Unit 2: Bone and cartilage - Practice Quiz

BTY730 — Biomechanics 60 Questions
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1 Which mineral is the primary inorganic component of bone?

bone structure & composition Easy
A. Calcium carbonate
B. Sodium chloride
C. Hydroxyapatite
D. Magnesium sulphate

2 Which protein makes up the majority of the organic matrix of bone?

bone structure & composition Easy
A. Albumin
B. Elastin
C. Keratin
D. Type I collagen

3 The dense outer layer of bone is known as:

bone structure & composition Easy
A. Spongy bone
B. Cortical (compact) bone
C. Cancellous bone
D. Trabecular bone

4 The basic structural unit of compact bone is the:

bone structure & composition Easy
A. Alveolus
B. Nephron
C. Osteon (Haversian system)
D. Sarcomere

5 Which canals in compact bone run longitudinally and carry blood vessels?

blood circulation in bone Easy
A. Haversian canals
B. Volkmann's canals
C. Semicircular canals
D. Root canals

6 Volkmann's canals in bone primarily serve to:

blood circulation in bone Easy
A. Secrete synovial fluid
B. Store calcium ions
C. Connect Haversian canals to each other and the periosteum
D. Produce red blood cells

7 The main artery supplying blood to the shaft of a long bone is the:

blood circulation in bone Easy
A. Coronary artery
B. Renal artery
C. Pulmonary artery
D. Nutrient artery

8 Bone is generally strongest when loaded in which mode?

mechanical properties of bone Easy
A. Torsion
B. Tension
C. Shear
D. Compression

9 On a stress–strain curve, the slope of the initial linear region represents the:

mechanical properties of bone Easy
A. Poisson's ratio
B. Ultimate strength
C. Yield stress
D. Young's modulus (stiffness)

10 Stress is defined as:

mechanical properties of bone Easy
A. Change in length per original length
B. Force times distance
C. Force per unit area
D. Mass times acceleration

11 A viscoelastic material such as bone exhibits behaviour that depends on:

viscoelastic properties of bone Easy
A. The rate of loading
B. Only the final load
C. Only its colour
D. Only temperature

12 The gradual increase in deformation of bone under a constant sustained load is called:

viscoelastic properties of bone Easy
A. Creep
B. Stress relaxation
C. Hysteresis
D. Fatigue

13 The gradual decrease in stress under a constant applied strain is known as:

viscoelastic properties of bone Easy
A. Stress relaxation
B. Plastic yielding
C. Elastic recoil
D. Creep

14 The Maxwell model of viscoelasticity consists of a spring and a dashpot arranged:

Maxwell & Voight models Easy
A. In a triangle
B. In a loop
C. In parallel
D. In series

15 In viscoelastic models, the spring element represents the:

Maxwell & Voight models Easy
A. Thermal expansion
B. Plastic deformation
C. Viscous (fluid-like) behaviour
D. Elastic (solid-like) behaviour

16 The Voight (Kelvin–Voigt) model arranges a spring and a dashpot:

Maxwell & Voight models Easy
A. Diagonally
B. In series
C. In parallel
D. Randomly

17 Which component gives articular cartilage its ability to resist compression by attracting water?

viscoelastic properties of articular cartilage Easy
A. Proteoglycans
B. Fibrin
C. Myosin
D. Hydroxyapatite

18 The time-dependent response of articular cartilage to loading is mainly due to:

viscoelastic properties of articular cartilage Easy
A. Muscle contraction
B. Fluid (water) flow through the matrix
C. Bone remodelling
D. Nerve conduction

19 Describing bone as anisotropic means that its mechanical properties:

anisotropy and composite models for bone Easy
A. Vary with the direction of loading
B. Are the same in all directions
C. Do not depend on load
D. Change only with colour

20 Bone is often modelled as a composite material because it combines:

anisotropy and composite models for bone Easy
A. A stiff mineral phase with a flexible collagen phase
B. Pure ceramic only
C. Two identical metals
D. Only water and air

21 Bone is a composite material. The mineral phase (hydroxyapatite) primarily contributes which mechanical property, while the collagen phase contributes another?

bone structure & composition Medium
A. Mineral provides tensile toughness; collagen provides compressive stiffness
B. Both mineral and collagen provide only compressive strength
C. Mineral provides flexibility; collagen provides brittleness
D. Mineral provides stiffness/compressive strength; collagen provides tensile toughness/flexibility

22 A bone sample is decalcified (mineral removed), leaving only the organic matrix. What behavior would you expect from this sample?

bone structure & composition Medium
A. It becomes stiffer and stronger in compression
B. It becomes brittle and shatters under low load
C. It becomes flexible and rubbery, bending easily without breaking
D. It remains mechanically unchanged

