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95 Cards in this Set

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1) Each of the following is a function of the integumentary system, except
A) Synthesis of vitamin C.
B) Excretion of salts and wastes.
C) Maintenance of body temperature.
D) Protection of underlying tissue.
E) Storage of nutrients.
A) Synthesis of vitamin C.
2) The two components of the cutaneous membrane are the
A) Epidermis and hypodermis.
B) Epidermis and dermis.
C) Epidermis and superficial fascia.
D) Dermis and hypodermis.
E) Integument and dermis.
B) Epidermis and dermis.
3) Accessory structures of the skin include all of the following, except
A) Epidermis.
B) Sebaceous glands.
C) Sweat glands.
D) Hair follicles.
E) Nails.
A) Epidermis.
4) The most abundant cells in the epidermis are
A) Langerhans cells.
B) Melanocytes.
C) Merkel cells.
D) Adipocytes.
E) Keratinocytes.
E) Keratinocytes.
5) The layer of the epidermis that contains cells undergoing division is the
A) Stratum germinativum.
B) Stratum granulosum.
C) Stratum lucidum.
D) Stratum corneum
A) Stratum germinativum.
6) An epidermal layer found only in the skin of the palms of the hands and the soles of the feet is the
A) Stratum germinativum.
B) Stratum spinosum.
C) Stratum corneum.
D) Stratum granulosum.
E) Stratum lucidum
E) Stratum lucidum
7) Water loss due to interstitial fluid penetration through the surface of the skin is termed ________ perspiration.
A) sensible
B) active
C) inactive
D) insensible
E) latent
D) insensible
8) The layer of the epidermis that contains melanocytes is the
A) Stratum spinosum.
B) Stratum lucidum.
C) Stratum granulosum.
D) Stratum corneum.
E) Stratum germinativum.
E) Stratum germinativum.
9) An albino individual lacks the ability to produce
A) Keratin.
B) Perspiration.
C) Melanin.
D) Eleidin.
E) Carotene.
C) Melanin.
10) Which of the following is not an effect of ultraviolet radiation?
A) sunburn
B) chromosomal damage in germinative cells or melanocytes
C) increased activity by melanocytes
D) production of cholecalciferol by epidermal cells
E) vitiligo
E) vitiligo
11) All of the following are true of the pigment melanin, except that it
A) Protects DNA from the damaging effects of UV radiation.
B) Is produced by cells called melanocytes.
C) Decreases in concentration within cells during exposure to the sun.
D) Increases with increased levels of the hormone MSH.
E) Is usually some shade of brown or black.
C) Decreases in concentration within cells during exposure to the sun.
12) The layer of the skin that contains the blood vessels and nerves closest to the surface of the skin is the ________ layer.
A) subcutaneous
B) hypodermal
C) papillary
D) reticular
E) epidermal
C) papillary
13) The layer of the skin that contains bundles of collagen fibers and the protein elastin and is responsible for the strength of the skin is the ________ layer.
A) epidermal
B) papillary
C) reticular
D) hypodermal
E) subcutaneous
C) reticular
14) All of the following are true of the subcutaneous layer, except it
A) Is well supplied with nerves that pass into the skin.
B) Contains large amounts of adipose tissue.
C) Is attached to the dermis by a basement membrane.
D) Permits independent movement of deeper structures.
E) Contains many blood vessels.
C) Is attached to the dermis by a basement membrane.
15) The layer of hard keratin that coats the hair is termed the
A) Shaft.
B) Cuticle.
C) Hair bulb.
D) Root.
E) Medulla.
B) Cuticle.
16) Variations in hair color reflect differences in the pigment produced by
A) Soft keratin.
B) Dermal papillae.
C) Melanocytes.
D) Carotene cells.
E) Keratinocytes.
C) Melanocytes.
1) Glands that discharge an oily secretion into hair follicles are ________ glands.
A) sebaceous
B) mammary
C) apocrine sweat
D) merocrine sweat
E) ceruminous
A) sebaceous
18) Most body odor is the result of bacterial metabolism of the secretions produced by ________ glands.
A) ceruminous
B) apocrine sweat
C) sebaceous
D) mammary
E) merocrine sweat
B) apocrine sweat
19) Sensible perspiration is produced by ________ glands.
