Stanbridge - T1 - Physiology - W7 - Respiratory & Integumentary Systems
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Questions and Answers

What is the outermost layer of the skin called?

  • Dermis
  • Epidermis (correct)
  • Subcutaneous layer
  • Hypodermis

Which component in the epidermis is responsible for skin pigmentation?

  • Keratinocytes
  • Fibroblasts
  • Sebocytes
  • Melanocytes (correct)

What type of gland increases in function with puberty, primarily found in armpits and the pubic region?

  • Sebaceous glands
  • Apocrine glands (correct)
  • Merocrine glands
  • Ceruminous glands

What important role does the dermis play?

<p>Contains sensory nerves and blood vessels (A)</p> Signup and view all the answers

Which layer of skin contains the majority of the skin's collagen and elastin fibers?

<p>Dermis (A)</p> Signup and view all the answers

What is the primary function of sebaceous glands in the skin?

<p>Produce a lubricant for hair and skin (B)</p> Signup and view all the answers

How does aging affect the skin's ability to maintain moisture?

<p>Decreases the production of sebum (C)</p> Signup and view all the answers

Which statement accurately describes the role of hemoglobin in blood pH regulation?

<p>Hemoglobin acts as a buffer by interacting with hydrogen ions. (D)</p> Signup and view all the answers

What is a significant chemical barrier function of the skin?

<p>Produces antibodies (B)</p> Signup and view all the answers

What initiates the drive to control respiration in relation to carbon dioxide levels?

<p>Increase in hydrogen ions leading to a decrease in pH. (B)</p> Signup and view all the answers

Which type of sweat gland is responsible for producing sweat with a higher protein content?

<p>Merocrine glands (B)</p> Signup and view all the answers

Which layer of the skin is primarily responsible for thermoregulation and sensation?

<p>Dermis (D)</p> Signup and view all the answers

Which layer below the skin is NOT considered part of the skin but provides protective functions?

<p>Hypodermis (B)</p> Signup and view all the answers

How does aging affect the skin's ability to maintain hydration?

<p>Thinning of the epidermis. (A)</p> Signup and view all the answers

Which of the following substances can penetrate biological barriers and enter the body?

<p>Nitroglycerine (B)</p> Signup and view all the answers

Which form of respiration involves an increase in the rate and depth of breathing in response to metabolic needs?

<p>Hyperpnea (B)</p> Signup and view all the answers

What is hypercapnia?

<p>Elevated carbon dioxide levels in the blood. (B)</p> Signup and view all the answers

What is the role of dermal macrophages in the immune response?

<p>They engulf foreign substances. (A)</p> Signup and view all the answers

Which of the following is NOT a function of the skin?

<p>Production of insulin. (D)</p> Signup and view all the answers

What happens to dermal blood vessels when the external environment is warm?

<p>They dilate to release heat. (A)</p> Signup and view all the answers

Which receptor is responsible for sensing deep pressure in the skin?

<p>Lamellar (Pacinian) corpuscles (C)</p> Signup and view all the answers

Which respiratory component primarily cleans and moistens incoming air?

<p>Trachea (A)</p> Signup and view all the answers

What is the primary function of modifying cholesterol in the skin in relation to vitamin D?

<p>To convert it into a vitamin D precursor. (D)</p> Signup and view all the answers

What is the significance of bicarbonate ions in blood acid-base balance?

<p>They serve as a buffer for excess hydrogen ions. (A)</p> Signup and view all the answers

Which statement accurately describes the skin's role as a blood reservoir?

<p>It holds about 5% of the body's entire blood volume. (B)</p> Signup and view all the answers

What is the main waste eliminated through sweating?

<p>Urea (B)</p> Signup and view all the answers

What type of tissue damage is defined as a burn?

<p>Damage inflicted by intense heat or chemicals. (B)</p> Signup and view all the answers

Which type of skin receptor is sensitive to painful stimuli?

<p>Free nerve endings (D)</p> Signup and view all the answers

What physiological response occurs when the external temperature is perceived as cool?

<p>Dermal blood vessels constrict. (C)</p> Signup and view all the answers

Which type of burn involves damage only to the epithelial cells without affecting the dermal tissue?

<p>Superficial/First Degree (B)</p> Signup and view all the answers

What is a common characteristic of partial-thickness/Second degree burns?

<p>They present with blisters. (C)</p> Signup and view all the answers

Which assessment tool is used to estimate the percentage of body surface area burned?

<p>Rule of 9's (B)</p> Signup and view all the answers

What percentage of the total body surface area does the genitalia account for in adults according to the Rule of 9's?

<p>1% (C)</p> Signup and view all the answers

Full-thickness/Third degree burns typically require which of the following treatments?

<p>Skin grafting (B)</p> Signup and view all the answers

In the case of significant burns, immediate threats to life are primarily due to loss of what?

<p>Bodily fluids with proteins and electrolytes (A)</p> Signup and view all the answers

For a patient with burns covering both anterior legs, groin, and front chest and abdomen, what would be the total burned body surface area according to the Rule of 9's?

