Chapter 5 The Integumentary System Flashcards

1
Q

The subcutaneous layer is also known as the
a) dermis.
b) epidermis.
c) stratum corneum.
d) stratum basale.
e) hypodermis.

A

e) hypodermis.

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2
Q

Keratinized stratified squamous epithelium composes the
a) epidermis.
b) dermis.
c) hypodermis.
d) subcutaneous layer.
e) superficial fascia.

A

a) epidermis.

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3
Q

Choose the following statements that describe keratin.
1. Keratin is a tough, fibrous protein.
2. Keratin is used for pigmenting skin.
3. Keratin helps protect the skin.
4. Keratin participates in immune responses.
5. Keratin protects the skin from UV light.
a) 1 and 3
b) 1, 3, 4, 5
c) 2, 4, 5
d) 1, 2, 3, 4, 5
e) 3 and 5

A

a) 1 and 3

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4
Q

Which pigment secreted by specialized cells in the skin is capable of absorbing ultraviolet
light?
a) Keratin
b) Melanin
c) Melatonin
d) Carotene
e) Hemoglobin

A

b) Melanin

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5
Q

In a skin infection, which cell will take up and process microbial antigens?
a) Intraepidermal macrophages (Langerhans cells)
b) Melanocytes
c) Tactile epithelial cells (Merkel cells)
d) Stem Cells

A

a) Intraepidermal macrophages (Langerhans cells)

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6
Q

This layer is attached to the basement membrane by hemidesmosomes and to other cells by
desmosomes.
a) Stratum basale
b) Stratum spinosum
c) Stratum granulosum
d) Stratum lucidum
e) Stratum corneum

A

a) Stratum basale

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7
Q

Apoptosis of cells occurs within the
a) stratum basale.
b) stratum spinosum.
c) stratum granulosum.
d) stratum lucidum.
e) stratum corneum

A

c) stratum granulosum.

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8
Q

The majority of the skin does not contain stratum lucidum.
2. Stratum lucidum is found in areas of high friction, such as the palms and soles.
3. Live keratinocytes are located in the stratum lucidum.
4. Friction will cause the stratum lucidum to form calluses.

A

d) 1 and 2

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9
Q

Tactile epithelial cells are located in the
a) stratum basale.
b) stratum spinosum.
c) stratum granulosum.
d) stratum lucidum.
e) stratum corneum.

A

a) stratum basale.

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10
Q

Put the events of keratinization in order.
A. Accumulate keratohyalin granules
B. Cells increase in size, some retain ability to divide
C. Cell membrane thickens. Cells imbedded in lipid matrix.
D. Cells within this layer proliferate

A

D. Cells within this layer proliferate
B. Cells increase in size, some retain ability to divide
A. Accumulate keratohyalin granules
C. Cell membrane thickens. Cells imbedded in lipid matrix.

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11
Q

) Dense irregular connective tissue will be found in the
a) hypodermis.
b) basement membrane.
c) epidermis.
d) dermis.
e) subcutaneous (subQ) layer.

A

d) dermis.

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12
Q

Describe how fingerprints are formed and what they are used for

A

Epidermal ridges develop during the third or fourth fetal month as the epidermis
conforms to the contours of the underlying dermal papillae of the papillary region. The ridges
increase the surface area of the epidermis and thus increase the grip of the hand or foot by
increasing friction. Because the ducts of sweat glands open on the tops of the epidermal ridges as
sweat pores, the sweat and ridges form fingerprints upon touching a smooth object. The
epidermal ridge pattern is genetically determined and is unique for each individual allowing
these patterns to be used to identify individuals.

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13
Q

Albinism is the inherited inability to produce
a) melanin.
b) carotene.
c) both melanin and carotene.
d) keratin.
e) melanocytes.

A

a) melanin.

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14
Q

Which of the following are characteristics of thick skin? Select all that apply.
a) Found in the palms, soles of the feet and fingertips.
b) Does not contain hair follicles.
c) Contains more sweat glands than thin skin.
d) Contain epidermal ridges.
e) Lacking stratum lucidum.
f) Contains fewer corpuscles of touch than thin skin.
g) Stratum corneum has fewer layers in thick than thin.

A

a) Found in the palms, soles of the feet and fingertips.
b) Does not contain hair follicles.
c) Contains more sweat glands than thin skin.
d) Contain epidermal ridges.

