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Pharmacology
A 30 year old female with a 15 year history of asthma presents to the emergency room with left elbow pain. Physical examination reveals tenderness and swelling over the olecranon process. An x-ray of the left arm reveals a fracture. Her medications include oral prednisone and albuterol aerosol. By which of the following mechanisms might coicosteroids have contributed to her fracture?
Decreased osteoblastic bone formation only
Decreased osteoblastic bone formation and osteoclastic bone resorption
Increased osteoclastic bone resorption only
Increased osteoclastic bone resorption and decreased osteoblastic bone formation
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