A) ceruminous
B) merocrine sweat
C) sebaceous
D) apocrine sweat
E) mammary
B) merocrine sweat
20) Mammary glands are a type of ________ gland.
A) eccrine sweat
B) ceruminous
C) merocrine sweat
D) sebaceous
E) apocrine sweat
E) apocrine sweat
21) The highest concentration of merocrine sweat glands would be found
A) On the palms of the hands.
B) On the upper back.
C) On the chest.
D) Surrounding the genitals.
E) In the axillae.
A) On the palms of the hands.
22) All of the following are true of perspiration produced by merocrine sweat glands, except that it
A) Helps to prevent bacteria from colonizing the skin.
B) Contains electrolytes and waste products.
C) Is more than 99 percent water.
D) Helps cool the body when it evaporates.
E) Produces the body odor characteristic of "sweating."
E) Produces the body odor characteristic of "sweating."
23) The primary function of sensible perspiration is to
A) Protect the skin from excess ultraviolet radiation.
B) Raise the temperature of the skin.
C) Cool the surface of the skin.
D) Heat the skin surface.
E) Reduce insensible perspiration.
C) Cool the surface of the skin.
24) Sweat tastes salty because of its
A) Waste products.
B) Acidic pH.
C) Electrolytes.
D) Metabolites.
E) Water.
C) Electrolytes.
25) The nail body covers the
A) Nail bed.
B) Nail root.
C) Lunula.
D) Hyponychium.
E) Free edge.
A) Nail bed.
26) Nail production occurs at the nail
A) Cuticle.
B) Hyponychium.
C) Body.
D) Bed.
E) Root.
E) Root.
27) The pale, crescent-shaped area at the base of a nail is called the
A) Lunula.
B) Hyponychium.
C) Eponychium.
D) Cerumen.
E) Cuticle.
A) Lunula.
28) A child who skins his knee in a fall has a(n)
A) Contusion.
B) Puncture.
C) Incision.
D) Laceration.
E) Abrasion.
E) Abrasion.
29) The layer of the skin that provides protection against bacteria as well as chemical and mechanical injuries is the
A) Dermis.
B) Sebum layer.
C) Epidermis.
D) Subcutaneous layer.
C) Epidermis.
30) In an extensive wound, ________ divide producing mobile cells that invade the deeper areas of the injury.
A) fibroblasts
B) scab cells
C) Langerhans cells
D) granulation cells
E) blood cells
A) fibroblasts
31) The repair of the dermis begins as fibroblasts produce
A) Elastic fibers.
B) Perichondrium.
C) Reticular fibers.
D) Collagen fibers.
E) Dense connective tissue.
D) Collagen fibers.
32) The effects of aging on the skin include
A) An increased blood supply to the dermis.
B) Increased production of vitamin D.
C) Thickening of the epidermis.
D) A decline in the activity of sebaceous glands.
E) An increased number of sweat glands.
D) A decline in the activity of sebaceous glands.
33) An important vitamin that is formed in the skin when it is exposed to sunlight is
A) Vitamin A.
B) Vitamin B.
C) Vitamin C.
D) Vitamin D.
E) Vitamin E.
D) Vitamin D.
34) All of the following are true of epidermal ridges, except that they
A) Contain increased numbers of free nerve endings.
B) Cause ridge patterns on the surface of the skin.
C) Produce patterns that are determined genetically.
D) Extend into the dermis.
E) Interconnect with the dermal papillae.
A) Contain increased numbers of free nerve endings.
35) ________ are macrophages in the epidermis that are part of the immune system.
A) Merkel cells
B) Basal cells
C) Squamous cells
D) Langerhans cells
E) Melanocytes
D) Langerhans cells
36) Vitamin D synthesized by the skin has all of the following effects on other organ systems, except that it
A) Functions as a precursor for the hormone calcitriol in the endocrine system.
B) Is essential for bone maintenance and growth of the skeletal system.
C) Is essential for muscle contractions of the muscular system.
D) Is essential for absorption of calcium and phosphorus by the digestive system.
E) Functions in the activation of Algerians cells by the lymphatic system.
E) Functions in the activation of Algerians cells by the lymphatic system.
