Skin and Body Membranes: Chapter 4
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Questions and Answers

How does the integumentary system protect against mechanical damage?

  • By producing melanin to block ultraviolet radiation.
  • Through keratin to toughen cells and fat cells to cushion blows. (correct)
  • By utilizing an unbroken surface and an acid mantle.
  • By alerting the nervous system through heat receptors.
  • Which of the following mechanisms does the skin employ to prevent microbe damage?

  • Releasing sweat to wash away pathogens.
  • Secreting a water-resistant glycolipid to repel microbes.
  • Generating an electrical field that disrupts bacterial cell walls.
  • Maintaining an acidic surface and utilizing phagocytes. (correct)
  • What is the primary role of melanin in the integumentary system?

  • Assisting in the synthesis of vitamin D.
  • Aiding in the excretion of urea and uric acid.
  • Protecting against ultraviolet radiation. (correct)
  • Providing a waterproof barrier to prevent desiccation.
  • How does the integumentary system contribute to thermoregulation to prevent overheating?

    <p>Via activating sweat glands and enabling blood to flush into skin capillary beds. (D)</p> Signup and view all the answers

    Through which process does the integumentary system synthesize vitamin D?

    <p>Through converting modified cholesterol molecules in the skin when exposed to sunlight. (D)</p> Signup and view all the answers

    What role do pain receptors in the integumentary system perform?

    <p>Alerting the nervous system to potential damage. (B)</p> Signup and view all the answers

    How does the integumentary system prevent desiccation?

    <p>Through a water-resistant glycolipid and keratin. (C)</p> Signup and view all the answers

    What substances are excreted through the skin via perspiration?

    <p>Urea and uric acid. (D)</p> Signup and view all the answers

    Which of the following is the primary function of a serous membrane?

    <p>Secreting lubricating fluid to reduce friction between organs. (B)</p> Signup and view all the answers

    How does the structure of the cutaneous membrane contribute to its function?

    <p>The keratinized stratified squamous epithelium provides a tough, protective barrier. (D)</p> Signup and view all the answers

    Which type of membrane is characterized by lining body cavities that open to the exterior and is found in areas such as the respiratory and digestive tracts?

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

    Which characteristic is NOT associated with the epidermis?

    <p>Presence of abundant blood vessels for nutrient supply (D)</p> Signup and view all the answers

    A skin sample shows increased activity of dendritic cells. What condition is most likely occurring in the tissue?

    <p>Activation of immune response to a potential threat (A)</p> Signup and view all the answers

    A surgeon makes an incision through the parietal serosa of the abdominal cavity. Which layer is directly deep to this?

    <p>Areolar Connective Tissue (C)</p> Signup and view all the answers

    Which of the following is the correct order of epidermal layers from deepest to most superficial?

    <p>Stratum basale, stratum spinosum, stratum granulosum, stratum lucidum, stratum corneum (C)</p> Signup and view all the answers

    Which of the following characteristics is NOT associated with mucous membranes?

    <p>Always secretes mucus (A)</p> Signup and view all the answers

    How do keratinocytes contribute to the protective function of the skin?

    <p>By providing strength and acting as a water-repellent sealant (B)</p> Signup and view all the answers

    Predict what primary tissue type would have a membrane whose main function is to reduce friction?

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

    A patient has severely damaged their epidermis in a car accident. Which of the following is the MOST likely impact?

    <p>Increased risk of infection and dehydration (D)</p> Signup and view all the answers

    The dermis contains all of the following EXCEPT:

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

    In a lab experiment, a tissue sample is found to contain keratinized stratified squamous epithelium. Which type of membrane is this MOST likely from?

    <p>The cutaneous membrane (skin) (A)</p> Signup and view all the answers

    Which of the following best describes the primary function of the hypodermis?

    <p>Anchoring the skin to underlying organs and providing insulation (D)</p> Signup and view all the answers

    Which of the following is a primary function of melanin produced by melanocytes?

    <p>Contributing to skin color and protecting against UV radiation (A)</p> Signup and view all the answers

    How does the low pH of skin secretions contribute to the skin's function?

