Test_Prep
USMLE · Question #478
A 62-year-old woman comes to the physician because of low back pain for 1 week. Menopause occurred 10 years ago. Physical examination shows localized tenderness over the lumbar spine after movement…
The correct answer is B. Decreased osteoclast activity. See the full explanation below for the reasoning.
Question
A 62-year-old woman comes to the physician because of low back pain for 1 week. Menopause occurred 10 years ago. Physical examination shows localized tenderness over the lumbar spine after movement. X-rays of the spine show a compression fracture of L1-2. A DEXA scan shows decreased bone mineral density. Serum calcium and phosphorus concentrations and serum alkaline phosphatase activity are within the reference ranges. A bisphosphonate drug is prescribed. The expected beneficial effect of this drug is most likely due to which of the following actions?
Options
- ADecreased insulin-like growth factor-1 concentration
- BDecreased osteoclast activity
- CDecreased osteoprotegerin production
- DIncreased 1, 25- dihydroxycholecalciferol concentration
- EIncreased osteoblast actitvity
- FIncreased receptor activator of NF-kB ligand (RANKL) production
How the community answered
(41 responses)- A2% (1)
- B73% (30)
- C2% (1)
- D12% (5)
- E2% (1)
- F7% (3)
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