23 In a long bone, blood generally flows in which predominant direction through the cortical bone during normal circulation?

blood circulation in bone Medium
A. Only longitudinally along the diaphysis with no radial flow
B. Randomly, with no consistent direction
C. Centripetally, from the periosteum inward to the marrow
D. Centrifugally, from the medullary cavity outward toward the periosteum

24 The nutrient artery enters a long bone through the diaphysis. Which structure serves as the main channel for its passage into the cortex?

blood circulation in bone Medium
A. The nutrient foramen
B. The Volkmann's periosteal pore only
C. The epiphyseal plate
D. The articular cartilage

25 Cortical bone typically has an ultimate tensile strength lower than its compressive strength. Given a compressive strength of about and tensile strength of about , this indicates bone is:

mechanical properties of bone Medium
A. Stronger in tension than compression
B. Stronger in compression than tension (asymmetric strength)
C. Equally strong in tension and compression
D. Incapable of bearing compressive loads

26 The elastic modulus (Young's modulus) of cortical bone is approximately longitudinally. If a long specimen with cross-section is loaded with , the approximate strain is:

mechanical properties of bone Medium
A. (10%)
B. (0.1%)
C. (0.01%)
D. (1%)

27 Bone is viscoelastic, meaning its mechanical response is rate-dependent. At higher strain rates (rapid loading), bone tends to become:

viscoelastic properties of bone Medium
A. Weaker and softer
B. Stiffer and stronger, but more brittle
C. More compliant and ductile
D. Completely rate-independent

28 Under a constant applied stress, a viscoelastic bone specimen slowly continues to deform over time. This time-dependent behavior is called:

viscoelastic properties of bone Medium
A. Creep
B. Hysteresis
C. Stress relaxation
D. Yielding

29 The Maxwell model consists of a spring and dashpot in series. Which viscoelastic phenomenon does it best represent?

Maxwell & Voight models Medium
A. Purely elastic instantaneous response
B. Stress relaxation under constant strain
C. Constant stress with zero strain
D. Ideal creep recovery with no permanent deformation

30 In the Voigt (Kelvin–Voigt) model, a spring and dashpot are arranged in parallel. What is a key limitation of this model?

Maxwell & Voight models Medium
A. It predicts infinite strain immediately
B. It shows no time dependence
C. It cannot represent instantaneous elastic deformation upon loading
D. It cannot represent creep at all

31 For a Maxwell model with spring constant and viscosity , the characteristic relaxation time is given by:

Maxwell & Voight models Medium
A.
B.
C.
D.

32 The time-dependent creep and stress relaxation of articular cartilage is dominated by which physical mechanism?

viscoelastic properties of articular cartilage Medium
A. Purely elastic deformation of collagen fibers
B. Frictional drag of interstitial fluid flowing through the porous matrix (biphasic behavior)
C. Thermal expansion of proteoglycans
D. Crystalline slip of mineral phase

33 When articular cartilage is loaded and held, fluid is squeezed out and creep occurs until equilibrium. Which component provides the swelling pressure that helps resist compression?

viscoelastic properties of articular cartilage Medium
A. Osteocytes in lacunae
B. Hydroxyapatite crystals
C. Negatively charged proteoglycans (aggrecan) drawing in water osmotically
D. Type I collagen fibers in tension

34 Cortical bone is described as anisotropic. What does this mean for its mechanical testing?

anisotropy and composite models for bone Medium
A. It behaves as a perfect fluid
B. It has zero Poisson's ratio in all directions
C. Its properties are identical in all directions
D. Its stiffness and strength differ depending on loading direction relative to the osteon axis

35 Cortical bone is often modeled as transversely isotropic. How many independent elastic constants does a transversely isotropic material require?

anisotropy and composite models for bone Medium
A. 21
B. 9
C. 2
D. 5

36 Wolff's Law states that bone adapts to the loads placed upon it. Under sustained increased mechanical loading, bone typically:

bone response to stress Medium
A. Converts to cartilage
B. Remodels to increase density and mass along stress lines
C. Remains structurally unchanged
D. Resorbs and loses density

37 Astronauts in microgravity experience bone loss. This observation is best explained by which principle?

bone response to stress Medium
A. Reduced mechanical loading triggers bone resorption (disuse osteopenia)
B. Bone density is independent of loading
C. Radiation directly dissolves hydroxyapatite
D. Increased loading causes hypertrophy

38 Osteoporosis is diagnosed using DEXA scanning, which reports a T-score. Which T-score value indicates osteoporosis by WHO criteria?

