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Anatomy · General anatomy and histology
Sample itemA child with dense, fracture-prone bones and cranial nerve compression has osteoclasts that cannot acidify the resorption lacuna. Osteoclasts normally arise from which precursor?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Monocyte-macrophage lineage
Osteoclasts are multinucleate cells formed by fusion of monocyte-macrophage precursors under RANKL and M-CSF. Osteoblasts and chondroblasts arise from mesenchymal stem cells.
Option by option
A. Chondroblasts
Chondroblasts make cartilage matrix and are of mesenchymal origin.
B. Monocyte-macrophage lineage (correct)
Correct. Osteoclasts derive from monocyte-macrophage precursors.
C. Mesenchymal stem cells
Mesenchymal stem cells give rise to osteoblasts, chondroblasts and adipocytes.
D. Osteoblast progenitors
Osteoblast progenitors form bone and signal osteoclasts but are not their ancestors.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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