Musculoskeletal and Skin: Osteoporosis, Psoriasis · USMLE Step 1

A postmenopausal woman begins estrogen replacement therapy. How does estrogen affect bone physiology?

  1. Stimulates osteoclast differentiation
  2. Decreases osteoprotegerin (OPG) levels
  3. Inhibits RANKL activity
  4. Inhibits osteoblasts
Show answer and explanation

Correct answer: Inhibits RANKL activity

Estrogen inhibits RANKL-mediated osteoclast activation by increasing OPG. Loss of estrogen increases bone resorption.

Difficulty: Medium Question 7 of 20

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