Osteoporosis — causes, diagnosis, treatment Medium
A. T-score
B. T-score
C. T-score between and
D. T-score of exactly

39 Post-menopausal osteoporosis is largely driven by declining estrogen. The mechanism by which estrogen deficiency accelerates bone loss is:

Osteoporosis — causes, diagnosis, treatment Medium
A. Enhanced calcium absorption in the gut
B. Direct mineralization of collagen
C. Increased osteoclast activity and bone resorption
D. Increased osteoblast activity and bone formation

40 Bisphosphonates are a common osteoporosis treatment. Their primary pharmacological action is to:

Osteoporosis — causes, diagnosis, treatment Medium
A. Increase collagen synthesis by fibroblasts
B. Directly deposit hydroxyapatite into the matrix
C. Inhibit osteoclast activity, reducing bone resorption
D. Stimulate osteoclasts to remove old bone

41 A researcher demineralizes a cortical bone sample by removing all hydroxyapatite while leaving the organic matrix intact. Which change in mechanical behavior is most consistent with this treatment?

bone structure & composition Hard
A. The sample increases in stiffness due to collagen cross-linking dominance
B. The sample becomes flexible and can be tied in a knot but loses compressive stiffness
C. The sample becomes brittle and shatters under minimal bending load
D. The sample retains full compressive strength but loses all tensile capacity

42 In lamellar bone, adjacent lamellae have collagen fibers oriented in alternating directions. From a materials standpoint, this arrangement primarily improves which property?

bone structure & composition Hard
A. Osteoclast recruitment during remodeling
B. Rate of vascular perfusion through Haversian canals
C. Mineral-to-collagen ratio in the interstitial matrix
D. Resistance to crack propagation across multiple loading directions

43 In a long bone, the nutrient artery supplies the inner cortex while periosteal vessels supply the outer cortex. If the nutrient artery is occluded in an adult, what is the expected consequence for the diaphyseal cortex?

blood circulation in bone Hard
A. The entire cortex necroses uniformly because periosteal flow is negligible
B. The inner cortex survives via reversed venous flow while the outer cortex necroses
C. Blood flow direction reverses to become entirely centripetal without ischemia
D. The outer cortex survives via periosteal supply while the inner cortex is at greatest ischemic risk

44 Cortical bone loaded to failure in tension versus compression along its longitudinal axis typically shows which relationship in ultimate strength?

mechanical properties of bone Hard
A. Shear strength exceeds both tensile and compressive strength
B. Compressive strength exceeds tensile strength, both exceeding shear strength
C. Tensile and compressive strengths are equal, with shear being highest
D. Tensile strength exceeds compressive strength, both exceeding shear strength

45 A bone specimen has a stress-strain curve with Young's modulus GPa and yields at a strain of . A second identical-geometry specimen from an osteoporotic donor shows the same modulus but yields at strain . Which conclusion is best supported?

mechanical properties of bone Hard
A. The osteoporotic bone has higher yield stress due to lower yield strain
B. Both specimens absorb identical energy because modulus is equal
C. The osteoporotic bone stores less strain energy to yield despite equal stiffness
D. The osteoporotic bone is stiffer and therefore tougher

46 Bone is loaded at two different strain rates in tension. Which combination of observations correctly reflects its viscoelastic nature?

viscoelastic properties of bone Hard
A. Higher strain rate yields lower stiffness but higher strength
B. Strain rate has no effect on stiffness but lowers strength
C. Higher strain rate yields greater stiffness and higher ultimate strength
D. Lower strain rate yields greater stiffness and higher energy storage

47 During a creep test, a viscoelastic bone specimen is held at constant stress. Which strain-versus-time behavior is expected?

viscoelastic properties of bone Hard
A. Constant strain with rising internal stress over time
B. Strain that decreases over time at constant stress
C. Instantaneous elastic strain followed by continued time-dependent strain increase
D. Instantaneous strain that immediately fully recovers under constant load

48 For a Maxwell model (spring and dashpot in series) subjected to a suddenly applied constant strain , the stress relaxes as with . What does this predict for stress as ?

Maxwell & Voight models Hard
A. Stress increases without bound due to the dashpot
B. Stress approaches a nonzero equilibrium value characteristic of a solid
C. Stress decays to zero, so the model cannot represent a solid that sustains load
D. Stress remains constant at indefinitely

49 The Kelvin-Voigt model (spring and dashpot in parallel) is subjected to a constant stress at . Which behavior does it predict, and what is its main limitation?

Maxwell & Voight models Hard
A. Gradual asymptotic creep to with no instantaneous strain jump
B. Stress relaxation to zero at constant strain
C. Instantaneous strain jump followed by no further creep
D. Immediate full recovery with unbounded creep

50 A Maxwell element has spring constant GPa and dashpot viscosity GPa·s. After a step strain, what fraction of the initial stress remains at s?

