Review Question - QID 211475

A 65-year-old female presents to your office with left thigh pain that has been worsening over the last several months. She reports that pain is worse with weight-bearing and sometimes wakes her up at night. Figure A demonstrates a radiograph of her femur. She has no history of cancer. Hemoglobin is 9.7 g/dl and bone marrow biopsy demonstrates 15% plasma cells. Which of the following is true of the effect this disease process has on bone turnover?