Multiple Choice
1. Which of the following statements related to osteoporosis is INCORRECT?
A. It is manifested by progressive decalcification of bones.
B. It predisposes to fracture.
C. Supplementary calcium intake may retard or prevent progression of the disease.
D. It occurs with equal frequency in both men and women.
Ans: D
Page: 732
2. Which of the following statements related to herniated intervertebral disk is INCORRECT?
A. Protrusion of the disk material may impinge on nerve roots that exit through intervertebral foramina.
B. It usually results from chronic infection of the disk, which predisposes to the herniation.
C. Protrusion of disk material may be detected by CT scan or myelogram.
D. Part of the nucleus pulposus is extruded through a weak area or tear in the annulus fibrosus.
Ans: B
Page: 736
3. Which of the following statements regarding gout is INCORRECT?
A. It is a disturbance of purine metabolism.
B. It is associated with an autoantibody directed against antigens in joint cartilage.
C. Uric acid may precipitate in tissues, forming gouty tophi.
D. The frequency of attacks can be reduced by drugs that lower blood uric acid.
Ans: B
Page: 727-728
4. What is a pathologic fracture?
A. A fracture in which the overlying skin is broken
B. A fracture that occurs in a weakened area of bone secondary to a disease involving the bone
C. A fracture in which the bone is shattered into multiple pieces
D. A fracture associated with an autoantibody
Ans: B
Page: 730
5. Which of the following conditions is NOT a characteristic manifestation of rheumatoid arthritis?
A. Autoantibodies directed against gamma globulin
B. High levels of uric acid in the blood
C. Chronic inflammation of synovium
D. Involvement of the small joints of the hands and feet
Ans: B
Page: 724
6. Which of the following diseases or conditions affecting the skeletal system results from endocrine gland dysfunction?
A. Osteoporosis
B. Osteosarcoma