A&P chapter 6
Bones are constantly undergoing resorption for various reasons. Which of the following cells accomplishes this process?
A. stem cell
B. osteocyte
C. osteoblast
D. osteoclast
osteoclast
The notable hardness of bone is attributed to ________.
the presence of glycoproteins
the presence of cartilage
the presence of proteoglycans
the presence of inorganic hydroxyapatites
the presence of collagen fibers
the presence of inorganic hydroxyapatites
The indicated blood vessels and nerve are found within a ______.
marrow cavity
Perforating (Volkmann's) canal
Central (Haversian) canal
caniculus
Central (Haversian) canal
When should prevention of osteoporosis start?
The prevention of osteoporosis should begin with children while bones are still growing. Children should increase their bone mass to provide additional protection from osteoporosis in the future.
The prevention of osteoporosis should start in early old age, to prevent a decrease in bone density in the future.
The prevention of osteoporosis should begin young adults, to increase the bone mass to provide additional protection from osteoporosis.
The prevention of osteoporosis should start in middle age, to counter the gradual loss of bone density as we get old.
The prevention of osteoporosis should begin with children while bones are still growing. Children should increase their bone mass to provide additional protection from osteoporosis in the future.
The term diploë refers to the ________.
fact that most bones are formed of two types of bone tissue
double-layered nature of the connective tissue covering the bone
internal layer of spongy bone in flat bones
two types of marrow found within most bones
internal layer of spongy bone in flat bones
Cartilage grows in two ways, appositional and interstitial. What is appositional growth?
the secretion of new matrix against the external face of existing cartilage
the lengthening of hyaline cartilage
growth at the epiphyseal plate
along the edges only of existing osteons, making each osteon larger
the secretion of new matrix against the external face of existing cartilage
In adults, yellow marrow is located ________.
in the epiphyseal plates of long bones
in the central canals of osteons
in the medullary cavity of long bones
primarily in flat bones
in the medullary cavity of long bones
The osteon is ________.
a fibrous membrane that covers and protects bone
the structural unit of compact bone
the structural unit of spongy bone
a network of red marrow
the structural unit of compact bone
The pituitary gland is housed in the ________.
sinuses of the ethmoid bone
vomer
foramen lacerum
sella turcica of the sphenoid bone
sella turcica of the sphenoid bone
In which step (A-D) does the formation of compact bone first occur?
A
B
C
D
D
Why, or why not, is swimming recommended as an exercise to prevent osteoporosis?
Swimming is not recommended to prevent osteoporosis, as it is not considered a weight-bearing exercise.
Swimming is not recommended to prevent osteoporosis, as forces are applied in all directions on the bones simultaneously in swimming.
Swimming is recommended to prevent osteoporosis, as forces are applied in all directions on the bones simultaneously.
Swimming is recommended to prevent osteoporosis, as it is considered a weight-bearing exercise.
Swimming is not recommended to prevent osteoporosis, as it is not considered a weight-bearing exercise.
What is the structural unit of compact bone?
spongy bone
the osteon
lamellar bone
osseous matrix
the osteon
Which bone cells form bone?
osteoclasts
osteoblasts
osteocytes
chondroblasts
osteoblasts
Which hormone increases osteoclast activity to release more calcium ions into the bloodstream?
thyroxine
calcitonin
parathyroid hormone
estrogen
parathyroid hormone
The structural unit of compact bone (osteon) resembles the growth rings of a tree trunk.
T
F
True
Cranial bones develop ________.
from cartilage models
from a tendon
within fibrous membranes
within osseous membranes
within fibrous membranes
A step in which bone-forming process is shown in the figure?
bone fracture repair
endochondral ossification
intramembrounous ossification
bone remodeling
endochondral ossification
The above figure depicts which of the following bone-forming processes?
bone repair at a site of fracture
intramembranous ossification during embryonic development
endochondral ossification during bone formation and growth
bone remodeling in response to changes in mechanical stress
intramembranous ossification during embryonic development
Hematopoiesis refers to the formation of blood cells within the red marrow cavities of certain bones.
T
F
T
For intramembranous ossification to take place, which of the following is necessary?
An ossification center forms in the fibrous connective tissue.
A medullary cavity forms.
A bone collar forms around the cartilage model.
The cartilage matrix begins to deteriorate
An ossification center forms in the fibrous connective tissue.