    <p>It prevents bacterial multiplication. (A)</p> Signup and view all the answers

    How does the skin contribute to thermoregulation during exercise?

    <p>By producing sweat from eccrine glands, leading to evaporative cooling. (A)</p> Signup and view all the answers

    Which of the following characteristics is NOT associated with nails?

    <p>Presence of melanocytes providing pigmentation. (A)</p> Signup and view all the answers

    Which of the following is the primary function of sebum produced by sebaceous glands?

    <p>To protect the skin and hair by providing lubrication. (B)</p> Signup and view all the answers

    A patient presents with itchy, red, peeling skin between their toes. Based on the information, which condition is the MOST likely diagnosis?

    <p>Athlete’s foot (Tinea pedis) (A)</p> Signup and view all the answers

    Why might an individual with a liver disorder exhibit jaundice?

    <p>Due to the liver's inability to process bilirubin, leading to its buildup in the blood. (B)</p> Signup and view all the answers

    How do arterioles within the dermis respond to a decrease in body temperature?

    <p>They constrict to reduce blood flow to the skin's surface, conserving heat. (D)</p> Signup and view all the answers

    What is the primary danger associated with extensive burn damage?

    <p>Dehydration and electrolyte imbalance. (C)</p> Signup and view all the answers

    What is the primary role of melanin in the skin?

    <p>To protect underlying cells from damage caused by ultraviolet radiation. (A)</p> Signup and view all the answers

    According to the 'rule of nines,' approximately what percentage of the total body surface area does the entire anterior trunk represent in an adult?

    <p>18% (B)</p> Signup and view all the answers

    Which of the events listed is the MOST immediate threat to life resulting from a severe burn?

    <p>Loss of protective skin barrier leading to dehydration. (D)</p> Signup and view all the answers

    Which cutaneous gland type is primarily responsible for thermoregulation throughout the body?

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

    What is the underlying cause of boils (furuncles)?

    <p>Inflammation of hair follicles. (A)</p> Signup and view all the answers

    What causes the redness associated with erythema?

    <p>Vasodilation of blood vessels near the skin's surface. (A)</p> Signup and view all the answers

    Which substance found in sweat also functions in the excretion of metabolic waste products?

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

    Pink, fluid-filled, raised lesions around the mouth and nose are MOST characteristic of which skin condition?

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

    A patient is experiencing redness, swelling, and pain, but no blistering, on their forearm after accidentally touching a hot surface. These symptoms are MOST consistent with which type of burn?

    <p>First-degree burn (B)</p> Signup and view all the answers

    A patient has a burn that involves the epidermis and a portion of the dermis. The skin is red, painful, and blistered. Which degree of burn is the patient MOST likely experiencing?

    <p>Second-degree (D)</p> Signup and view all the answers

    Why are third-degree burns often described as not painful immediately after the injury?

    <p>Nerve endings in the dermis have been destroyed. (B)</p> Signup and view all the answers

    Which characteristic is NOT associated with fourth-degree burns?

    <p>Skin regeneration is possible without grafting. (B)</p> Signup and view all the answers

    Based on the criteria for deeming burns critical, which patient should be MOST urgently treated?

    <p>A patient with second-degree burns covering 35 percent of their body. (B)</p> Signup and view all the answers

    Why is early detection and removal of squamous cell carcinoma important?

    <p>Early removal provides a good chance of cure. (A)</p> Signup and view all the answers

    What is the primary reason malignant melanoma is considered the most deadly form of skin cancer?

    <p>It metastasizes rapidly and is highly resistant to chemotherapy. (D)</p> Signup and view all the answers

    According to the ABCDE rule for melanoma detection, what does 'E' stand for?

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

    A dermatologist examines a mole on a patient's back and notes it is asymmetrical, has irregular borders, contains multiple colors, and is 7mm in diameter. According to the ABCDE rule, what is the MOST appropriate next step?

    <p>Recommend immediate further evaluation and possible biopsy. (D)</p> Signup and view all the answers

    Flashcards

    Epithelial Membranes

    Membranes that cover surfaces and line cavities, including cutaneous, mucous, and serous types.

