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167 Cards in this Set

  • Front
  • Back
The skin is composed of several kinds of
tissues
Skin is
a protective covering that prevents many harmful substances from entering the body
Skin also
retards water loss & helps regulate body temperature.
Skin houses
sensory receptors & contains immune system cells
Skin synthesizes
vitamin D & excretes a small amount of waste products
The two distinct layers of skin are
epidermis & dermis
The outer layer is called the
epidermis
The epidermis is composed of
stratified squamous epithelium
The inner layer is called
dermis
The dermis is made up of
connective tissues, muscle tissue, nervous tissue,& blood
A basement membrane separates
the two skin layers
The subcutaneous layer is beneath
the dermis
The subcutaneous layer is composed of
loose connective tissues & adipose
No sharp boundary separates the dermis & subcutaneous layer because
the fibers of the dermis are continuous with the fibers of the subcutaneous layer
The adipose tissue of the subcutaneous layer
insulates the body
The subcutaneous layer also contains

major blood vessels that supply the skin

The epidermis lacks
blood vessels
The deepest layer of the epidermis is called the
stratum basale
The stratum basale is nourished by
blood vessels in the dermis
Cells of the stratum basale can divide & grow because
they are nourished so well
When new cells enlarge they
push old epidermal cells away from the dermis toward the surface of skin
The farther the cells are moved
the poorer their nutrient supply becomes & eventually they die
Older skin cells are called
keratinocytes
Keratinocytes
are held together with desmosomes
Keratinization is the accumulation of
keratin in epidermal cells which hardens the epidermis
As a result of keratinization many layers of tough, tightly packed cells
accumulate in the
epidermis
The outermost layer of the epidermis is called the
stratum corneum
The epidermis is thickest on
palms of the hand & the soles of the feet
Most areas of epidermis have ___ layers
2
The four layers starting with the deepest are
stratum basale, stratum spinosum, stratum germinativum, & stratum corneum
An additional layer called ______ is in thickened skin of the palms & soles
stratum lucidum
In healthy skin, production of epidermal cells is balanced with loss of dead cells from the
stratum corneum
The rate of cell division increases where
the skin is frequently rubbed or pressed
Calluses are a thickening of the
stratum corneum
Corns are
keratinized conical masses on the toes
Specialized cells in the epidermis called ______ produce melanin
melanocytes
Melanin provides
skin color & absorbs UV radiation
Melanocytes lie in the
stratum basale & in the underlying connective tissues of the dermis
The extensions of melanocytes transfer melanin granules to epidermal cells by a process called
cytocrine secretion
The boundary between the dermis & epidermis is uneven because
the epidermis projects inward & the dermis has papillae between the ridges of the epidermis
Fingerprints form from
the undulations of the dermis & epidermis at the distal end of the palmar surface of a finger
The dermis binds
the epidermis to the underlying tissues
The dermis is largely composed of
irregular dense connective tissue that includes tough collagenous fibers & elastic fibers in a gel like ground substance
The dermis also contains smooth muscles that
can wrinkle the skin of the scrotum.
Some smooth muscle of the skin is associated with
hair follicles
In the face, skeletal muscles are anchored to
the dermis
Nerve cell processes are scattered throughout the
dermis
Pacinian corpuscles are stimulated by
heavy pressure
Meissner’s corpuscles are stimulated by
light touch.
Hair is present on all skin surfaces except
the palms, soles, lips, nipples, & parts of external reproductive organs
A hair follicle is
a group of epidermal cell at the base of a tubelike depression in the dermis of skin
A follicle extends
from the surface of skin into the dermis
The hair root is
the portion of hair embedded in skin
The hair papilla is
a projection of connective tissue at the end of the hair follicle. It contains blood vessels
The hair shaft
is the portion of hair that extends from the surface of skin
A hair is composed of
dead epidermal cells
Baldness results when
hairs fall out & are not replaced
Genes determine hair color by
directing the type & amount of pigment that epidermal melanocytes produce
Dark hair has more _____ than blond hair
melanin
White hair of people with albinism lack
melanin
Red hair contains
an iron pigment called trichosiderin
Hairs appear gray from
a mix of pigmented & unpigmented cells
An arrector pili muscle is
a band of smooth muscle & attaches to hair follicles
Goose bumps are
produced when arrector pili muscles contract
Nails are
protective coverings on the ends of fingers & toes
Each nail consists of
a nail plate that overlies a surface of skin called the nail bed
The lunula of a nail is
the whitish, thickened, half moon shaped region at the base of a nail plate with the most active growth
Sebaceous glands contain
groups of specialized epithelial cells & are associated with hair follicles
Sebaceous glands are
holocrine glands
Sebaceous glands
their cells produce sebum
Sebum
is a mixture of fatty material & cellular debris
Sebum is secreted
into hair follicles & helps keep hair & skin soft, pliable & waterproof
Sebaceous glands are not found
on palms & soles
