Pharmacology · single question

Mechanism of action of bisphosphonates?

  1. Inhibit osteoclasts
  2. Stimulate osteoblasts directly
  3. Inhibit RANKL production
  4. Block calcium channels
Show answer and explanation

Correct answer: A. Inhibit osteoclasts

  • A. Correct. Bisphosphonates bind hydroxyapatite and are ingested by osteoclasts, inducing osteoclast apoptosis/inhibition, thereby decreasing bone resorption.
  • B. Bisphosphonates act on osteoclasts, not by directly stimulating osteoblast activity.
  • C. RANKL inhibition is the mechanism of denosumab (a monoclonal antibody), not bisphosphonates.
  • D. This is unrelated to the bisphosphonate mechanism.

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