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15
Q

Which structure found in the skin plays an important role in thermoregulation?
a) Melanocytes
b) Sebaceous glands
c) Sweat glands
d) Stratum lucidum
e) Epidermal ridges

A

c) Sweat glands

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16
Q

Which of the following structures found in the skin help prevent water loss and inhibit
bacterial growth on the surface of the skin? Select all that apply.
a) Arrector pili
b) Epidermal ridges
c) Sweat glands
d) Eponychium
e) Oil glands
f) Lamellar granules

A

e) Oil glands
f) Lamellar granules

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17
Q

Describe the structure and function of arrector pili.

A

Arrector pili are smooth muscles that extend from the superficial dermis of the skin to
the dermal root sheath around the side of the hair follicle. In its normal position, hair emerges at
an angle to the surface of the skin. Under physiological or emotional stress, such as cold or
fright, autonomic nerve endings stimulate the arrector pili muscle to contract, which pulls the
hair shafts perpendicular to the skin surface. This action causes “goose bumps” because the skin
around the shaft forms slight elevations.

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18
Q

Anorexia may cause adults to develop fine, unpigmented hairs to help with warmth and
insulation. Which type of hair is described?
a) Terminal
b) Vellus
c) Lanugo
d) Papilla

A

c) Lanugo

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19
Q

This type of exocrine gland undergoes a higher rate of mitosis due to its holocrine secretion.
a) Sebaceous gland
b) Eccrine gland
c) Apocrine gland

A

a) Sebaceous gland

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20
Q

Secretion mixture of fats, sterols, proteins and salts, that prevent water loss and can inhibit
the growth of some bacteria.
a) Sweat
b) Cerumen
c) Sebum
d) Mucus

A

c) Sebum

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21
Q

Which exocrine gland is primarily used for thermoregulation?
a) Sebaceous gland
b) Eccrine sweat gland
c) Apocrine sweat gland
d) Ceruminous gland

A

b) Eccrine sweat gland

22
Q

List and briefly describe the major functions of the skin

A

The functions of the skin include: 1) Thermoregulation: The skin thermoregulates in
response to increased temperature by secreting sweat onto its surface and then increasing blood
flow to the surface leading to cooling of the blood. In response to low temperatures, production
of sweat is decreased and blood flow is diverted from surface to conserve heat. 2) The skin
contains 8-10% of the blood and thus serves as a blood reservoir. 3) The skin covers the body
and provides protection using keratin, lipids, secretions like oil and sweat, and immunological
defenses. 4) The skin can detect and respond to cutaneous sensations. 5) The skin helps in
excretion and absorption. 6) The skin also can synthesize vitamin D.

23
Q

Briefly describe the steps in epidermal wound healing

A

In response to an epidermal injury, basal cells of the epidermis surrounding the wound
break contact with the basement membrane. The cells then enlarge and migrate across the
wound. The cells appear to migrate as a sheet. When epidermal cells encounter each other they
stop migrating due to contact inhibition. Migration of the epidermal cells stops completely when
each is finally in contact with other epidermal cells on all sides. Epidermal growth factor is also
secreted to stimulate the basal stem cells to divide and replace the ones that have moved into the
wound. Epidermal cell division eventually regenerates the strata of the epidermis.

24
Q

Briefly describe the steps in deep wound healing

A

In deep wound healing, a blood clot forms during the inflammatory response and
loosely unites the wound edges. Then in the migratory phase the clot becomes a scab and
epithelial cells migrate beneath the scab to bridge the wound. Fibroblasts migrate along fibrin
threads and begin synthesizing scar tissue and damaged blood vessels begin to regrow. During
this phase, the tissue filling the wound is called granulation tissue. The proliferative phase is
characterized by extensive growth of epithelial cells beneath the scab, deposition by fibroblasts
of collagen fibers in random patterns, and continued growth of blood vessels. During the
maturation phase, the scab sloughs off once the epidermis has been restored to normal thickness.
Collagen fibers become more organized, fibroblasts decrease in number and blood vessels are
restored to normal.