Which of the following substances is NOT a component of the osteoid material secreted by the cells indicated by the arrow in panel A?
collagen
glycoprotein
proteoglycan
calcium
calcium
During bone growth, which significant event occurs at the surface indicated by the letter C?
bone resorption
expansion of the articular cartilage
appositional growth
conversion of spongy bone to compact bone
appositional growth
Which description of bone cells is INCORRECT?
Osteoclasts secrete digestive enzymes and hydrogen ions.
Osteogenic cells can differentiate into osteoclasts.
Bone lining cells on the internal surfaces of bone are also called endosteal cells.
Osteoblasts secrete collagen and calcium-binding proteins.
Osteogenic cells can differentiate into osteoclasts.
Which of the following glands or organs produces hormones that tend to decrease blood calcium levels?
pineal gland
spleen
thyroid
parathyroid
thyroid
In some cases the epiphyseal plate of the long bones of children closes too early. What might be the cause?
osteoblast activity exceeds osteoclast activity
elevated levels of sex hormones
overproduction of thyroid hormone
too much vitamin D in the diet
elevated levels of sex hormones
The canal that runs through the core of each osteon (the Haversian canal) is the site of ________.
yellow marrow and spicules
cartilage and interstitial lamellae
adipose tissue and nerve fibers
blood vessels and nerve fibers
blood vessels and nerve fibers
In which of the labeled parts of the adult long bone would hematopoietic tissue be located?
A
B
C
D
E
B
Ossification of the ends of long bones ________.
takes twice as long as diaphysis ossification
involves medullary cavity formation
is a characteristic of intramembranous bone
formation
is produced by secondary ossification centers
is produced by secondary ossification centers
The periosteum is a tissue that serves only to protect the bone because it is not supplied with nerves or blood vessels.
T
F
F
Short, irregular, and flat bones have large marrow cavities in order to keep the weight of the bones light.
T
F
F
The hormone that is primarily involved in the control of bone remodeling is the parathyroid hormone.
T
F
T
Which of the following is a bone marking name that indicates an armlike bar of bone?
epicondyle
fossa
meatus
foramen
ramus
ramus
How can a tooth be moved in a bony socket during orthodontic treatment?
Teeth are avascular, allowing part of the tooth to be removed for repositioning.
By applying slight pressure to a tooth, the bone on the forward side will reformed, while the bone on the reverse side will be reabsorbed.
By applying slight pressure to a tooth, the gums will be reabsorbed and reformed to the new position of the tooth.
By applying slight pressure to a tooth, the bone on the forward side will reabsorb, while the bone on the reverse side will be reformed.
By applying slight pressure to a tooth, the bone on the forward side will reabsorb, while the bone on the reverse side will be reformed.
What tissue forms the model for endochondrial ossification?
membranes
cartilage
fascia
bone
cartilage
Sixty-five percent of the mass of bone is a compound called hydroxyapatite.
T
F
T
During bone growth, which event is most significant at the surface indicated by the letter A?
conversion of bone into cartilage
conversion of cartilage into bone
expansion of articular cartilage
expansion of the cartilage matrix
expansion of the cartilage matrix
Which hormone is produced in bone and regulates bone formation, but also protects against diabetes mellitus?
growth hormone
leptin
osteocalcin
calcitonin
osteocalcin
Osteomyelitis is ________.
caused by altered vitamin D metabolism
partially due to insufficient dietary calcium
due to pus-forming bacteria
literally known as "soft bones"
due to pus-forming bacteria
What controls bone remodeling?
the nervous system and hormones
mechanical stress and hormones
hormones and diet
mechanical stress and diet
mechanical stress and hormones
The suture that connects the two parietal bones together is the ________.
coronal
squamous
sagittal
lambdoid
sagittal
What bone-associated structure in panel C is indicated by the arrow?
epiphyseal plate
trabeculae
periosteum
osteon
trabeculae
A Pott's fracture could result in damage to all of the following except ____________.
lateral malleolus
fibular notch
inferior tibiofibular joint
tibial condyle
tibial condyle
What event precedes the step in the bone-forming process shown in the figure?
formation of a secondary ossification center
calcification of the cartilage matrix
ossification within a fibrous membrane
formation of the epiphyseal plate
calcification of the cartilage matrix
In newborn infants, the medullary cavity and all areas of spongy bone contain yellow bone marrow.