37) When the arrector pili muscles contract,
A) "Goose bumps" are formed.
B) The skin changes color.
C) Hairs are shed.
D) Sweat is released from sweat glands.
E) Shivering occurs.
A) "Goose bumps" are formed.
38) Deodorants are used to mask the odor of ________ secretions.
A) apocrine
B) ceruminous
C) sebaceous
D) mammary
E) merocrine
A) apocrine
39) The type of burn that may require a skin graft is a
A) First-degree burn.
B) Second-degree burn.
C) Third-degree burn.
D) Partial-thickness burn.
E) both C and D
C) Third-degree burn.
40) When a fair-skinned person blushes, why does his or her skin turn red?
A) The blood supply to the skin decreases.
B) The blood supply to the skin increases.
C) The number of red melanocytes in the skin increases.
D) Melanocytes increase production of red pigments.
E) Increased heat causes the skin to turn red.
B) The blood supply to the skin increases.
41) Stretch marks occur when
A) The hair follicles cease to produce hairs.
B) The skin is stretched in normal movements.
C) Athletes overextend a muscle.
D) The skin is so extensively stretched that its elastic capabilities are exceeded.
E) Surgical incisions are made perpendicular to the skin's lines of cleavage.
D) The skin is so extensively stretched that its elastic capabilities are exceeded.
42) If the papilla of a hair follicle is destroyed,
A) The follicle will not produce a hair.
B) The texture of the hair will become coarser.
C) The hair produced by the follicle will change from terminal to vellus.
D) Hair production will not be affected.
E) The color of the hair will become lighter.
A) The follicle will not produce a hair.
43) Each of the following statements concerning hair is true, except one. Identify the exception.
A) The cortex of the hair is composed of hard keratin.
B) The medulla is the soft core of the hair.
C) Terminal hairs are heavy and more darkly pigmented than other types of hair.
D) Scalp hairs grow constantly throughout life.
D) Scalp hairs grow constantly throughout life.
44) When the hair follicles of the scalp shift from producing terminal hairs to producing vellus hairs, ________ occurs.
A) senility
B) puberty
C) baldness
D) hirsutism
E) albinism
C) baldness
45) Each of the following statements concerning sebaceous glands and sebum is true except one. Identify the exception.
A) Sebum functions to lubricate the hair and skin.
B) Acne involves inflammation of sebaceous glands.
C) Sebum can function as an antibiotic.
D) Most sebaceous glands are coiled tubular glands.
E) Most sebaceous glands open into hair follicles.
D) Most sebaceous glands are coiled tubular glands.
46) Merocrine sweat glands
A) Secrete a watery fluid directly onto the surface of the skin.
B) Increase in number and activity with aging.
C) Produce organic secretions that are metabolized by bacteria to produce body odor.
D) Are compound alveolar glands.
E) Primarily function in lubricating the hairs.
A) Secrete a watery fluid directly onto the surface of the skin.
47) Skin can regenerate effectively even after considerable damage has occurred because
A) The epidermis of the skin has a rich supply of small blood vessels.
B) Fibroblasts in the dermis can give rise to new germinal cells in the epidermis.
C) Cells of the stratum germinativum cannot migrate to other positions in the skin.
D) Contraction in the area of the injury brings cells of adjacent strata together.
E) Stem cells persist in both epithelial and connective-tissue components of the skin even after injury.
E) Stem cells persist in both epithelial and connective-tissue components of the skin even after injury.
48) Scar tissue is the result of
A) An abnormally large number of collagen fibers and relatively few blood vessels at the repair site.
B) Increased numbers of epidermal layers in the area of the injury.
C) A lack of hair follicles and sebaceous glands in the injured area.
D) A thickened stratum germinativum in the area of the injury.
E) Increased numbers of fibroblasts and mast cells in the injured area.
A) An abnormally large number of collagen fibers and relatively few blood vessels at the repair site.
49) Wrinkles and sagging skin in elderly individuals are the result of
A) Thinning of the epidermis and decline of the protein elastin.
B) Increased production of epidermis.
C) The loss of glands and hair follicles from the skin.
D) Increased keratinization of the epidermis.
E) Increase thickness of the dermis.
A) Thinning of the epidermis and decline of the protein elastin.
50) Why would an elderly person be more prone to skin infections than a younger person?
