) Narrow passageways form through the matrix to allow for an exchange of nutrients.
B) The matrix of the bone contains osteoclasts.
C) The matrix of the bone is very dense and contains deposits of calcium salts.
D) all of the above
E) both A and C
E) both A and C
65) ________ accounts for almost two-thirds of the weight of bone.
A) Collagen fibers
B) Fluoride
C) Calcium phosphate
D) Calcium carbonate
E) Ca(OH)2
C) Calcium phosphate
66) The ________ interactions allow bones to be strong, somewhat flexible, and highly resistant to shattering.
A) collagen fiber
B) calcium phosphate crystal
C) hydroxyapatite crystal
D) protein crystal
E) mineral crystal
D) protein crystal
67) The most abundant cell types found in the bone are
A) Osteoblasts.
B) Osteoprogenitor cells.
C) Osteocytes.
D) Osteolytes.
E) Osteoclasts.
C) Osteocytes.
68) ________ Cells are located in the inner cellular layer of the periosteum.
A) Osteoblast
B) Osteoid
C) Osteocyte
D) Osteoprogenitor
E) Osteoclast
D) Osteoprogenitor
1) In relationship to the diaphysis of a long bone, the osteons are
A) Posterior.
B) Anterior.
C) Parallel.
D) Proximal.
E) Distal.
C) Parallel.
70) The femur can withstand ________ times the body weight without breaking.
A) 10 to 15
B) 3
C) 20
D) 5 to 10
E) 8
A) 10 to 15
71) ________ Marrow is found between the trabeculae of spongy bone.
A) Gray
B) Yellow
C) Bone
D) White
E) Red
E) Red
72) ________ Bone reduces the weight of the skeleton and makes it easier for muscles to move the bones.
A) Irregular
B) Spongy
C) Sesamoid
D) Short
E) Long
B) Spongy
73) Intramembranous ossification begins with the ________ cells.
A) osteoclast
B) osteoprogenitor
C) mesenchymal
D) osteocytes
C) mesenchymal
74) In which step of endochondral ossification does remodeling of the bone occur?
A) step 1, cartilage enlargement
B) step 2, blood vessel formation around cartilage edges
C) step 3, blood vessel penetration of cartilage and central region
D) step 4, growth and marrow cavity creation
E) both B and D
D) step 4, growth and marrow cavity creation
75) What is the primary source for calcitriol in the body?
A) bone
B) thyroid gland
C) liver
D) parathyroid gland
E) kidneys
E) kidneys
76) The most abundant mineral in the body is
A) Iron.
B) Calcium.
C) Phosphorus.
D) Potassium.
E) Sodium.
B) Calcium.
77) Bone is composed of ________ percent calcium.
A) 10
B) 39
C) 63
D) 25
E) 50
B) 39
78) While on a school skiing trip in Colorado, Heidi falls and breaks her femur. What would you expect to see as a part of her nursing assessment several hours after the fall?
A) hypertension
B) cyanosis
C) tachycardia
D) erythema
E) hematoma
E) hematoma
79) The lacunae of bone contain
A) Osteons.
B) Osteocytes.
C) Chondroblasts.
D) Bone marrow.
E) Blood cells.
B) Osteocytes.
80) How would increasing the proportion of organic molecules to inorganic components in the bony matrix affect the physical characteristics of bone?
A) The bone would be less flexible.
B) The bones would be stronger.
C) The bones would be more flexible.
D) The bones would be less compressible.
E) The bones would be more brittle.
C) The bones would be more flexible.
81) In compact bone, the osteons
A) Are lined up in the same direction.
B) Are arranged in an irregular pattern.
C) Are lined up perpendicular to the long axis.
D) Are lacking in the diaphysis.
E) Are separated by medullary spaces.
A) Are lined up in the same direction.
82) The trabeculae of spongy bone
A) Are organized along stress lines.
B) Are organized parallel to the long axis of the bone.
C) Are concentrated in the cortex of the diaphysis.
D) Will collapse under stress.
E) Are composed mostly of cartilage.
A) Are organized along stress lines.
83) If the rate of osteolysis exceeds osteogenesis, bones will
A) Become demineralized.