<p>36% (A)</p> Signup and view all the answers

Which layer of the skin is affected in partial-thickness/second degree burns?

<p>Epidermis and upper dermis (A)</p> Signup and view all the answers

Which of the following statements is NOT true about full-thickness/third degree burns?

<p>They only damage the epidermis. (D)</p> Signup and view all the answers

What physiological change is a key concern in managing burn injuries?

<p>Loss of bodily fluids (A)</p> Signup and view all the answers

Flashcards

Respiratory System Organs

The parts of the body responsible for breathing, including the nose, pharynx, larynx, trachea, bronchi, bronchioles, and alveoli.

Pharynx (throat)

The throat; a passageway for air and food, connecting the nasal cavity and mouth to the larynx and esophagus.

Larynx (voice box)

A cartilage structure at the top of the trachea; responsible for vocalization and preventing food from entering the lungs.

Trachea (windpipe)

The tube that connects the larynx to the bronchi; cleans, warms, and moistens incoming air.

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Hypercapnia

High carbon dioxide levels in the blood.

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Hypocapnia

Low carbon dioxide levels in the blood.

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Hyperventilation

Increased rate and depth of breathing exceeding the body's need to remove carbon dioxide.

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Hypoxia

Inadequate oxygen delivery to body tissues.

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Pleura

Double-layered serosa surrounding the lungs; visceral pleura covers the lungs, parietal pleura lines the thoracic cavity.

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Alveoli

Tiny air sacs in the lungs where gas exchange occurs.

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Dermal blood vessels constriction

Dermal blood vessels narrow, reducing blood flow to the skin, conserving heat.

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Sweat excretion

Sweat removes nitrogenous wastes like ammonia, urea, and uric acid.

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Body temperature regulation

The body adjusts blood flow and sweating to maintain stable internal temperature.

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Immune system cells in skin

Dendritic cells and dermal macrophages fight pathogens that penetrate the skin.

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Cutaneous sensation

Nerve endings in the skin detect touch, pressure, and pain.

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Vitamin D production

Sunlight converts modified cholesterol into vitamin D precursors, important for calcium absorption.

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Harmful substances penetration

Certain substances (e.g., toxins) can enter the body through the skin.

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Blood reservoir

The skin holds a reserve of blood, which can be redirected to other areas when needed.

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Burns effect

Burns damage tissues through heat, chemicals, electricity, or radiation, denaturing proteins and killing cells.

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Depth of Burns

Burns are categorized based on the level of tissue damage - 1st, 2nd, or 3rd degree.

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What are the layers of the skin?

The skin has three main layers: the epidermis (outermost), the dermis (middle, elastic layer), and the hypodermis (subcutaneous, connects skin to muscles).

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What is keratin?

Keratin is a strong, tough protein found in the skin, hair, and nails. It provides protection and structural support.

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What are melanocytes?

Melanocytes are specialized cells in the epidermis that produce melanin, the pigment that gives skin its color and protects from the sun.

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What is the function of the dermis?

The dermis is the middle layer of the skin, known as the 'true skin.' It's a strong, elastic layer that contains various structures, including sweat glands, oil glands, hair follicles, blood vessels, and sensory nerves.

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What is the hypodermis?

The hypodermis, also known as the subcutaneous layer, is not technically part of the skin, but it connects the skin to underlying muscles and is made of loose connective tissue and fat.

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What is the difference between merocrine and apocrine sweat glands?

Merocrine glands produce sweat that's mostly water (body sweat), while apocrine sweat glands produce a thicker sweat containing more organic material, contributing to body odor. Apocrine glands are found in areas like the armpits and pubic region.

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What are sebaceous (oil) glands?

Sebaceous glands are located all over the body, except the palms and soles. They produce oily sebum that lubricates and protects the skin and hair, and helps prevent water loss.

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What is the function of hair?

Hair functions as touch receptors. It can protect from sunlight, aid in temperature regulation, and even shield the eyes.

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What are nails made of?

Nails are made of hard keratin, the same protein found in hair and skin. They grow from a root under the skin.

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How does skin protect the body?

Skin provides several layers of protection: chemical barriers (acid mantle, defensins), physical barriers (lipid-soluble substances can pass through), and biological barriers (immune system cells like macrophages).

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Superficial Burn

A burn that only affects the outer layer of skin (epidermis), causing redness and pain. No blisters are present.

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Partial-Thickness Burn

A burn that affects the epidermis and part of the dermis, causing blisters, pain, and redness. It can also lead to scarring.

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Full-Thickness Burn

A severe burn that affects the entire skin (epidermis and dermis), causing significant damage, and often requires skin grafts.

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Rule of Nines

A method used to estimate the percentage of body surface area burned, dividing the body into 11 regions, each representing 9% of the total surface area.

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What is the percentage of body surface area burned if a patient has burns on both anterior legs and the groin?

According to the rule of nines, each leg represents 18% and the groin represents 1%, totaling 37% of the body surface area.

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Why are burns a threat to life?