Sebaceous glands open
directly onto the surface of the skin in some regions, such as, the lips, corners of the mouth, & parts of the external reproductive organs
Sweat glands are also called
sudoriferous glands
Each sweat gland consists of
a tiny tube in the dermis or superficial subcutaneous layer
The most numerous sweat glands are
eccrine glands
Eccrine glands respond to
body temperature elevated by environmental heat or exercise
Eccrine glands are common
on the forehead, neck, & back
A pore
is the opening of a sweat gland duct
Sweat contains
water, wastes, & salts.
Apocrine glands become active
at puberty
Apocrine glands can wet
certain areas of skin when a person is nervous or stressed
Apocrine glands are most numerous
in the axillary regions, groin, & around the nipples
Ceruminous glands are located in
the external ear canal
Ceruminous glands function to
secrete ear wax
Mammary glands
secrete milk
Regulation of body temperature is important because
even slight shifts can disrupt the rates of metabolic reactions
A normal temperature of deeper body parts remains close to
37oC.
Heat is a product of
cellular metabolism
When body temperature rises above the set point
nerve impulses stimulate structures in the skin & other organs to release heat
During physical activity
active muscles release heat, which the blood carries away
When warmed blood reaches the hypothalamus
muscles in the walls of dermal blood vessels relax
As dermal blood vessels dilate
heat escapes to the outside world
Skin reddens because
dermal blood vessels are dilated
The primary means of body heat loss is
radiation
Radiation
is the spread of infrared heat from warm surfaces to cooler surroundings
Conduction
is the movement of heat into molecules of cooler objects
Convection
is the continuous circulation of air over a warm surface
Evaporation
is the change of a liquid to a gas
When sweat evaporates
it carries heat away from the skin surface
When body temperature falls below the set point
muscles of dermal blood vessels constrict which decreases the flow of blood through the skin
When body temperature falls
sweat glands become inactive
When body temperature continues to fall
small groups of muscles contract rhythmically to produce shivering
Hyperthermia
is a rise in body temperature
If air temperature is high
heat loss by radiation is less effective
Hypothermia
is a low body temperature
Hypothermia can result from
prolonged exposure to cold or as part of an illness
Hypothermia can lead to
mental confusion, lethargy, & loss of consciousness
People at a higher risk for developing hypothermia
elderly, very thin individuals, homeless & the very young
All people have about the same number of
melanocytes in their skin
Differences in skin color result from
the differences in the amount of melanin melanocytes produce
The more melanin produced
the darker the skin
The distribution & size of pigment granules within melanocytes
also influence skin color.
Environmental factors such as
sunlight, ultraviolet light from sunlamps, & X rays affect skin color
Tans fade
as pigmented epidermal cells become keratinized & wear away.
When blood is well oxygenated
the blood pigment hemoglobin is bright red & the skin of light complexioned people appears pink
When blood oxygen concentration is low
hemoglobin is dark red & the skin appears bluish
If dermal blood vessels are dilated
more blood enters skin & skin appears pinkish or reddish
If dermal blood vessels are constricted
more blood enters the dermis,
reddening the skin of a light complexioned person
Carotene
is a yellow orange pigment found in certain vegetables
Carotene can
give skin a yellowish color
Inflammation is a normal response
to injury or stress
During inflammation
blood vessels dilate & become more permeable
Inflamed skin may become
reddened, swollen, warm, & painful to the touch
The dilated blood vessels provide
the tissues with more nutrients & oxygen, which aids healing
The specific events of healing depend on
the nature & extent of the injury
If a break in the skin is shallow
epithelial cells are stimulated to divide more rapidly than normal
If a cut extends into the dermis or subcutaneous layer
blood vessels break & the escaping blood forms a clot
A clot consists mainly of
fibrin, plasma, blood cells, & platelets
A scab is
a blood clot & dried fluids
Fibroblasts migrate
into the injured area & begin forming new collagenous fibers that bind the edges of the wound together
Connective tissue matrix releases
growth factors that stimulate certain cells to divide & regenerate damaged tissues
As healing continues
blood vessels extend into the area beneath the scab
Phagocytic cells
remove dead cells & other debris
A scar results when
the wound is extensive
A granulation consists of
a branch of a blood vessel, & a cluster of collagen secreting fibroblasts
A first degree burn
is one that only affects the epidermis
A second degree burn is that affects
a part of the dermis & epidermis
Blisters appear in
second degree burns
The healing of second degree burns depends on
accessory structures of the skin that survive the burn
A third degree burn
is one that destroys the epidermis, dermis, & the accessory structures
In a third degree burn
the skin becomes dry & leathery
If a third degree burn is extensive
treatment may involve removing a thin layer of skin from an unburned region of the body & transplanting it to the injured area
An autograft is
a graft from the same person
A homograft