    Cutaneous Membrane

    Dry membrane that serves as the outermost protective boundary, commonly known as the skin.

    Mucous Membranes

    Moist membranes that line body cavities open to the exterior, aiding in absorption or secretion.

    Serous Membranes

    Membranes that line closed body cavities, containing a visceral and parietal layer separated by serous fluid.

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    Visceral Layer

    Inner layer of serous membranes that covers organs.

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    Parietal Layer

    Outer layer of serous membranes that lines the body cavity.

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    Lamina Propria

    Loose connective tissue that supports mucous membranes.

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    Synovial Membranes

    Connective tissue membranes that line joint cavities and secrete synovial fluid for lubrication.

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    Synthesizes vitamin D

    The skin converts modified cholesterol into vitamin D when exposed to sunlight.

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    Functions of the Skin - Protection

    Protects deeper tissues from mechanical, chemical, and microbial damage using a physical barrier.

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    Keratin

    A protein that toughens the skin cells, providing a barrier against damage.

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    Sweat glands

    Glands that help with body temperature regulation through perspiration.

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    Melanin

    A pigment produced by melanocytes that offers protection from UV damage.

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    Acid mantle

    A thin film on the skin's surface that inhibits microbial growth due to its acidity.

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    Nerve receptors in skin

    Cells that detect heat, cold, and pain, alerting the nervous system to damage.

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    Excretion through skin

    The skin aids in excreting substances like urea and uric acid through sweat.

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    Epidermis

    Outer layer of skin, composed of stratified squamous epithelium.

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    Keratinocytes

    Cells in the epidermis that produce keratin for strength and water resistance.

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    Stratum basale

    Deepest layer of epidermis; where new skin cells are generated.

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    Melanocytes

    Cells in the epidermis that produce melanin, affecting skin color.

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    Stratum corneum

    Outermost layer of the epidermis; protects against damage.

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    Dermis

    Layer beneath the epidermis, composed of connective tissue and skin appendages.

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    Papillary layer

    Upper part of the dermis; consists of areolar connective tissue with dermal papillae.

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    Hypodermis

    Subcutaneous layer that anchors skin to organs; primarily adipose tissue for insulation.

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    Vitamin D Synthesis

    Process where skin produces vitamin D using sunlight.

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    Erythema

    Redness of the skin due to embarrassment or inflammation.

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    Sebaceous Glands

    Glands that produce sebum (oil) for skin lubrication.

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    Cutaneous Glands

    Exocrine glands for secretion of sweat and oil in skin.

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    Apocrine Sweat Glands

    Sweat glands located in armpits and genitals, activated at puberty.

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    Bruises

    Skin discolorations due to hematomas (blood leaks).

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    Skin Color Pigments

    Melanin, carotene, and hemoglobin contribute to skin color.

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    Hair Structure

    Hair is produced by hair follicles and consists of keratinized epithelial cells.

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    Nail Growth

    Nails grow from the nail matrix and are keratinized modifications of the epidermis.

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    Athlete's Foot

    A fungal infection (Tinea pedis) causing itchy, red peeling skin between toes.

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    Impetigo

    A bacterial infection causing pink, fluid-filled lesions, usually around mouth/nose.

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    Burn Severity

    Burns are categorized based on depth and damage; first-degree affects the epidermis.

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    Rule of Nines

    A method to estimate burn extent by dividing the body into 11 areas, each representing 9%.

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    Psoriasis Causes

    Psoriasis can be triggered by trauma, infections, hormonal changes, or stress.

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    Contact Dermatitis

    An allergic reaction causing itching, redness, and swelling after exposure to chemicals.

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    Second-degree burn

    A partial-thickness burn damaging the epidermis and part of the dermis, causing red, painful blisters.

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    Third-degree burn

    A full-thickness burn that destroys the epidermis and dermis, appearing gray-white, cherry red, or black, with lack of pain.

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    Fourth-degree burn

    A full-thickness burn extending into deeper tissues like bone and muscle, dry and leathery, necessitating surgery.

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    Critical burn criteria

    Conditions determining if burns are critical, such as percentage of body burned or location (like face, hands).

