front 1 Select the most correct statement concerning skin cancer. A) Most tumors that arise on the skin are malignant. B) Squamous cell carcinomas arise from the stratum corneum. C) Melanomas are rare but must be removed quickly to prevent them from metastasizing. D) Basal cell carcinomas are the least common but most malignant. | back 1 C) Melanomas are rare but must be removed quickly to prevent them from metastasizing |
front 2 ________ is an inherited condition that affects the heme pathway; it leaves the skin scarred and gums degenerated, and may have led to the folklore about vampires. A) Decubitus ulcer B) Rosacea C) Impetigo D) Porphyria | back 2 D) porphyria |
front 3 A needle would pierce the epidermal layers of the forearm in which order? A) basale, spinosum, granulosum, lucidum, corneum B) basale, spinosum, granulosum, corneum C) granulosum, basale, spinosum, corneum D) corneum, granulosum, spinosum, basale | back 3 C) Corneum, granulosum, spinosum, basale |
front 4 Acne is a disorder associated with ________. A) ceruminous glands B) sebaceous glands C) Meibomian glands D) sweat glands | back 4 B) sebaceous glands |
front 5 The dermis ________. A) lacks sensory corpuscles and glands B) is where melanocytes are found C) is an avascular connective tissue layer D) has two layers | back 5 has two layers |
front 6 Which muscles attached to the hair follicles cause goose bumps? A) arrector folliculi B) arrector integument C) levator folliculi D) arrector pili | back 6 arrector pili |
front 7 If a splinter penetrated the skin into the second epidermal layer of the sole of the foot, which cells would be damaged? A) lucidum B) basale C) spinosum D) granulosum | back 7 lucidum |
front 8 Which of the following cutaneous receptors is specialized for the reception of touch or light pressure? A) Pacinian corpuscles B) free nerve endings C) Krause's end bulbs D) Meissner's corpuscles | back 8 Meissnerʹs corpuscles |
front 9 Which of the following is a skin sensory receptor for touch? A) Pacinian corpuscle B) Meissner's corpuscle C) Ruffini body D) free nerve ending | back 9 Meissner's corpuscle |
front 10 Which statement correctly explains why hair appears the way it does? A) Kin ky hair has flat, ribbonlike hair shafts. B) Gray hair is the result of hormonal action altering the chemical composition of melanin. C) Air bubbles in the hair shaft cause straight hair. D) Perfectly round hair shafts result in wavy hair. | back 10 Kinky hair has flat, ribbonlike hair shafts |
front 11 Sudoriferous glands vary in distribution over the surface of the body. Which of the following is correct? A) Apocrine glands are larger than eccrine, and empty secretions directly to the surface of the skin. B) Ceruminous glands secrete cerumen, which is thought to deter insects. C) Mammary glands are not considered a modified sweat gland. D) Eccrine are the most numerous, being found primarily in the axillary regions. | back 11 Ceruminous glands secrete cerumen, which is thought to deter insects |
front 12 Although the integument is a covering, it is by no means simple, and some of its functions include ________. A) epidermal blood vessels serving as a blood reservoir B) resident macrophage-like cells whose function is to ingest antigenic invaders and present them to the immune system C) the dermis providing the major mechanical barrier to chemicals, water, and other external substances D) cooling the body by increasing the action of sebaceous glands during high-temperature conditions | back 12 resident macrophage-like cells whose function is to ingest antigenic invaders and present them to the immune system |
front 13 The function of the root hair plexus is to ________. A) bind the hair root to the dermis B) allow the hair to assist in touch sensation C) cause apocrine gland secretion into the hair follicle D) serve as a source for new epidermal cells for hair growth after the resting stage has passed | back 13 allow the hair to assist in touch sensation |
front 14 Vernix caseosa is a ________. A) substance contributing to acne during adolescence B) cheesy-looking sudoriferous secretion on the skin of newborns C) whitish material produced by fetal sebaceous glands D) coat of fine, downy hair on the heads of balding men | back 14 whitish material produced by fetal sebaceous glands |
front 15 The ________ gland is a modified sudoriferous gland that secretes wax. A) apocrine B) mammary C) ceruminous D) eccrine | back 15 ceruminous |
front 16 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 merocrine glands to nourish the epidermis C) diffusing through the tissue fluid from blood vessels in the dermis D) filtration | back 16 diffusing through the tissue fluid from blood vessels in the dermis |
front 17 The reason the hypodermis acts as a shock absorber is that ________. A) it has no delicate nerve endings and can therefore absorb more shock B) the cells that make up the hypodermis secrete a protective mucus C) the major part of its makeup is adipose, which serves as an effective shock absorber D) it is located just below the epidermis and protects the dermis from shock | back 17 the major part of its makeup is adipose, which serves as an effective shock absorber |