A) There are fewer Langerhans cells in the skin of the elderly.
B) Skin repairs take longer in the elderly.
C) The epidermis is thinner in the elderly.
D) all of the above
E) A and C only
D) all of the above
51) Which of the following happens if body temperature rises above normal?
A) The activity of melanocytes increases.
B) Evaporative cooling stops.
C) Sweat gland activity decreases.
D) Blood flow to the skin increases.
E) Circulation in the skin decreases.
D) Blood flow to the skin increases.
52) The protein that permits stretching and recoiling of the skin is
A) Elastin.
B) Melanin.
C) Collagen.
D) Carotene.
E) Keratin.
A) Elastin.
53) The primary pigments contained in the epidermis are
A) Carotene and melanin.
B) Xanthophyll and melanin.
C) Melanin and chlorophyll.
D) Carotene and xanthophyll.
E) none of the above
A) Carotene and melanin.
54) Characteristics of the epidermis include
A) Multilayered.
B) Serving as UV radiation protection.
C) Self-repairing.
D) Flexible.
E) all of the above
E) all of the above
55) Types of skin cancers include
A) Basal cell carcinoma.
B) Squamous cell carcinoma.
C) Malignant melanoma.
D) Actinic keratosis.
E) A, B, and C
E) A, B, and C
56) Cyanosis is indicated by
A) Yellowish skin coloration.
B) Bluish skin coloration.
C) Reddish skin coloration.
D) Orange skin coloration.
E) Brown skin coloration.
B) Bluish skin coloration.
57) A suntan actually results from
A) Increased melanocyte production.
B) Increased carotene production.
C) Burned skin.
D) Decreased keratin production.
E) Increased melanin production.
E) Increased melanin production.
58) Skin inflammation is termed
A) Cutaneitis.
B) Epidermatitis.
C) Dermatitis.
D) Melanocytis.
E) Superficialis.
C) Dermatitis.
59) While assessing a patient, you discover that after pinching the skin on the back of the hand, it remains peaked. This is a sign of
A) Hydration intoxication.
B) Dehydration.
C) Advanced skin cancer.
D) Water intoxication.
E) Malfunctioning elastin.
B) Dehydration.
60) A surgical incision parallel to the lines of cleavage
A) Heals slower than incisions made perpendicular to the lines of cleavage.
B) Has a tendency to reopen.
C) Closes and heals with relatively little scarring.
D) Does not affect the healing process.
E) Requires no sutures.
C) Closes and heals with relatively little scarring.
61) Lanugo is found
A) On an infant before it is born.
B) On the palms of the hands.
C) On the soles of the feet.
D) On the scalp.
E) C and D
A) On an infant before it is born.
62) A common cause of dandruff is
A) Too many sebaceous glands.
B) Lack of sebaceous glands.
C) Inactive apocrine glands.
D) Seborrheic dermatitis.
E) Inactive eccrine glands.
D) Seborrheic dermatitis.
63) ________ Sweat glands are widely distributed across the body surface, ________ glands are located wherever hair follicles exist, and ________ sweat glands are found only in a few areas.
A) Apocrine; sebaceous; merocrine
B) Merocrine; apocrine; sebaceous
C) Sebaceous; merocrine; apocrine
D) Merocrine; sebaceous; apocrine
E) Apocrine; merocrine; sebaceous
D) Merocrine; sebaceous; apocrine
64) The primary purpose of sensible perspiration is
A) To elevate body temperature.
B) To heat the skin.
C) To heat internal body organs.
D) To get rid of body wastes.
E) Evaporative cooling.
E) Evaporative cooling.
65) Granulation tissue is composed of
A) An extensive capillary network.
B) Fibroblasts.
C) Clotted blood.
D) all of the above
E) none of the above
D) all of the above
66) Charlie is badly burned in an accident. When he reaches the emergency room, the examining physician finds that he can remove entire hair follicles from Charlie's arm when he gently pulls on a hair with his forceps. After examining Charlie, the physician would likely order all of the following, except
A) A high-nutrient diet.
B) Ice packs adjacent to the burn area.
C) IV (intravenous) fluids and electrolytes.
D) Tissue samples for possible skin grafts.
E) Antibiotics.
