In third-world countries, many young children with severe vitamin C deficiency will exhibit:
A) Impaired formation of the organic matrix
B) Calcification of new bone growth
C) Growth plate separation
D) Widening of the cortex
Ans: A
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Scurvy (i.e., vitamin C deficiency) impairs the formation of the organic matrix of bone, causing slowing of growth at the epiphyseal plate and cessation of diaphyseal growth. In rickets (i.e., vitamin D deficiency), calcification of the newly developed bone is impaired. Epiphyseal separation can occur in children as the result of trauma; blood vessels that nourish the epiphysis rupture, causing cessation of growth and a shortened extremity. Bone growth in diameter occurs as concentric rings containing osteocytes are added to the bone surface cortex, unrelated to vitamin deficiency.
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