front 18
Which type of skin cancer appears as a scaly reddened papule
and tends to grow rapidly and metastasize? A) Melanoma B) Basal cell carcinoma C) Squamous cell carcinoma D)Adenoma | back 18 Squamous cell carcinoma |
front 19 Keratinocytes are an important epidermal cell because they ________. A) produce a fibrous protein that gives the skin much of its protective properties B) are a powerful defense against damaging UV rays C) are able to reproduce sporadically as needed D) are able to transform from living cells to plasma membranes and still function | back 19 produce a fibrous protein that gives the skin much of its protective properties |
front 20 Melanocytes and keratinocytes work together in protecting the skin from UV damage when keratinocytes ________. A) maintain the appropriate temperature so the product of the melanocyte will not denature B) provide the melanocyte with a protective shield against abrasion C) accumulate the melanin granules on their superficial portion, forming a UV-blocking pigment layer D) maintain the appropriate pH in order for the melanocyte to synthesize melanin granules | back 20 accumulate the melanin granules on their superficial portion, forming a UV-blocking pigment layer |
front 21 The epidermis consists of five layers of cells, each layer with a distinct role to play in the health, well-being, and functioning of the skin. Which of the following layers is responsible for cell division and replacement? A) stratum basale B) stratum corneum C) stratum lucidum D) stratum granulosum | back 21 stratum basale |
front 22 The integumentary system is protected by the action of cells that arise from bone marrow and migrate to the epidermis. Which of the following cells serve this function? A) macrophages called epidermal dendritic cells B) keratinocytes, because they are so versatile C) tactile cells D) cells found in the stratum spinosum | back 22 macrophages called epidermal dendritic cells |
front 23 Water loss through the epidermis could cause a serious threat to health and well-being. Which of the following protects us against excessive water loss through the skin? A) Lamellated granules of the cells of the stratum granulosum, a glycolipid that is secreted into extracellular spaces. B) The dermis is the thickest portion of the skin and water cannot pass through it. C) Fat associated with skin prevents water loss. D) The size and shape of the cells that make up the stratum spinosum, as well as the thick bundles of intermediate filaments. | back 23 Lamellated granules of the cells of the stratum granulosum, a glycolipid that is secreted into extracellular spaces. |
front 24 The dermis is a strong, flexible connective tissue layer. Which of the following cell types are likely to be found in the dermis? A) goblet cells, parietal cells, and Kupffer cells B) osteoblasts, osteoclasts, and epithelial cells C) monocytes, reticulocytes, and osteocytes D) fibroblasts, macrophages, and mast cells | back 24 fibroblasts, macrophages, and mast cells |
front 25 The dermis has two major layers; which of the following constitutes 80% of the dermis and is responsible for the tension lines in the skin? A) the hypodermal layer B) the subcutaneous layer C) the reticular layer D) the papillary layer | back 25 the reticular layer |
front 26 Despite its apparent durability, the dermis is subject to tearing. How might a person know that the dermis has been stretched and/or torn? A) The appearance of visible, silvery-white scars is an indication of stretching of the dermis. B) The pain is acute due to the large number of Meissner's corpuscles. C) The stretching causes the tension lines to disappear. D) The blood vessels in the dermis rupture and the blood passes through the tissue, causing "black-and-blue marks." | back 26 The appearance of visible, silvery-white scars is an indication of stretching of the dermis. |
front 27
The papillary layer of the dermis is connective tissue
heavily invested with blood vessels. The superficial surface has
structures called: A) dermal papillae. B) ceruminous glands. C) hair follicles. D) reticular papillae. | back 27 dermal papillae. |
front 28 The design of a person's epidermal ridges is determined by the manner in which the papillae rest upon the dermal ridges to produce the specific pattern known as handprints, footprints, and fingerprints. Which of the following statements is true regarding these prints or ridges? A) Every human being has the same pattern of ridges. B) They are genetically determined, therefore unique to each person. C) Identical twins do not have the same pattern of ridges. D) Because we are constantly shedding epithelial cells, these ridges are changing daily. | back 28 They are genetically determined, therefore unique to each person. |
