Integument I Flashcards

1
Q

What is the general organization of the integument?

A

epidermis, basement membrane, dermis, subcutaneous tissue

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2
Q

What are some synonyms for subcutaneous tissue?

A

SubQ, superficial fascia, hypodermis

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3
Q

What are the types of epidermal ridges?

A

primary dermal ridge, interpapillary peg, secondary dermal ridges, dermal papillae

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4
Q

Describe primary dermal ridges

A

• Related to finger prints • Found everywhere except forehead, external ear, perineum, and scrotum • Formed during 3rd to 4th months of fetal life • Subdivided into two secondary dermal ridges by interpapillary peg

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5
Q

What is the interpapillary peg?

A

Downward growth of epidermis along crest

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6
Q

describe secondary dermal ridges

A

• Occur in double rows, branched • Thin collagenous, reticular, and elastic fibers

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7
Q

What are dermal papillae

A

Upward projections from each secondary dermal ridge

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8
Q

List the integument functions

A

• Protection from mechanical injury • Prevents dessication • Protects against foreign substances and microorganisms • Protects against UV radiation • Thermoregulation • Regulation of blood pressure (via dermal capillary network) • Excretion of metabolic waste products • Synthesis of provitamin D

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9
Q

Describe thick skin

A

• Occurs only on palms and soles and is hairless • Epidermis varies from 0.4 to 0.6 mm thick. • Displays all five epidermal layers

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10
Q

Describe thin skin

A

• Occurs over rest of body • Epidermis varies from 75 to 150 μmm thick. • Thinnest thin skin is on eyelids • Thickest thin skin is on back • Thicker on extensor surfaces than flexor surfaces • Epidermal layers less distinct and lacking stratum lucidum

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11
Q

What are the layers of the stratified squamous epithelium of the epidermis?

A

• Stratum basale (germinativum) • Stratum spinosum • Stratum granulosum: • Stratum lucidum • Stratum corneum

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12
Q

Which is the deepest layer of the epidermis?

A

stratum basale

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13
Q

Which layer of the epidermis is represented by only a few cells in thin skin?

A

stratum granulosum

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14
Q

Which layer of the epidermis is absent in thin skin?

A

stratum lucidum

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15
Q

Which layer of the epidermis is most superficial?

A

stratum corneum

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16
Q

Describe stratum basale.

A

(germinativum) • Deepest • Columnar to high cuboidal keratinocytes • Keratins 5 and 14 (low-molecular weight keratins) • Single layer of cells • Held together by desmosomes • Hemidesmosomes hold layer to basal lamina • High mitotic activity: • Mitotic activity produces stem cells differentiating keratinocytes. • Affected by chemotherapeutic and radiation treatments

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17
Q

Describe stratum spinosum

A

• Polyhedral-shaped cells (prickle cells) • Keratins 1 and 10 (high molecular weight keratins) • Keratohyalin granules develop • Membrane-coating granules first appear: • Lamellar bodies • Contain lipid, carbohydrate, and hydrolytic enzymes • Tonofibrils • Form intercellular bridges

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18
Q

Describe stratum granulosum

A

• Multilayered • Keratins 2e and 9 • Flattened nucleated keratinocytes • Keratohyalin aggregates: • Fillagrin induces cross-linkage of keratin filaments by disulfide bonds • No limiting membrane • Membrane-coating granules (lamellar bodies) • Acylglucosylceramide → intercellular spaces • Tonofilaments

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19
Q

Describe stratum lucidum

A

• Flat keratinocytes lacking nuclei and organelles • Only found in thick skin • Contains eleiden

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20
Q

Describe stratum corneum

A

• Multilayered (5-50 layers) • Thicker in thick skin • Enucleated, flattened, dead keratinocytes • Cytoplasm replaced by keratin • Cytoplasm contains: • Keratin cross-linked with filaggrin • → cornified cell envelope

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21
Q

List and describe the layers of the cornified cell envelope.

A

• Extracellular: • Multi-lamellar lipid layer covalently linked to involucrine • Intracellular: • Involucrine • Small proline-rich proteins • Loricrin • Fillagrin and keratin complexes

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22
Q

What are the characteristics of the dermis?

A

• Dense fibrous irregular connective tissue layer beneath epidermis • Derived from embryonic mesoderm • Induces development of epidermis and epidermal derivatives • Supports epidermis

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23
Q

What are the characteristics of the hypodermis?

A

• Loose connective tissue that underlies dermis • Corresponds to superficial fascia of gross anatomy • Technically not part of skin • May contain fat cells that can form a thick layer called the panniculus adiposus.

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24
Q

List and describe the two layers of the dermis.

A

• Papillary layer (closest to epidermis): • Loose CT • Separated from epidermis by basal lamina • Network of fine elastic fibers and abundant capillaries • Reticular layer • Dense irregular CT • Includes fibrocytes, macrophages, and adipocytes

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25
What are the cells of the integument?
• Keratinocytes • Langerhans cells • Merkel cells • Melanocytes
26
Describe Merkel cells.
• Mechanoreceptors • May also act as diffuse neuroendocrine cells • Usually in stratum germinativum • Contain catecholamine-like granules
27
Describe Langerhans cells.
• = dendritic cells • From monocytes • Antigen-presenting cells • Primarily in stratum spinosum • Migrate from epidermis to lymph nodes • Birbeck granules
28
Describe Melanocytes.
• Derived from melanoblasts • Do not form desmosome attachments in epidermis • Inject melanin granules into keratinocytes • Pathway for melanin formation
29
What is the pathway for melanin formation?
Tyrosine → 3,4-dihydroxyphenylalanine (DOPA) → dopaquinone → melanin
30
What does melanin formation require?
tyrosinase
31
Explain the embryonic origins of the epidermis.
Epidermis starts as a single layer of ectodermal cells. • Divide during sixth week to form: • Periderm • Sloughs off to form vernix caseosa • Inner cuboidal germinal layer: • continues to proliferate to form adult layers of the epidermis and derivatives: • 10 weeks: fingernails • 12 weeks: hair buds and toenails
32
Explain the embryonic origins of the dermis.
Dermis is derived from mesoderm
33
What is A?
primary epidermal ridge
34
What is B?
interpapillary peg
35
What is C?
dermal papilla
36
What is D?
secondary dermal ridges
37
What is E?
primary dermal ridge
38
What is F?
epidermis
39
What is G?
dermis
40
What is H?
hypodermis (subcutaneous layer)
41
What is A?
stratum corneum
42
What is B?
stratum granulosum
43
What is C?
stratum spinosum
44
What is D?
stratum basale
45
What is E?
papillary layer of dermis
46
What is F?
reticular layer of dermis
47
What is A?
stratum corneum
48
What is B?
stratum lucidum
49
What is C?
stratum granulosum
50
What is D?
stratum spinosum
51
What is E?
stratum basale
52
What is F?
stratum of malpighi
53
What is pictured?
tonofilaments in stratum spinosum
54
What is indicated by the star?
melanocytes
55
What is pictured?
thin skin (scalp)
56
What is pictured?
thick skin
57
What is A?
stratum corneum
58
What is B?
stratum lucidum
59
What is C?
stratum granulosum
60
What is D?
stratum spinosum
61
What is E?
stratum basale
62
What is F?
papillary layer
63
What is G?
reticular layer
64
What is pictured?
integument, dermis