True
False
F
The correct order (from start to finish) of fracture repair is ________.
bone remodeling, hematoma formation, fibrocartilaginous callus formation, and bony callus formation
bony callus formation, hematoma formation, fibrocartilaginous callus formation, and bone remodeling
hematoma formation, fibrocartilaginous callus formation, bony callus formation, and bone remodeling
hematoma formation, bony callus formation, bone remodeling, and fibrocartilaginous callus formation
hematoma formation, fibrocartilaginous callus formation, bony callus formation, and bone remodeling
Yellow bone marrow contains a large percentage of ________.
elastic tissue
Sharpey's fibers
blood-forming cells
fat
fat
Hematopoiesis is a term for which of the following physiological processes?
bone formation during growth
bone formation during growth
blood cell formation
release of minerals into the blood
energy storage in fat tissue
blood cell formation
Osteocytes are connected to each other through which structure?
caniculi
Volksmann's canal
lacuna
Haversian canal
caniculi
During bone growth, which event is most significant at the surface indicated by the letter B?
formation of compact bone.
cell division of chondrocytes
calcification of the cartilage matrix
conversion of bone into cartilage
calcification of the cartilage matrix
Choose the TRUE statement.
Most bones in the body are formed by intramembranous ossification.
Endochondral ossification converts hyaline cartilage "bone" models into true bones (i.e., hyaline cartilage serves as a template for bone formation).
Endochondral ossification leads to the formation of the clavicles and cranial bones.
Endochondral ossification occurs within fibrous connective tissue membranes.
Endochondral ossification converts hyaline cartilage "bone" models into true bones (i.e., hyaline cartilage serves as a template for bone formation).
Which of the following bones are formed by the illustrated process?
femur
vertebrae
humerus
All of the listed responses are correct.
All of the listed responses are correct.
The term osteoid refers to the organic part of the matrix of compact bones.
T
F
T
There are seven cervical, twelve thoracic, and five lumbar vertebrae.
T
F
T
The illustrated bone-forming process would be associated with which of the following bones?
parietal
vertebrae
humerus
femur
All of the listed responses are correct.
parietal
Hyaline cartilage ________.
is the rarest of the skeletal cartilages
gives shape to the external ear
forms "shock-absorbing" pads between the vertebrae
is found on the ends of bones that form movable joints
is found on the ends of bones that form movable joints
Which bone acts as a moveable base for the tongue?
mandible
palatine
zygomatic bone
hyoid bone
hyoid bone
Bones are covered and lined by a protective tissue called periosteum. The inner (osteogenic) layer consists primarily of ________.
chondrocytes and osteocytes
marrow and osteons
cartilage and compact bone
osteoblasts and osteoclasts
osteoblasts and osteoclasts
The structure of bone tissue suits the function. Which of the following bone tissues is adapted to support weight and withstand tension stress?
trabecular bone
irregular bone
compact bone
spongy bone
Compact bone
During infancy and childhood, the most important stimulus of epiphyseal plate activity is ________.
testosterone
the thyroid hormones
estrogen
growth hormone
growth hormone
In the epiphyseal plate, cartilage grows ________.
from the edges inward
in a circular fashion
by pulling the diaphysis toward the epiphysis
by pushing the epiphysis away from the diaphysis
by pushing the epiphysis away from the diaphysis
Which of the following is not a function of the skeletal system?
communication
support
storage of minerals
houses the bone marrow which produces blood cells (hematopoiesis)
Communication
The resilience of bone is primarily due to which of the following?
amount of mineral salts in the bone
sacrificial bonds in or between collagen molecules
amount of mineral salt and protein in the bone
presence of osteoblasts in the bone
sacrificial bonds in or between collagen molecules
The dens articulates with the axis.
T
F
F
Which of the following is the major component of the part of the bone labeled E?
adipose tissue
dense connective tissue
osseous tissue
hyaline cartilage
adipose tissue
What is the final stage in the healing of a bone fracture?
formation of a bony callus
formation of a hematoma
bone remodeling
formation of a fibrocartilaginous callus
bone remodeling
Each consecutive bone lamella has collagen fibers that wrap in alternating directions.