Maxwell & Voight models Hard
A.
B.
C.
D.

51 In biphasic theory, the time-dependent creep of articular cartilage under constant compressive load is governed primarily by which mechanism?

viscoelastic properties of articular cartilage Hard
A. Frictional drag from interstitial fluid exuding through the porous solid matrix
B. Viscous shearing of collagen fibrils sliding past one another
C. Delayed elastic recoil of chondrocyte membranes
D. Diffusion of calcium ions out of the mineralized zone

52 During confined compression stress relaxation of cartilage, why does the peak stress far exceed the equilibrium stress?

viscoelastic properties of articular cartilage Hard
A. Pressurized interstitial fluid initially carries most of the load before redistributing to the solid matrix
B. Proteoglycans dissolve under load, transiently increasing stress
C. The collagen network stiffens permanently after the first loading cycle
D. The equilibrium stress reflects fluid pressure while peak reflects only the solid phase

53 Cortical bone is often modeled as transversely isotropic rather than fully orthotropic or isotropic. What does transverse isotropy imply about its elastic constants?

anisotropy and composite models for bone Hard
A. Properties differ in all three orthogonal directions independently
B. Only shear moduli vary with direction while normal moduli stay constant
C. Properties are identical in every direction, requiring only two constants
D. Properties are equal in all directions within the transverse plane but differ along the longitudinal axis

54 Treating bone as a composite of stiff hydroxyapatite reinforcement in a compliant collagen matrix, the Voigt (iso-strain) and Reuss (iso-stress) bounds give the upper and lower limits of composite modulus. Which loading assumption yields the upper bound?

anisotropy and composite models for bone Hard
A. Iso-strain (Voigt), where components share equal strain and moduli combine by volume-weighted average
B. Iso-stress (Reuss), where components share equal stress and compliances add
C. Random orientation, giving the geometric mean of the two moduli
D. Equal-volume mixing regardless of loading configuration

55 According to Wolff's law and the mechanostat concept, a bone experiencing habitual strains within the physiological "lazy zone" (approximately 200–2500 microstrain) will most likely:

bone response to stress Hard
A. Fracture from fatigue accumulation within days
B. Undergo rapid net bone formation regardless of strain magnitude
C. Resorb progressively because any strain triggers osteoclasts
D. Maintain its mass through balanced remodeling with no net gain or loss

56 A patient's limb is immobilized in a cast for 8 weeks. Which combination of changes best describes the expected disuse response of the underlying bone?

bone response to stress Hard
A. Uniform cortical thickening from reduced fluid flow
B. No change because remodeling requires longer than 8 weeks
C. Increased osteoblastic formation and higher BMD from stress shielding
D. Increased osteoclastic resorption and reduced BMD due to strain below the maintenance threshold

57 A postmenopausal woman has a DXA-derived T-score of at the femoral neck. Using WHO criteria, how is she classified, and what does the T-score represent?

Osteoporosis — causes, diagnosis, treatment Hard
A. Osteopenia; SDs below the age-matched reference population
B. Osteoporosis; SDs below the mean BMD of a young healthy adult reference population
C. Severe osteoporosis; requires a prior fragility fracture regardless of score
D. Normal; SDs above the young-adult mean

58 Bisphosphonates and teriparatide both treat osteoporosis but by opposite primary mechanisms. Which pairing is correct?

Osteoporosis — causes, diagnosis, treatment Hard
A. Both are antiresorptive but act on different osteoclast pathways
B. Both are anabolic, differing only in dosing frequency
C. Bisphosphonates are anabolic; teriparatide is antiresorptive
D. Bisphosphonates are antiresorptive (inhibit osteoclasts); teriparatide is anabolic (stimulates osteoblasts)

59 Why does estrogen deficiency after menopause accelerate bone loss at the cellular level?

Osteoporosis — causes, diagnosis, treatment Hard
A. Estrogen deficiency raises osteoblast apoptosis while sparing osteoclasts entirely
B. Estrogen loss directly mineralizes the matrix, reducing available calcium
C. Estrogen normally stimulates osteoclasts, so its loss reduces formation
D. Loss of estrogen increases osteoclast activity and lifespan, tipping remodeling toward net resorption

60 Trabecular (cancellous) bone is affected earlier and more severely than cortical bone in early postmenopausal osteoporosis. What best explains this?

Osteoporosis — causes, diagnosis, treatment Hard
A. Trabecular bone has a higher surface-area-to-volume ratio and turnover rate, exposing it to remodeling imbalance
B. Trabecular bone contains no collagen, so it demineralizes faster
C. Trabecular bone is fully mineralized and thus more brittle than cortical bone
D. Cortical bone lacks blood supply and cannot be remodeled at all