B) Ice packs adjacent to the burn area.
67) Inflammation of the skin is painful because sensory receptors are abundant in the skin. Changes associated with swelling stimulate the sensory receptors and bare nerve endings, resulting in a painful sensation.
A) True
B) False
A) True
68) The categories of epithelial tissue membranes are:
A) synovial, cutaneous, and mucous membranes
B) synovial, cutaneous, and serous membranes
C) synovial, mucous, and serous membranes
D) synovial, mucous, and cutaneous membranes
E) mucous, cutaneous, and serous membranes
E) mucous, cutaneous, and serous membranes
69) Which of the following is not a serous membrane:
A) the parietal
B) the visceral pericardium
C) the visceral peritoneum
D) the parietal peritoneum
E) the cutaneous membrane
E) the cutaneous membrane
70) Which of the following relationships is incorrect:
A) visceral peritoneum - outer surface of the small intestine
B) parietal pericardium - outer surface of the heart
C) parietal pleura - wall of thoracic cavity
D) visceral pleura - surface of the lungs
E) parietal peritoneum - lining of abdomen
B) parietal pericardium - outer surface of the heart
71) Which of the following is a connective tissue membrane:
A) synovial membrane
B) cutaneous membrane
C) mucous membrane
D) serous membrane
E) pleural membrane
A) synovial membrane
72) Mucous membranes are
A) Located in joint cavities
B) covering the heart
C) lining the stomach
D) covering the brain
E) lining the abdominal wall
C) lining the stomach
73) An example of a mucous membrane is:
A) the lining of the respiratory tract
B) the parietal peritoneum
C) the visceral peritoneum
D) the parietal pericardium
E) the visceral pericardium
A) the lining of the respiratory tract
74) Although you get wet while swimming, a tough protein within the skin prevents it from soaking up moisture like a sponge. This substance is:
A) serous fluid
B) melanin
C) mucus
D) carotene
E) keratin
E) keratin
75) Which of the following has no blood supply of its own:
A) both the epidermis and the dermis
B) both the dermis and the subcutaneous connective tissue
C) subcutaneous connective tissue only
D) the dermis only
E) the epidermis only
E) the epidermis only
76) Which layer insulates deeper tissues from extreme temperature changes that occur outside the body:
A) Epidermis
B) Dermis
C) subcutaneous connective tissue
D) the papillary layer
E) the reticular layer
C) subcutaneous connective tissue
77) Which of the following homoeostatic imbalances is caused by a virus:
A) athlete’s foot
B) cold sores
C) impetigo
D) contact dermatitis
E) cyanosis
B) cold sores
78) The “tanning” effect (darkening of the skin) that occurs when a person is exposed to the sun is somewhat protective due to:
A) increased production of melanin that helps to block ultraviolet light
B) an increased concentration of keratin that “toughens” the skin
C) added layers of epidermis that thicken the skin
D) an increased blood supply that carries the heat of the sun away
E) a decreased blood supply that blocks melanocyte activity
A) increased production of melanin that helps to block ultraviolet light
79) Nutrients reach the surface of the skin (epidermis) through the process of:
A) absorbing materials applied to the surface layer of the skin
B) utilizing the products of glands to nourish the epidermis
C) filtration
D) diffusing through the tissue fluid from blood vessels in the dermis
E) osmosis
D) diffusing through the tissue fluid from blood vessels in the dermis
80) Acne is a disorder associated with inflammation of the:
A) apocrine glands
B) sebaceous glands
C) eccrine glands
D) hair follicles
E) sudoriferous glands
B) sebaceous glands
81) Which of the following is NOT a true statement about the papillary layer of the dermis:
A) it is the deepest layer of the skin
B) it produces the pattern for fingerprints
C) it contains nerve endings that respond to touch and temperature stimuli
D) it is highly vascular
E) it is located immediately beneath the epidermis
A) it is the deepest layer of the skin
82) When the body temperature rises, which of the following takes place:
A) eccrine glands become active
B) arrector pili muscles contract
C) Pacinian corpuscles are stimulated
D) blood is prevented from reaching skin capillary beds
E) vitamin D synthesis is blocked
A) eccrine glands become active
83) Fingernails are:
A) a modification of the epidermis
B) derived from osseous tissue
C) extensions of the carpal bones
D) formed from a different embryonic layer
E) genetically controlled by a “delayed action” gene