B) Become stronger.
C) Grow.
D) Become thicker.
E) Become calcified.
A) Become demineralized.
84) During appositional growth
A) Bones grow wider.
B) Osteoblasts are inactive.
C) The epiphysis fuses with the diaphysis.
D) Bones grow longer.
E) Bone is replaced by cartilage.
A) Bones grow wider.
85) When the epiphyseal plate is replaced by bone,
A) Long bones have reached their adult length.
B) Appositional bone growth begins.
C) The bone becomes more brittle.
D) Puberty begins.
E) Interstitial bone growth begins.
A) Long bones have reached their adult length.
86) When cartilage is produced at the epiphyseal side of the metaphysis at the same rate as bone is deposited on the opposite side, bones
A) Grow longer.
B) Grow wider.
C) Become shorter.
D) Become thicker.
E) Become more porous and weaker.
A) Grow longer.
87) Premature closure of the epiphyseal plates could be caused by
A) Too little thyroxine.
B) Too much calcium in the diet.
C) Elevated levels of sex hormones.
D) High levels of vitamin D.
E) An excess of growth hormone.
C) Elevated levels of sex hormones.
88) In normal adult bones,
A) A portion of the protein and mineral content is replaced each year.
B) Stresses will have no effect on the thickness of bone.
C) Osteoblast activity exceeds osteoclast activity, once bone has been formed.
D) Osteoclasts continue to be active long after osteoblast activity ceases.
E) There is no turnover of minerals.
A) A portion of the protein and mineral content is replaced each year.
89) Which is greater?
A) blood calcium levels when parathyroid hormone is increased
B) blood calcium levels when parathyroid hormone is decreased
A) blood calcium levels when parathyroid hormone is increased
90) The condition known as osteopenia
A) Is a viral disease.
B) Affects only long bones of the body.
C) Affects mostly women.
D) Is caused by too much vitamin D in the diet.
E) Causes a gradual reduction in bone mass.
E) Causes a gradual reduction in bone mass.
91) Degenerative changes in a joint can be the result of all of the following, except
A) Mechanical stress.
B) Inflammation.
C) Immobilization of a joint.
D) Bacterial infection.
E) Bursitis.
E) Bursitis.
92) Mary is 50 years old. During a checkup, a bone scan reveals that portions of her skeleton show greater than normal demineralization. After reviewing the test results, her physician suggests hormone therapy. What hormone will she prescribe for her patient?
A) calcitonin
B) estrogen
C) thyroid hormone
D) parathyroid hormone
E) growth hormone
B) estrogen
93) Hypersecretion of parathyroid hormone would produce changes in the bone similar to those associated with
A) Osteomalacia.
B) Osteomyelitis.
C) Rickets.
D) Paget's disease.
E) Osteitis.
A) Osteomalacia.
94) Todd is 13 and lives in an urban apartment. He spends most of his time watching TV and eating "junk" food. One afternoon, during recess, he falls on the playground and breaks his leg. Although he appears to be healthy, his leg takes longer to heal than expected. What might be the cause of the longer healing time?
A) Todd's problem is probably related to his poor diet.
B) Insufficient quantities of protein, vitamin C, vitamin A, and vitamin D would cause the normal healing process to occur at a much slower rate.
C) Todd's inactivity may also contribute to his slower rate of healing.
D) All of the above
E) None of the above
D) All of the above
95) Would you expect to see changes in blood levels of the hormones calcitonin and PTH as a result of vitamin D3 deficiency?
A) A person deficient in vitamin D3 would not be able to absorb calcium effectively from the digestive tract
B) To maintain homeostasis, the decrease in blood calcium would trigger the release of PTH. The PTH, in turn, would stimulate osteoclasts to release enough calcium from the bone to maintain proper calcium levels in the blood.
C) Levels of calcitonin would probably decrease, because this hormone lowers blood calcium levels and would aggravate the situation caused by the vitamin D3 deficiency.
D) All of the above
E) None of the above
D) All of the above
96) If a human femur is found lying in a field, a pathologist can determine the age, sex, and general appearance of the individual as a result of studying which part of the bone?