25
A raised scar that extends into previously normal tissue is a(n) a) hypertrophic scar. b) keloid scar. c) granulation scar. d) epidermal scar.
b) keloid scar.
26
Without enzymatic action of tyrosinase, what pathway is blocked in the body pertaining to skin? a) Carotene production b) Melanin production c) Tyrosine production d) Hemoglobin production e) Keratin production
b) Melanin production
27
Which condition results from androgens inhibiting hair growth in genetically predisposed adults? a) Hirsutism b) Pallor c) Jaundice d) Male-pattern baldness e) Erythema
d) Male-pattern baldness
28
A child is examined for chronic, pruritic (itching), plaques that appear red in the flexural areas of the body. What condition is the child most likely presenting? a) Hemangioma b) Keratosis c) Hives d) Eczema
d) Eczema
29
A ballet dancer may form hardened areas over their toe joints due to constant pressure and friction from their point shoes. What skin condition most likely developed on their toe joints? a) Callus b) Blister c) Wart d) Corn e) Cyst
d) Corn
30
Sutures are required to close up a tear in the skin. What term best describes this injury? a) Abrasion b) Blister c) Keloid d) Laceration e) Cyst
d) Laceration
31
An individual allergic to peanut butter eats a snack containing trace amounts. While the reaction is not severe, the individual shows signs of elevated patches all over their skin. These patches are a) urticaria. b) contusions. c) papules. d) cysts. e) calluses.
a) urticaria.
32
Which terms describe sebaceous glands? 1. oil producing 2. merocrine 3. holocrine 4. thermoregulation 5. sebum 6. apocrine
1. oil producing 3. holocrine 5. sebum
33
You stepped on a nail. List the sequential strata of the epidermis that the nail penetrated through to reach the dermis. a) Basale, spinosum, granulosom, corneum b) Granulosom, spinosum, lucidum, corneum, basale c) Corneum, lucidum, granulosom, spinosum, basale d) Corneum, granulosom, spinosum, basale e) Corneum, granulosom, lucidum, spinosum, basale
c) Corneum, lucidum, granulosom, spinosum, basale
34
How do nutrients reach the epidermis? a) Absorbing material applied to the surface layer of the skin b) Utilizing the products of merocrine glands to nourish the epidermis c) The outer layer of the skin does not require nutrients because the external layer of cells is not living. d) Diffusing through the tissue fluid from blood vessels in the dermis
d) Diffusing through the tissue fluid from blood vessels in the dermis
35
"Goose bumps" are caused by a) contraction of arrector pili muscles. b) secretions from the sudoriferous glands. c) contraction of dermal papillae. d) stimulation of hair root plexus. e) secretions from the sebaceous gland.
a) contraction of arrector pili muscles.
36
Describe the structure and function of the different types of exocrine glands found in the skin.
The secreting portion lies in the dermis and opens into the neck of a hair follicle. They are absent in the palms and soles. The secretory product of sebaceous gland is known as sebum. Sebum prevents the hair from drying and becoming brittle. Sudoriferous glands are sweat glands. They release sweat into hair follicles or onto the skin surface through pores. There are two types of sweat glands: Eccrine and Apocrine. Eccrine sweat glands are distributed throughout the skin including the palm and the soles. The sweat produced by these glands contains water, ions, urea, uric acid, ammonia, amino acids, glucose and lactic acid. The main function of eccrine glands is to regulate body temperature. Apocrine sweat glands are predominantly found in the skin of the axilla, groin, areolae and the bearded region of the face. The sweat produced by apocrine glands is lightly viscous and appears milky or yellowish in color. They contain similar type of material found in eccrine glands with an addition of lipids and proteins. Upon interaction with bacteria on the surface of the skin, the components are metabolized causing the distinct body odor. Ceruminous glands are modified sweat glands found in the external ear. They produce the ear wax knows as cerumen which is a combined secretion of ceruminous and sebaceous glands
37
Most adipose tissue in the body is considered 'white fat'. Why is the subcutaneous layer often yellowish-orange? a) The pigment carotene is stored there. b) The pigment hemoglobin is stored there. c) The pigment pheomelanin is stored there. d) The pigment eumelanin is stored there. e) The pigment keratin is stored there.
a) The pigment carotene is stored there.
38
) From which of the primary germ layers of the embryo does the epidermis of the skin develop? a) Endoderm b) Ectoderm c) Mesoderm d) Both endoderm and ectoderm
b) Ectoderm