is a graft from a cadaver

Skin substitutes include
amniotic membranes, membranes of silicone, polyurethane or nylon
The treatment of a burn patient requires
estimating the extent of the body’s surface that is affected
To estimate, physicians use
the rule of nines
This rule divides the skin’s surface into
11 areas of 9% each
Aging skin affects
appearance, temperature regulation & vitamin D production
Age spots or liver spots are
patches of pigments
The aging dermis becomes
reduced as synthesis of the connective tissue proteins collagen & elastin slows
Wrinkling & sagging skin result from
the shrinking of the dermis & loss of fat from the subcutaneous layer
Skin becomes drier because
sebaceous glands produce less oil
Slowed melanin production causes
gray or white hair
Nail growth is impaired because
the blood supply to the nail beds is diminished
Sensitivity to pain & pressure ______ with age
diminishes
An older person is less able to tolerate ______ because the sweat glands & hair follicle shrink
heat
With age the number of dermal blood vessels
decrease
Vitamin D
is necessary for bone tissue to absorb calcium

Stratum granulosum

3. the keratinocytes are still on the move, by this point they have kertahyalin granulesStratum spinosum: the keratinocytes migrating up, they have nice oval nucleiStratum basale: Single layer of proliferating columnar keratinocytes, melanocytes (pigmented cells) and Merkel cells (mechanoreceptors) also live here

Stratum corneum

1. The outmost layer, made of dead keratinocytes with a layer of protein around them (they have undergone keratinization)

Stratum lucidum

2. Also dead keratinocytes (there is no real distinction here other than that the poor keratinocytes have died but have not finished the keratinization process)

Stratum basale

5. Single layer of proliferating columnar keratinocytes, melanocytes (pigmented cells) and Merkel cells (mechanoreceptors) also live here

Stratum spinosum

4. the keratinocytes migrating up, they have nice oval nuclei

Whats your mnemonic device for the layers of the skin?

Come, lets get sun burned

Come, lets get sun burned