T
F
T
Lengthwise, long bone growth during infancy and youth is exclusively through ________.
differentiation of osteoclasts into osteocytes
the secretion of bone matrix into the medullary cavity
calcification of the matrix of the zone underlying articular cartilage
interstitial growth of the epiphyseal plates
interstitial growth of the epiphyseal plates
Which of the following is not a movement that can occur between vertebrae?
rotation
lateral flexion
flexion and extension
supination
supination
Closure of the epiphyseal plate stops all bone growth.
T
F
F
Which of the following is an abnormal lateral curvature of the vertebral column often seen in the thoracic region?
scoliosis
kyphosis
swayback
lordosis
scoliosis
What makes up the axial skeleton?
the skull, vertebral column, and rib cage
arms, legs, hands, and feet
the skull, vertebral column, and pelvis
shoulder and pelvic girdles
the skull, vertebral column, and rib cage
Which of the following is true about paranasal sinuses?
Paranasal sinuses open into the oral cavity.
Paranasal sinuses contain passages acting as one-way valves.
Paranasal sinuses are found in maxillary, ethmoid, and lacrimal bones.
Paranasal sinuses enhance the resonance of the voice and lighten the skull.
Paranasal sinuses enhance the resonance of the voice and lighten the skull.
The main role of the appendicular skeleton is to protect and support vital organs.
T
F
F
The arrow in the figure is pointing to which of the following structures?
a primary ossification center
the epiphyseal plate
a secondary ossification center
articular cartilage
the epiphyseal plate
What causes osteoporosis?
heritage such as African or Mediterranean
poor posture
abnormal PTH receptors
Osteoclasts out-pace osteoblasts due to low hormone production of the ovaries.
Osteoclasts out-pace osteoblasts due to low hormone production of the ovaries.
When chondrocytes in lacunae divide and form new matrix, it leads to an expansion of the cartilage tissue from within. This process is called ________.
interstitial growth
appositional growth
calcification
hematopoiesis
interstitial growth
During bone growth, which significant event occurs at the surface indicated by the letter D?
production of hyaline cartilage
interstitial growth
production of compact bone
bone resorption
bone resorption
Which of the following refers to a bone disorder found most often in the aged and resulting in the bones becoming porous and light?
osteomalacia
osteoporosis
rickets
Paget's disease
osteoporosis
Which of the following phrases best describes the function of the vertebral curves?
to accommodate muscle attachment
to improve cervical center of gravity
to provide resilience and flexibility
to accommodate the weight of the pelvic girdle
to provide resilience and flexibility
Mastoiditis is most likely to result from an infection spreading from the throat.
T
F
T
The cells indicated by the arrow at the center of panel A arise from the differentiation of which precursor stem cell?
osteocytes
mesenchymal cells
adipose cells
chondroblasts
mesenchymal cells
Cartilage has a flexible matrix that can accommodate mitosis of chondrocytes.
T
F
T
What type of bone is the patella?
long bone
sesamoid bone
flat bone
irregular bone
sesamoid bone
Choose the CORRECT pairing.
osteomalacia: excessive mineralization of the bone
paget's disease: excessive and haphazard bone deposition and resorption
osteoporosis: increased bone density
rickets: deficiency of vitamin A
paget's disease: excessive and haphazard bone deposition and resorption
Compact bone is replaced more often than spongy bone.
T
F
F
What is endochondral ossification?
the formation of bone from fibrous membranes
the formation of bone from pre-existing fibrocartilage models
the formation of bone from pre-existing hyaline cartilage models
the formation of bone from pre-existing elastic cartilage models
the formation of bone from pre-existing hyaline cartilage models
Mrs. Mulligan goes to her dentist and, after having a couple of cavities filled, her dentist strongly suggests that she reduce her intake of sodas and increase her intake of calcium phosphates in the foods she eats. Why?
Sodas are strong bases that can dissolve the calcium phosphate in bone and teeth.
Sodas are strong acids that can dissolve the calcium phosphate in bone and teeth.
Sodas contain lots of sugar that can dissolve the calcium carbonate in bone and teeth.
Sodas contain lots of sugar that can dissolve the calcium phosphate in bone and teeth.
Sodas are carbonated, and the increased carbon dioxide can dissolve the calcium carbonate in bone and teeth.
Sodas are strong acids that can dissolve the calcium phosphate in bone and teeth.