39
Which statements describing vitamin D are true? 1. The skin produces Vitamin D when exposed to UV light. 2. When the skin is exposed to UV light, it begins the reaction to convert the precursor molecule to calcitriol in the liver than kidneys. 3. Vitamin D supplements can be taken if individuals are not exposed to UV light. 4. Vitamin D stimulates the uptake of calcium from the intestines. 5. Vitamin D inhibits the function of phagocytes in immunity. a) 1, 2, 3 b) 2, 3, 4 c) 1, 2, 3, 4, 5 d) 2, 4, 5 e) 2 and 4
b) 2, 3, 4
40
Vitamin C is important for collagen synthesis. Which area of the skin would be most affected if there is a deficiency in vitamin c? a) Papillary region of the dermis b) Reticular region of the dermis c) Subcutaneous layer d) Hypodermis e) Epidermis
b) Reticular region of the dermis
41
Why does the skin feel hot on individuals with a fever? Select all that apply. a) Blood vessels dilate to allow increased blood flow from the deeper layers of the skin. b) Blood vessels constrict to decrease blood flow from the deeper layers of the skin. c) Vasoconstriction of the vessels decreases heat loss from the skin. d) Vasodilation increases heat loss from the skin. e) Blood flow from the dermis is decreased while blood flow to the epidermis is increased.
a) Blood vessels dilate to allow increased blood flow from the deeper layers of the skin. . d) Vasodilation increases heat loss from the skin.
42
Which statements describe the function and structure of the skin? 1. Collagen is the strongest fiber in the skin. 2. Blood vessels in the dermis supply the epidermis with nutrients. 3. The arrangement of epidermal ridges, mixed with sweat create fingerprints. 4. The papillary layer is the strongest portion of the dermis. 5. The reticular layer promotes stretching of the skin. a) 1, 2, 5 b) 1, 2, 4, 5 c) 1, 2, 3, 5 d) 3, 4, 5 e) 1 and 5
b) 1, 2, 4, 5
43
Physical portion of hair that is visible and extends above the surface of skin: [dropdown 1] Central area of hair: [dropdown 2] Consists of hardened cells containing keratin; bulk portion of hair: [dropdown 3] Actively dividing cells within hair; Contains pigmenting producing cells: [dropdown 4] Consists of hardened cells containing keratin; outer layer of hair: [dropdown 5] Drop Down Choices: Cortex cuticle hair shaft matrix medulla
Answer 1: hair shaft Answer 2: medulla Answer 3: cortex Anseer 4: matrix Answer 5: cuticle
44
Match the term with the best description. [dropdown 1]: Actively dividing cells of the nails. [dropdown 2]: Hardened epithelial tissue above the hyponychium. [dropdown 3]: Crescent shaped area that appears white due to thickened epithelial. [dropdown 4]: Portion of the stratum corneum that grows onto the nail body. Drop Down Choices: Cuticle Lunula Nail bed Nail matrix
Answer 1: Nail matrix Answer 2: Nail bed Answer 3: Lunula Anseer 4: Cuticle
45
The skin is known as the membrane. a) cutaneous b) mucous c) synovial d) serous
a) cutaneous
46
In the elderly, blood supply to the dermis is reduced and sweat glands are less active. This combination of factors would most affect a) the ability to thermoregulate. b) the ability to grow hair. c) the ability to feel sensations. d) the ability to produce vitamin D.
a) the ability to thermoregulate
47
A pair of scissors slips while you are cutting paper. You slice through your forearm and blood appears. What is the order of the skin you cut from superficial to deep. 1. dermis 2. Stratum spinosum 3. Stratum granulosum 4. Stratum corneum 5. Stratum basale 6. Stratum lucidum a) 1, 5, 2, 3, 6, 4 b) 1, 5, 2, 3, 4 c) 4, 3, 2, 5, 1 d) 4, 6, 3, 2, 5, 1
d) 4, 6, 3, 2, 5, 1
48
is/are a result of a progressive loss of collagen and elastic fibers. a) Rosacea b) Wrinkles c) Photosensitivity d) Melanoma
b) Wrinkles
49
An increase in the size or decrease in function of melanocytes can lead to a) atypical skin pigmentation. b) melanoma. c) vitiligo. d) rosacea.
a) atypical skin pigmentation.
50
Which of the following are considered risk factors for skin cancer? Select all that apply. a) Family History b) Skin Type c) Sun Exposure d) Age e) Weight f) Immunological status g) Nutrition
a) Family History b) Skin Type c) Sun Exposure d) Age f) Immunological status
51
What factors determine the seriousness of a burn?
The severity of a burn is based on the depth and extent of skin area occupied by a burn. Depth is measured by first, second and third degrees. A first degree burn affects just the epidermis, a second degree burn affects the epidermis and part of the dermis, and a third degree burn affects the full thickness of skin including the hypodermis. Area involved can be estimated by the rule of nines. Age and overall health play a role as well.
52