Burns, especially severe ones, can cause a catastrophic loss of bodily fluids, leading to dehydration, electrolyte imbalance, and potential organ damage.

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What type of burn requires skin grafting?

Full-thickness burns require skin grafting as the entire skin layer is destroyed, and the body cannot repair it on its own.

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Why is fluid loss a major concern for burn patients?

Severe burns lead to significant fluid loss from the body, which can cause dehydration, electrolyte imbalance, and shock.

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What are the potential complications of burns?

Burns can lead to a variety of complications, such as dehydration, electrolyte imbalance, infection, shock, and scarring.

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What is the role of the Rule of Nines in burn care?

The Rule of Nines helps to quickly assess the severity of a burn injury by estimating the percentage of body surface area affected.

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Study Notes

Respiratory System

  • This is a study of the respiratory system, focusing on the FOX Chapter 16.

  • Objectives include learning the components of the respiratory system, describing airflow into and out of the lungs, and the reason for pressure changes.

  • The chapter also aims to explain ventilation and perfusion, oxygen transport, and carbon dioxide/oxygen transport differences.

  • Various neural controls of respiration are also included.

  • The four processes of respiration are described.

  • The first is pulmonary ventilation, consisting of inspiration (air into the lungs) and expiration (air out of the lungs).

  • The second is external respiration, where oxygen diffuses from the lungs into the blood, and CO2 diffuses from the blood to the lungs.

  • Third, transport of respiratory gases. The cardiovascular system, using blood, transports gases between the lungs and body tissues.

  • Finally, internal respiration, where oxygen diffuses from the blood to tissue cells, and CO2 diffuses from tissue cells to the blood.

  • The respiratory system organs are detailed including the upper and lower tracts.

  • Upper Respiratory Tract examples are nose, nasal cavity, paranasal sinuses, mouth, and pharynx.

  • Lower Respiratory Tract parts include larynx (voice box), trachea (windpipe), bronchi (right/left), bronchioles, and alveoli.

  • The pharynx (throat) is a passageway for air and food, connecting the nasal cavity and mouth to the larynx and esophagus. The uvula prevents food from going into the nose.

  • Larynx (voice box) has cartilage structure at the top of the trachea. The Adam's apple is part of the thyroid cartilage, and the epiglottis prevents food from entering the trachea. Vocal folds are vital for voice production, while the trachea cleans, warms, and moistens incoming air.

  • Structures of the trachea and larynx are included and diagrams help understand the relative positions of these organs.

  • Alveoli, air sacs at the end of terminal bronchioles, are where gas exchange with capillaries happens. Thin walls and squamous epithelium ease gas exchange.  About 300 million alveoli are present.  A key function of alveoli is that they secrete surfactant to prevent their collapse during exhalation.

  • Lungs are subdivided into lobes and sections of the respiratory system are further divided into lobes for clarity. Also note the role of the heart between the lungs-specifically for the left lung.

  • Diagrams present detailed views of the lungs and indicate important anatomical structures.

  •  Pleura and pleural cavity details are given. The pleura is a double-layered membrane (visceral and parietal) surrounding the lungs and lining the thoracic cavity. The pleural cavity lies between these layers and has pleural fluid.

  • Pulmonary ventilation is the mechanical process of breathing, using skeletal muscles to adjust the thoracic cavity's volume which generates the pressure gradients that causes airflow.

  • Atmospheric pressure affects the movement of air into and out of the alveoli, which is due to the pressure gradients.

  • The process of respiration is described, covering inhalation's role in bringing air into the lungs, typically driven by respiratory muscles of the thorax and diaphragm, and exhalation's role of expelling air from the lungs. Exhalation is commonly a passive process.

  • The diffusion of gases in relation to respiration is explained, including partial pressure and solubility.

  • Oxygen transport in the blood, is explained with the role of hemoglobin.

  • CO2 transport involves the blood’s conversion of CO2 into bicarbonate/carbonic acid, and how this impacts blood pH to drive respiration.

  • The roles of the nervous system (respiration center in brain stem) in respiration, including regulation, are highlighted. Also, Peripheral and central chemoreceptors and their impacts on respiration are detailed.

  • A negative feedback loop details how these components maintain balanced or homeostasis in ventilation and pH regulation through carbon dioxide.

  • Terms important for understanding respiratory system dysfunctions are included; examples: Hypercapnea, Hypocapnea, Hyperventilation, Hypoventilation, Hyperpnnea, Hypoxia, and Apnea.

  • Burn types and categories are listed.

  • Rule of 9's is presented as a way to estimate the extent of burns.

  • The effects of aging on skin are noted as being a key part of the integument.

  • Function of skin, accessory structures, and specialized glands in the skin are detailed.

  • Specialized glands include sebaceous or oil glands, sudoriferous or sweat glands, ceruminous glands, the tarsal glands, mammary glands, and ciliary glands.

  • The layers of the skin are explained, including the epidermis (outermost, very thin layer), the dermis (middle layer, elastic), and hypodermis (subcutaneous layer).

  • Hair and its follicle features and function are discussed in-depth.

  • The function and roles of nails are outlined.

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