The Integumentary System
The Integumentary System
1. The skin carries out the first step in the synthesis of vitamin D. True False
2. Living keratinocytes exfoliate from the epidermis as tiny specks called dander. True False
3. The deeper of the two layers of the skin is the hypodermis. True False
4. The youngest keratinocytes are found in the stratum basale. True False
5. Melanin, hemoglobin, and carotene give color to the skin.
True False
6. Albinism is the genetic lack of melanin that results in a milky white coloration of the skin. True False
7. Embarrassment can be perceived by an abnormal coloration of the skin called cyanosis.
True False
8. Freckles are elevated patches with an abnormal coloration of the skin. True False
9. Straight hair is round, wavy hair is oval, and curly hair is relatively flat.
True False
10. Hair and nails are composed of collagen. True False
11. Merocrine sweat glands are associated with hair follicles in the pubic and anal regions, axilla, areola, and
beard.
True False
12. Pattern baldness is relatively rare in women because women have lower testosterone levels than men. True False
13. The acidity of sweat contributes to the acid mantle that inhibits bacterial growth in the skin. True False
14. Debridement is not necessary to infection control.
True False
15. The three forms of skin cancer are defined by the types of cells from which they originate. True False
Multiple Choice Questions
16. Which of the following is not part of the skin?
A. Epidermis
B. Papillary layer
C. Hypodermis
D. Stratum basale
E. Dermis
17. Which of the following is not found in the epidermis?
A. Melanocytes
B. Fibroblasts
C. Stem cells
D. Keratinocytes
E. Tactile cells
18. Skin covering the has sweat glands but no hair follicles or sebaceous glands.
A. forearm
B. buttocks
C. abdomen
D. fingertips
E. back
19. Most of the skin is mm thick.
A. 0.01 to 0.02
B. 0.1 to 0.2
C. 1 to 2
D. 10 to 20 E. 100 to 200
20. In which of the following skin layers would a subcutaneous injection be administered?
A. Stratum basale
B. Stratum spinosum
C. Stratum corneum
D. Dermis
E. Hypodermis
21. Which of the skin layers below is the most superficial?
A. Basal lamina
B. Epidermis
C. Papillary layer
D. Reticular layer
E. Hypodermis
22. Which of the following best describes the composition of the dermis?
A. Collagen and living keratinocytes
B. Collagen and dead keratinocytes
C. Collagen and fibroblasts
D. Elastic fibers and melanocytes
E. Elastic fibers and dendritic cells
23. What type of tissue is found in the most superficial layer of skin?
A. Simple squamous epithelium
B. Stratified squamous epithelium
C. Dense irregular connective tissue
D. Areolar connective tissue
E. Dense regular connective tissue
24. Looking at a slide of thin skin under the microscope, you note that the stratum basale is the layer of the epidermis in from the surface.