Which structure allows the diaphysis of the bone to increase in length until early childhood, as well as shaping the articular surfaces?
epiphyseal plate
epiphyseal line
lacunae
Haversian system
epiphyseal plate
What is absolutely required for bone growth or healing from a fracture?
osteoclasts
dietary intake of calcium and vitamin D
osteoblasts
osteocytes
osteoblasts
Dense connective tissue forms part of which labeled part of the adult long bone in the figure?
A
B
C
D
E
C
Choose the FALSE statement.
Long bones include all limb bones except the patella.
Irregular bones include the vertebrae and hip bones.
The sternum is an example of a flat bone.
Sesamoid bones form within certain tendons.
Long bones include all limb bones except the patella.
Wolff's law is concerned with ________.
the thickness and shape of a bone being dependent on stresses placed upon it
the diameter of the bone being dependent on the ratio of osteoblasts to osteoclasts
the function of bone being dependent on shape
vertical growth of bones being dependent on age
the thickness and shape of a bone being dependent on stresses placed upon it
Which of the labeled parts of the bone is composed primarily of compact bone?
A
B
C
D
E
D
Which of the following is UNLIKELY to affect bone remodeling?
glucagon
low blood Ca2+ concentration
parathyroid hormone
mechanical stress
glucagon
The process of bones increasing in width is known as ________.
epiphyseal plate closure
closing of the epiphyseal plate
appositional growth
concentric growth
appositional growth
An osteon contains osteocytes, lamellae, and a central canal, and is found in compact bone only.
T
F
T
Bones are classified by whether they are weight bearing or protective in function.
T
F
F
A fracture in the shaft of a bone would be a break in the ________.
metaphysis
articular cartilage
epiphysis
diaphysis
diaphysis
The periosteum is secured to the underlying bone by dense connective tissue called ________.
the struts of bone known as spicules
perforating (Sharpey's) fibers
a bony matrix with hyaline cartilage
Volkmann's canals
perforating (Sharpey's) fibers
Alice and James adopted a 3-year-old child from a developing country. They noticed that her legs were bowed and there were some deformities in her cranial and pelvic bones. They brought her to a physician for a diagnosis. What was the diagnosis, and what was the treatment for the disorder?
The child most likely has Paget's disease. Treatment includes drug therapy with administration of calcitonin and bisphosphonates.
The child most likely has rickets. Treatment is to increase the intake of calcium and vitamin D in the diet, and to get some sunshine every day.
The child most likely has osteomalacia. Treatment is to increase the intake of calcium and vitamin D in the diet, and to get some sunshine every day.
The child most likely has osteoporosis. Treatment is to increase the intake of calcium and vitamin D, and performance of weight-bearing exercises.
The child most likely has rickets. Treatment is to increase the intake of calcium and vitamin D in the diet, and to get some sunshine every day.
The structures in the figure collectively form a structural unit termed a(n) ______.
Haversian canal
osteon
trebeculae
diploe
osteon
Osteogenesis is the process of ________.
bone formation
making collagen fibers for calcified cartilage
making a cartilage model of the fetal bone
bone destruction to liberate calcium
bone formation
Which of the following hormones is currently thought to decrease plasma calcium levels in pregnant women and children?
parathyroid hormone (PTH)
calcitonin
thyroid hormones
calcitriol
calcitonin
PTH promotes the formation of which hormone?
thyroid hormones
vitamin D
calcitriol
calcitonin
calcitriol
Which of the following would NOT be a way that parathyroid hormone (PTH) could alter plasma calcium levels? (Which one of the following is FALSE?)
increase osteoblasts on bone
increase osteoclasts
increase reabsorption of calcium in the kidney
increase osteoblasts on bone
Which hormone works directly in the intestine to increase plasma calcium levels?
calcitonin
calcitriol
parathyroid hormone (PTH)
calcitriol
Which of the labeled parts of the bone is composed primarily of hyaline cartilage?