A) a modification of the epidermis
84) The secretions of the eccrine glands are:
A) primarily uric acid
B) 99% water, sodium chloride, and trace amounts of wastes, lactic acid, and vitamin C
C) fatty substances, proteins, antibodies, and trace amounts of minerals and vitamins
D) solely metabolic wastes
E) basic
B) 99% water, sodium chloride, and trace amounts of wastes, lactic acid, and vitamin C
85) Apocrine glands:
A) are found all over the body
B) are found in the axillary and genital areas
C) are found on the palms of the hands and soles of the feet
D) are far more numerous than eccrine glands
E) are an important and highly efficient part of the body’s heat regulating quipment
B) are found in the axillary and genital areas
86) The secretion of sebum is stimulated:
A) by high temperatures
B) when the air temperature drops
C) by hormones, especially male sex hormones
D) as a protective coating when one is swimming
E) by nerve fibers during pain and stress
C) by hormones, especially male sex hormones
87) Sebaceous glands are important for:
A) production of keratin
B) keeping skin and hair cells soft and flexible
C) production of sweat
D) body heat regulation
E) production of vitamin D
B) keeping skin and hair cells soft and flexible
88) Vernix caseosa is a:
A) substance contributing to acne during adolescence
B) whitish material produced by fetal sebaceous glands
C) coat of fine, downy hair on the heads of balding men
D) cheesy-looking sudoriferous secretion on the skin of newborns
E) downy type of hair that covers the fetus in the fifth and sixth months
B) whitish material produced by fetal sebaceous glands
89) Mrs. J. has an allergy to certain chemicals that cause itching, redness, and swelling of her skin. Her condition is termed:
A) Impetigo
B) Alopecia
C) Erythema
D) Cyanosis
E) Contact dermatitis
E) Contact dermatitis
90) If a person has severe burns, the two most life-threatening concerns are:
A) pain and loss of intact skin
B) loss of mobility and sensation
C) redness and swelling
D) reduction in blood supply to the affected areas
E) dehydration and infection
E) dehydration and infection
91) Which of the following is an indication of melanoma:
A) a symmetrical mole
B) a pigmented spot that has smooth borders
C) a spot on the skin that is smaller than the size of a pencil eraser
D) a pigmented spot that is black
E) a pigmented spot that contains areas of different colors
E) a pigmented spot that contains areas of different colors
92) A physician estimates the volume of fluid lost in a severely burned patient by using
A) measuring urinary output and fluid intake
B) observing the tissues that are usually moist
C) blood analysis
D) using the “rule of nines”
E) performing enzyme studies
D) using the “rule of nines”
93) A new mother notices that her 6-month-old child has a yellow-orange complexion. Fearful that the child may have jaundice, she takes him to her pediatrician. After examining the child, the pediatrician declares him perfectly healthy and advises the mother to watch the child's diet. What could have been responsible for the change in skin color?
A) The yellow-orange pigment will be stored in the skin, producing a yellow-orange skin color.
B) The child probably has a fondness for vegetables that are high in carotene, such as sweet potatoes, squash, and carrots.
C) Both
D) Neither
C) Both
94) Vanessa's 80-year-old grandmother sets her thermostat at 26C (80F) and wears a sweater on balmy spring days. When asked why, the grandmother says she is cold. Can you give one possible cause for her feeling cold?
Most elderly people have poor blood flow to the skin. Thus, temperature receptors in the skin do not sense as much warmth as when there is a rich blood supply. The sensory information is relayed to the brain, and the brain interprets the temperature as cool or cold.
A) True
B) False
A) True
95) In a condition known as sunstroke, the victim appears flushed, the skin is warm and dry, and the body temperature rises dramatically. Explain these observations based on what you know concerning the role of the skin in thermoregulation.
When the body temperature increases, more blood flow is directed to the vessels of the skin. The red cells in the blood give the skin a redder than usual color and accounts for the victim's flushed appearance. The skin is dry because the sweat glands are not producing sweat (avoids further dehydration). Without evaporation cooling, not enough heat is dissipated from the skin, the skin is warm, and the body temperature rises.