A. second
B. third
C. first
D. fifth
E. fourth
25. Which of the following cells is largely responsible for skin color?
A. Dendritic cell
B. Keratinocyte
C. Melanocyte
D. Tactile cell
E. Dead keratinocyte
26. Which layer of the epidermis consists of up to 30 layers of dead cells?
A. Stratum basale
B. Stratum spinosum
C. Stratum granulosum
D. Stratum lucidum
E. Stratum corneum
27. Which of the following are associated with the sense of touch?
A. Fibroblasts
B. Melanocytes
C. Keratinocytes
D. Dendritic cells
E. Tactile cells
28. The fastest rate of mitosis happens in the .
A. stratum basale
B. stratum spinosum
C. stratum granulosum
D. stratum lucidum
E. stratum corneum
29. Which of the following cells stand guard against toxins, microbes and other pathogens?
A. Keratinocytes
B. Melanocytes
C. Adipocytes
D. Dendritic cells
E. Tactile cells
30. Fingerprints left on things we touch are associated with our .
A. dermal papillae
B. dermal connective tissue
C. stratum basale
D. subcutaneous tissue
E. subcutaneous adipose
31. Calluses or corns are the result of accelerated multiplication by .
A. melanocytes
B. keratinocytes
C. fibroblasts
D. tactile cells
E. red blood cells
32. Te is absent from most epidermis.
A. stratum basale
B. stratum spinosum
C. stratum granulosum
D. stratum lucidum
E. stratum corneum
33. Leather is made of the layer of the dermis.
A. areolar
B. keratin
C. reticular
D. collagen
E. papillary
34. The hypodermis is characterized by an abundance of which tissue?
A. Statified squamous epithelium
B. Smooth muscle
C. Nervous tissue
D. Adipose tissue
E. Dense irregular connective tissue
35. The skin discoloration most likely to suggest physical abuse is .
A. pallor
B. albinism
C. erythema
D. hematoma
E. jaundice
36. The reddish color of the skin of the lips is primarily due to the presence of which pigment?
A. Hemoglobin
B. Myoglobin
C. Melanin
D. Carotene
E. Keratin
37. Which skin color is most likely to result from anemia?
A. Pallor
B. Erythema
C. Hematoma
D. Albinism
E. Jaundice
38. Increased bilirubin levels cause a skin discoloration called .
A. erythema
B. jaundice
C. pallor
D. bronzing
E. cyanosis
39. Ethnic differences in skin color are primarily caused by differences in .
A. UV radiation exposure
B. the quantity of hemoglobin carried in the blood
C. the quantity of melanin produced
D. the number of melanocytes
E. the number of keratinocytes
40. A is an elevated patch of melanized skin.
A. hemangioma
B. mole
C. freckle
D. flexion line
E. friction ridge
41. A pilus is a .
A. hair
B. hair follicle
C. tiny muscle that moves a hair
D. sensory nerve fiber around the base of a hair
E. gland associated with a hair follicle
42. What type of hair is present prenatally and usually replaced by birth?
A. Lunule
B. Peach fuzz
C. Terminal hair
D. Vellus
E. Lanugo
43. Blood vessels in the provide a hair with its sole source of nutrition.
A. bulb
B. root
C. shaft
D. dermal papilla
E. medulla
44. The base where a hair follicle originates in the skin is known as the .
A. hair bulb
B. hair root
C. shaft
D. medulla
E. cuticle
45. The contraction of the piloerector muscles (pilomotor muscle or arrector pili) in humans causes
A. hairs to stand on end, trapping an insulating layer of warm air next to the skin
B. generation of heat to raise the body temperature
C. hairs to stand on end to make the individual appear bigger
D. hairs to stand on end with no apparent function
E. increased ability to feel pain
46. A hair cycle consists of three developmental stages in which order?
A. Anagen, telogen, and catagen
B. Anagen, catagen, and telogen
C. Catagen, anagen, and telogen
D. Catagen, telogen, and anagen
E. Telogen, anagen, and catagen
47. Each hair grows in an oblique epithelial tube called a(an) .
A. hair follicle
B. vellum
C. pilus
D. bulb
E. shaft
48. Excessive hairiness is called .
A. telogenism
B. anagenism
C. catagenism
D. alopecia
E. hirsutism
49. The narrow zone of dead skin overhanging the proximal end of a nail is called the .
A. eponychium
B. lunule
C. nail plate
D. nail body
E. nail root
50. What is the white opaque “moon” often found at the proximal end of a fingernail called?
A. Free edge
B. Nail body
C. Eponychium
D. Lunule
E. Nail root
51. Variations in hair color arise from differing amounts of .
A. collagen and elastic filaments
B. keratin and melanin
C. carotene and hemoglobin
D. carotene and collagen
E. eumelanin and pheomelanin
52. Mitosis in the accounts for growth of the nail.
A. nail plate
B. nail fold
C. eponychium
D. hyponychium
E. nail matrix
53. The oil of your scalp is secreted by glands associated with the hair follicles.
A. merocrine sweat
B. apocrine sweat
C. sebaceous
D. ceruminous
E. eccrine sweat
54. Secretions from glands contribute to the acid mantle that inhibits bacterial growth on the skin.
A. mammary
B. ceruminous
C. sebaceous
D. apocrine sweat
E. merocrine sweat
55. is/are formed partly from the secretions of glands in the external ear canal.
A. Sebum
B. Cerumen
C. Sweat
D. Scents
E. Mucus
56. Looking at a slide of axillary skin under the microscope, you notice the presence of glands that are absent on slides of the scalp.
A. merocrine
B. apocrine
C. sebaceous
D. ceruminous
E. perspiration
57. Which cutaneous glands are concerned with cooling the body?
A. Ceruminous glands
B. Sebaceous glands
C. Merocrine glands
D. Apocrine glands
E. Exothermic glands
58. The glands are a source of sex pheromones.
A. ceruminous
B. merocrine
C. mammary
D. sebaceous
E. apocrine
59. Mammary glands are modified glands that develop within the female breasts.
A. merocrine
B. apocrine
C. ceruminous
D. sebaceous
E. eccrine
60. Which two strata of the epidermis are most susceptible to cancer?
A. Stratum corneum and stratum lucidum
B. Stratum basale and stratum corneum
C. Stratum spinosum and stratum basale
D. Stratum granulosum and stratum spinosum
E. Stratum lucidum and stratum granulosum
61. The “ABCD rule” for recognizing early signs of malignant melanoma refers to which of the following characteristics of the lesion?
A. Asymmetry, border irregularity, color, and diameter
B. Asymmetry, brightness, color, and diameter
C. Aspect, brightness, color, and distance
D. Aspect, border irregularity, color, and distance
E. Area, border irregularity, color, and density
62. The least common, but most deadly, type of skin cancer is .
A. basal cell carcinoma
B. squamous cell carcinoma
C. melanoma
D. skin lymphoma
E. skin sarcoma
63. Basal cell carcinoma initially affects cells of the stratum .
A. spinosum
B. germinativum
C. corneum
D. basale
E. lucidum
64. burns involve the epidermis, all of the dermis, and often some deeper tissue.
A. First-degree
B. Second-degree
C. Third-
degree
D. Partial-thickness
E. Malignant
65. The most immediate threat to the life of a patient with severe burns is .
A. fluid loss
B. eschar
C. heat loss
D. pain
E. infection
66. The skin is a barrier to all of the following except .
A. metals such as mercury
B. infectious organisms
C. water
D. UV rays
67. In whom are mammary glands found?
A. In lactating females
B. In lactating and non-lactating females
C. In non-lactating females
D. In non-lactating females and males
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