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    Basal cell carcinoma

    Least malignant and most common type of skin cancer, arising in the stratum basale with slow development.

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    Squamous cell carcinoma

    Second most common skin cancer affecting stratum spinosum, providing good cure chance if removed early.

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    Malignant melanoma

    The deadliest skin cancer derived from melanocytes, often metastasizes rapidly and detected via ABCDE rule.

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    ABCDE rule

    Criteria for assessing moles, including Asymmetry, Border irregularity, Color, Diameter over 6mm, and Evolution.

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    Study Notes

    Chapter 4: Skin and Body Membranes

    • Skin is the outermost protective boundary of the body
    • Skin is an epithelial membrane
    • The epidermis is keratinized stratified squamous epithelium
    • The dermis is primarily dense fibrous connective tissue
    • Mucous membranes line body cavities that open to the exterior
    • Mucous secretions are not required in all mucous membranes (e.g., urinary tract)
    • Mucous membranes have an underlying loose connective tissue (lamina propria) to support the epithelium
    • They function in absorption or secretion
    • Serous membranes line body cavities that are closed to the exterior, occurring in pairs (visceral and parietal layers)
    • Serous membranes are lubricated by serous fluid
    • Serous membranes are made of simple squamous epithelium over a thin layer of areolar connective tissue
    • Specific serous membranes are the peritoneum (abdominal cavity), pleura (around the lungs), and pericardium (around the heart).
    • The hypodermis lies beneath the dermis and connects the skin to underlying organs
    • This layer is composed mostly of adipose tissue, providing insulation and shock absorption
    • The skin aids in regulating body temperature through sweat glands and changes in blood vessel diameter
    • The skin detects stimuli (pressure, temperature, pain, and touch) via exteroreceptors
    • Skin synthesizes vitamin D from cholesterol with the help of sunlight. This important vitamin aids calcium absorption
    • The skin helps in removing waste products (urea, ammonia, uric acid)
    • The skin is comprised of two layers (epidermis and dermis); deeper down is the hypodermis
    • The epidermis consists of five layers, from deepest to most superficial: stratum basale, stratum spinosum, stratum granulosum, stratum lucidum, and stratum corneum
    • Keratinocytes, melanocytes, dendritic cells and Merkel cells are located in the epidermis
    • Different cell types within the epidermis have specific functions (e.g., keratinocytes provide strength, melanocytes produce melanin)
    • The dermis is made of two layers: papillary and reticular
    • The papillary layer is made of areolar connective tissue; contains dermal papillae extending into the epidermis
    • The reticular layer is a dense irregular connective tissue; blood vessels are plentiful in this layer
    • Skin contains appendages like glands (sebaceous and sweat), hair, and nails

    Integumentary System

    • The integumentary system consists of skin and its appendages
    • These appendages include sweat glands, oil glands, hair, and nails
    • The skin protects against damage of various types (mechanical, chemical, thermal and UV)
    • Skin plays an important role in regulating body temperature
    • Skin enables detecting sensations (pressure, temperature, touch)
    • Skin aids in vitamin D synthesis
    • Skin helps excretion of waste
    • Skin acts as a reservoir for blood

    Skin Color

    • Skin color is due to pigments (melanin, carotene, hemoglobin)
    • Melanin is a pigment that determines skin color
    • Carotene from vegetables gives an orange-yellow tint
    • Hemoglobin gives a red color depending on oxygenation levels

    Homeostatic Imbalances of Skin

    • Various skin conditions like infections (athlete's foot, boils), allergies, burns (first, second, third, and fourth degree), skin cancers (basal cell carcinoma, squamous cell carcinoma, malignant melanoma)
    • The ABCDE rule for recognizing melanoma (Asymmetry, Border irregularity, Color, Diameter, Evolution)

    Summary of Layers of the Epidermis

    • Summarizing the different layers of the epidermis from deepest to most superficial

    Cells in the Epidermis

    • There are different cell types in the epidermis (keratinocytes, melanocytes, Langerhans cells (dendritic cells), and Merkel cells)

    Structure of the Skin (Dermis)

    • Structure of the dermis layers (papillary and reticular)

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    Description

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