A
B
C
D
E
A
A step in what bone forming process is shown in the figure?
endochondral ossification
intramembranous ossification
bone fracture repair
bone remodeling
endochondral ossification
Bones do NOT have a role in ________.
blood cell formation
glycogen production
movement
support
fat storage
glycogen production
The membranous areas between the cranial bones of the fetal skull are called ________.
areolas
foramina
fontanelles
sutures
fontanelles
What is osteoid?
the outer surface of bone
the organic part of the matrix of bone
the inorganic part of the matrix of bone
one of the cell types found in bone
the organic part of the matrix of bone
The cell responsible for secreting the matrix of bone is the ________.
osteoclast
osteoblast
chondrocyte
osteocyte
osteoblast
The structure indicated by the arrow is composed primarily of what material?
hyaline cartilage
fibrocartilage
compact bone
dense connective tissue
hyaline cartilage
What can a deficiency of growth hormone during bone formation cause?
inadequate calcification of bone
decreased osteoclast activity
increased osteoclast activity
decreased proliferation of the epiphyseal plate cartilage
decreased proliferation of the epiphyseal plate cartilage
Flat bones consist of compact bone sandwiched between spongy bone.
T
F
F
All bones stop growing by the end of adolescence.
T
F
F
What part of the femur articulates (joints) with the patella? Select from letters A-D.
D
Which type of cartilage covers and protects the ends of bones at freely moveable joints?
elastic cartilage
hyaline cartilage
fibrocartilage
both hyaline and elastic cartilage
hyaline cartilage
What indicates that a long bone has reached its adult length?
the presence of hyaline cartilage on the ends of the bone
the presence of osteons
the presence of osteoblasts
closure of the epiphyseal plate
closure of the epiphyseal plate
Hypercalcemia can be caused by_________.
insufficient vitamin D levels in the body
hypersecretion of parathyroid hormone
reduced parafollicular cell activity
All of the listed responses are correct
hypersecretion of parathyroid hormone
Osteoclasts ________.
break down bone
form new bone
form skeletal cartilage
calcify bone matrix
break down bone
What kind of tissue is the forerunner of long bones in the embryo?
hyaline cartilage
fibrocartilage
elastic connective tissue
dense fibrous connective tissue
hyaline cartilage
The indicated osteocyte is located within layers of bony matrix termed ______.
caniculi
lacuna
lamellae
periosteum
lamellae
Which of the following is stored in bones?
iodine
phosphate
vitamin C
glycogen
calcitonin
phosphate
Which of the following is a bone projection?
fossa
sinus
groove
trochanter
foramen
trochanter
The trabeculae of spongy bone are oriented toward lines of stress.
T
F
T
The structural unit of spongy is called ________.
lamellar bone
osteons
osseous lamellae
trabeculae
trabeculae
Which of the following statements best describes interstitial growth?
Fibroblasts give rise to chondrocytes that differentiate and form cartilage.
Growth occurs in the lining of the long bones.
Chondrocytes in the lacunae divide and secrete matrix, allowing the cartilage to grow from within.
Unspecialized cells from mesenchyme develop into chondrocytes, which divide and form cartilage.
Chondrocytes in the lacunae divide and secrete matrix, allowing the cartilage to grow from within.
Which bone serves as an enclosure for the pituitary gland?
zygomatic bone
mandible
sphenoid bone
ethmoid bone
sphenoid bone
Growth of bones is controlled by a symphony of hormones. Which hormone is of greatest importance for bone growth during infancy and childhood?
somatomedins
prolactin
thyroid hormone
growth hormone
growth hormone
In adults, hematopoietic tissue is NOT found in ________.
the medullary cavity of long bones
the hip bones and vertebrae
the flat bones of the skull and sternum
the heads of the femur and humerus
the medullary cavity of long bones
What is the structural unit of compact bone?
osteon
canaliculus
osteoid
haversian canal
osteon
Which of the following is the single most important stimulus for epiphyseal plate activity during infancy and childhood?
parathyroid hormone
calcium
thyroid hormone
growth hormone
growth hormone
The epiphyseal plate is ________.
the site of red bone marrow production
where long bone lengthening occurs
where yellow bone marrow is produced
the long axis of a bone
where long bone lengthening occurs
Which of the following is CORRECTLY matched?
nondisplaced fracture: the fractured bone ends are misaligned
linear fracture: the break is perpendicular to the bone's long axis
compound fracture: the fractured bone ends penetrate the skin
incomplete fracture: the bone is broken through
compound fracture: the fractured bone ends penetrate the skin
Normal bone formation and growth are dependent on the adequate intake of ________.
vitamin D, phosphate, and chloride
calcium, phosphate, and vitamin D
potassium, phosphate, and vitamin D
sodium, calcium, and vitamin E
calcium, phosphate, and vitamin D
Which of the following bones is a part of the appendicular skeleton?
mandible
sternum
humerus
hyoid bone
humerus