front 29 Which of the following statements indicates the way in which the body's natural defenses protect the skin from the effects of UV damage? A) Carotene, which accumulates in the stratum corneum and hypodermal adipose tissue, is synthesized in large amounts in the presence of sunlight. B) The skin is protected by increasing the number of epidermal dendritic cells, which help to activate the immune system. C) Prolonged exposure to the sun induces melanin dispersion, which in turn acts as a natural sunscreen. D) The skin is protected by the synthesis of three pigments that contribute to the skin's color. | back 29 Prolonged exposure to the sun induces melanin dispersion, which in turn acts as a natural sunscreen. |
front 30 Changes in the color of skin are often an indication of a homeostatic imbalance. Which of the following changes would suggest that a patient is suffering from Addison's disease? A) The skin appears to have an abnormal, yellowish tint. B) It is impossible to suggest Addison's disease from an inspection of a person's skin. C) The skin takes on a bronze or metallic appearance. D) Black-and-blue marks become evident for no apparent cause. | back 30 The skin takes on a bronze or metallic appearance. |
front 31 An epidermal dendritic cell is a specialized ________. A) nerve cell B) phagocytic cell C) melanocyte D) squamous epithelial cell | back 31 phagocytic cell |
front 32 What are the most important factors influencing hair growth? A) age and glandular products B) nutrition and hormones C) sex and hormones D) the size and number of hair follicles | back 32 nutrition and hormones |
front 33 Which of the following statements best describes what fingernails actually are? A) Fingernails are a modification of the epidermis. B) Fingernails are extensions of the carpal bones. C) Fingernails are derived from osseous tissue. D) Fingernails are a separate tissue from the skin, formed from a different embryonic layer. | back 33 A) Fingernails are a modification of the epidermis. |
front 34 Sudoriferous (sweat) glands are categorized as two distinct types. Which of the following are the two types of sweat glands? A) holocrine and mammary B) ec crine and apocrine C) sebaceous and merocrine D) mammary and ceruminous | back 34 B) ec crine and apocrine |
front 35 The composition of the secretions of the eccrine glands is ________. A) primarily uric acid B) 99% water, sodium chloride, trace amounts of wastes, and vitamin C C) metabolic wastes D) fatty substances, proteins, antibodies, and trace amounts of minerals and vitamins | back 35 B) 99% water, sodium chloride, trace amounts of wastes, and vitamin C |
front 36 Apocrine glands, which begin to function at puberty under hormonal influence, seem to play little role in thermoregulation. Where would we find these glands in the human body? A) in the axillary and anogenital area B) in the palms of the hands and soles of the feet C) in all body regions and buried deep in the dermis D) beneath the flexure lines in the body | back 36 A) in the axillary and anogenital area |
front 37 The sebaceous glands are simple alveolar glands that secrete a substance known as sebum. The secretion of sebum is stimulated ________. A) as a protective coating when one is swimming B) by high temperatures C) b y hormones, especially androgens D) when the air temperature drops | back 37 C) b y hormones, especially androgens |
front 38 In addition to protection (physical and chemical barrier), the skin serves other functions. Which of the following is another vital function of the skin? A) The cells of the epidermis store glucose as glycogen for energy. B) It aids in the transport of materials throughout the body. C) It absorbs vitamin C so that the skin will not be subject to diseases. D) It converts modified epidermal cholesterol to a vitamin D precursor important to calcium metabolism. | back 38 D) It converts modified epidermal cholesterol to a vitamin D precursor important to calcium metabolism. |
front 39 Burns are devastating and debilitating because of loss of fluids and electrolytes from the body. How do physicians estimate the extent of burn damage associated with such dangerous fluid loss? A) by using the "rule of nines" B) by measuring urinary output and fluid intake C) by observing the tissues that are usually moist D) through blood analysis | back 39 A) by using the "rule of nines" |
front 40 What is the first threat to life from a massive third-degree burn? A) catastrophic fluid loss B) infection C) unbearable pain D) loss of immune function | back 40 A) catastrophic fluid loss |
front 41 Male pattern baldness has a genetic switch that turns on in response to ________. A) age B) weight C) size D) Male hormones | back 41 D) Male Hormones |
front 42 Eyebrow hairs are always shorter than hairs on your head because ________. A) eyebrow follicles are only active for a few months B) the vascular supply of the eyebrow follicle is one-tenth that of the head hair follicle C) hormones in the eyebrow follicle switch the growth off after it has reached a predetermined length D) they grow much slower | back 42 A) eyebrow follicles are only active for a few months |