A) head
B) marrow
C) tubercle
D) surface features
E) trochanter
D) surface features
97) The expanded articular end of an epiphysis that is separated from the shaft by a narrower neck is termed a (n) ________.
A) Head
B) Neck
C) Diaphysis
A) Head
98) Mature bone cells are called
A) Osteocytes.
B) Osteoclasts.
C) Osteoblasts.
D) Chondrocytes.
E) Osteons.
F) compact; spongy
A) Osteocytes.
99) Which of the following groups of bones in the human body, categorized according to shape, is correct:
A) wrist and ankle bones - long bones
B) arm and leg bones - short bones
C) facial bones - flat bones
D) coxal bones - irregular bones
E) cranium - round bones
D) coxal bones - irregular bones
100) The periosteum is secured to the underlying bone by dense connective tissue called:
A) Volkmann’s canals
B) a bony matrix with hyaline cartilage
C) Sharpey’s fibers
D) endochondral bone
E) articular cartilage
C) Sharpey’s fibers
101) Red bone marrow functions to ________, whereas yellow bone marrow functions to ___________
A) produce adipose tissue; produce cells
B) produce cells; store fat tissue
C) provide osteocytes; produce blood cells
D) provide osteocytes; produce osteoblasts
E) provide osteoclasts; produce osteocytes
B) produce cells; store fat tissue
102) The presence of an epiphyseal plate indicates that:
A) bone is dead
B) bone length is no longer increasing
C) bone diameter is increasing
D) bone diameter is decreasing
E) bone length is increasing
E) bone length is increasing
103) A prominent narrow ridge on a bone is a:
A) Tuberosity
B) Trochanter
C) Tubercie
D) Spine
E) Crest
E) Crest
104) An arm like bar of bone is called a(n):
A) Epicondyle
B) Line
C) Ramus
D) Facet
E) Condyle
C) Ramus
105) A narrow, slitlike opening on a bone is a:
A) Facet
B) Fossa
C) foramen
D) fissure
E) meatus
D) fissure
106) The canal that runs through the core of each osteon contains:
A) cartilage and lamellae
B) osteoclasts and osteoblasts
C) yellow marrow and Sharpey’s fibers
D) blood vessels and nerve fibers
E) red marrow
D) blood vessels and nerve fibers
107) The small cavities in bone tissue where osteocytes are found are called:
A) Lacunae
B) Volkmann’s canals
C) Haversian canals
D) Trabeculae
E) Lamellae
A) Lacunae
108) The process of long bone growth is controlled by ________, whereas bone remodeling is controlled by ______
A) osteoblasts; osteoclasts
B) vitamins; minerals
C) minerals; vitamins
D) growth hormone and sex hormones; osteoblasts and osteoclasts
E) osteoblasts and osteoclasts; growth hormone and sex hormones
D) growth hormone and sex hormones; osteoblasts and osteoclasts
109) There are four stages in the healing of a bone fracture. Which of the following best illustrates the sequence of these stages:
1. Bony callus formation
2. Bone remodeling
3. Fibrocartilage callus formation
4. Hematoma formation
A) 4,3,2, 1
B) 4, 3,1,2
C) 1,2, 3,4
D) 1,3,4,2
E) 1,3,2,4
B) 4, 3,1,2
110) A compound fracture can be described as when:
A) the bone is crushed
B) the broken bone ends are forced into each other
C) the broken bone is exposed to the outside
D) the bone is broken into many fragments
E) adjacent bones fracture simultaneously
C) the broken bone is exposed to the outside
111) A bone fracture where the bone is broken into many fragments is a:
A) compound fracture
B) simple fracture
C) comminuted fracture
D) compression fracture
E) greenstick fracture
C) comminuted fracture
112) A fracture that is common in children, whose bones have relatively more collagen in their matrix and are more flexible than those of adults, is a(n):
A) impacted fracture
B) spiral fracture
C) depressed fracture
D) greenstick fracture
E) open fracture
D) greenstick fracture
1) A fracture that is common in osteoporotic bones is a(n):
A) impacted fracture
B) compression fracture
C) spiral fracture
D) depressed fracture
E) simple fracture
B) compression fracture