Skin Biology Quiz

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Questions and Answers

What is the approximate weight percentage of the skin compared to total body weight?

  • 3%
  • 5%
  • 10%
  • 7% (correct)

Which layer of the skin is primarily responsible for temperature regulation?

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

What role does skin pigmentation play in protecting the body?

  • Enhances sensation
  • Aids in vitamin D synthesis
  • Increases moisture retention
  • Prevents UV radiation damage (correct)

Which structure primarily forms the barrier against dehydration in the skin?

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

What is the primary method through which skin absorbs substances?

<p>Via transcutaneous diffusion (C)</p> Signup and view all the answers

What physiological effect does elevated body temperature have on the skin's blood vessels?

<p>Dilates blood vessels (C)</p> Signup and view all the answers

Which statement is true about the epidermis?

<p>It is about 0.1 mm thick. (A)</p> Signup and view all the answers

How does aging affect the skin?

<p>Decreases moisture content (A)</p> Signup and view all the answers

Which layer of the skin is primarily composed of loose connective tissue and fat?

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

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

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

What is the primary component of collagen in the skin's structure?

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

Which layer of the skin primarily synthesizes keratin?

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

What percentage of the dermis consists of collagen?

<p>80% (C)</p> Signup and view all the answers

What role do fibroblasts play in the skin?

<p>Synthesize collagen and elastin (B)</p> Signup and view all the answers

What substance is primarily responsible for the moisture retention in the dermis?

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

Which layer of the epidermis is involved in the keratinization process?

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

What happens to the collagen fibers as skin ages?

<p>They degenerate and loosen (C)</p> Signup and view all the answers

What type of cells are primarily responsible for the immune response in the skin?

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

In which layer does the conversion to mature keratin occur?

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

What is the primary function of the dermal papillae?

<p>Supply nutrients to the epidermis (D)</p> Signup and view all the answers

What is the primary function of keratinocytes in the epidermis?

<p>To produce keratin for protection (D)</p> Signup and view all the answers

Which layer of the epidermis is primarily responsible for the skin's strength and flexibility?

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

What occurs in the stratum granulosum?

<p>Cells lose water and begin to die. (B)</p> Signup and view all the answers

Which cells in the epidermis help absorb harmful UV radiation?

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

What are the characteristics of the stratum lucidum?

<p>Contains layers of flat, dead keratinocytes (C)</p> Signup and view all the answers

What happens when the basal layer of the epidermis is damaged?

<p>Skin grafting may be necessary for restoration. (B)</p> Signup and view all the answers

How does the stratum corneum contribute to skin protection?

<p>By forming a physical barrier of dead cells (B)</p> Signup and view all the answers

What is the primary characteristic of malignant melanoma?

<p>It tends to metastasize rapidly. (A)</p> Signup and view all the answers

Which of the following UV rays is mostly absorbed by the ozone layer?

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

What is the function of lamellar granules found in the stratum granulosum?

<p>To release waxy lipids for moisture retention (A)</p> Signup and view all the answers

What role do tactile cells play in the skin?

<p>Detecting touch sensations (B)</p> Signup and view all the answers

What typically causes pressure ulcers?

<p>Continuous lack of blood flow to tissues. (A)</p> Signup and view all the answers

In which skin area would you most likely find the stratum lucidum?

<p>On the palms of the hands (A)</p> Signup and view all the answers

What is a significant risk of burns covering more than 70% of the body surface area?

<p>They can lead to sepsis in most cases. (D)</p> Signup and view all the answers

What is the role of matrix metalloproteinase (MMP) in skin damage?

<p>It degrades collagen fibers. (D)</p> Signup and view all the answers

Which sign is NOT used to detect malignant melanoma?

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

How does sunlight primarily affect the skin?

<p>It increases the production of free radicals. (D)</p> Signup and view all the answers

What type of burn affects only the skin's surface and does not penetrate deeper layers?

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

What type of sweat glands are responsible for body odor and begin to function during puberty?

<p>Apocrine sweat glands (A)</p> Signup and view all the answers

What is the primary function of ceruminous glands found in the ear canal?

<p>Produce earwax to trap foreign particles (B)</p> Signup and view all the answers

Which of the following changes is associated with skin aging?

<p>Decreased number of fibroblasts (B)</p> Signup and view all the answers

How does nicotine in cigarette smoke affect the skin?

<p>Decreases oxygen supply to the skin (C)</p> Signup and view all the answers

What is the growth rate of nails typically measured at?

<p>1 millimeter per week (D)</p> Signup and view all the answers

What skin condition is primarily linked to the UV exposure and type of skin?

<p>Basal cell carcinoma (B)</p> Signup and view all the answers

What consequence may arise due to a decrease in sebaceous gland activity with age?

<p>Dryness and cracking of skin (A)</p> Signup and view all the answers

Which of the following is NOT a component in the secretion of apocrine sweat glands?

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

What typically happens to collagen fibers in the skin as a person ages?

<p>They lose structure and become fragmented (A)</p> Signup and view all the answers

Which vitamin is significantly affected by smoking and is important for skin health?

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

What is the primary factor that determines skin color?

<p>Melanin produced by melanocytes (D)</p> Signup and view all the answers

Which layer of the dermis constitutes approximately 80% of its thickness?

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

What is the role of elastin fibers in the skin?

<p>To allow skin to stretch and return to shape (A)</p> Signup and view all the answers

Which pigment can accumulate excessively and cause skin spots?

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

What type of administration involves the delivery of substances through the dermis?

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

What condition is characterized by the absence of melanin production?

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

Which receptor is responsible for touch sensation in the skin?

<p>Meissner's corpuscles (D)</p> Signup and view all the answers

What percentage of hair follicles is in the resting phase at any given time?

<p>10-20% (D)</p> Signup and view all the answers

What are the main components of hair?

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

The papillary dermis increases surface area for which purpose?

<p>Enhancing sensory perception (D)</p> Signup and view all the answers

Flashcards

Skin

The largest organ in the human body, responsible for protecting the internal environment and regulating temperature.

Epidermis

The outermost layer of the skin, composed of epithelial cells arranged in multiple layers.

Dermis

The deeper layer of the skin, located beneath the epidermis, composed of connective tissue with blood vessels, nerves, and glands.

Hypodermis

A layer of loose connective tissue and fat located beneath the dermis, providing insulation and cushioning.

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Body Temperature Regulation

The process of regulating body temperature through the use of blood vessels and sweat glands.

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Protection

The skin acts as a physical and immune barrier, protecting the body from harmful substances, microbes, and ultraviolet radiation.

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Sensation

The ability of the skin to detect pressure, touch, temperature changes, and pain through specialized sensory receptors.

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Excretion and Absorption

The skin contributes to excretion by releasing sweat and sebum, and it can absorb some substances through the epidermal layers.

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Vitamin D Synthesis

The skin can convert a precursor molecule into vitamin D using ultraviolet radiation from sunlight.

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Skin Aging

A condition that can be caused by aging and other factors, resulting in changes in the skin's appearance and function.

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Keratinization

The process by which keratinocytes in the epidermis differentiate and become flattened, filled with keratin, and eventually shed.

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Keratin

A tough fibrous protein found in skin, hair, and nails, providing structural support and protection.

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Keratohyalin

A specific type of keratin found in the stratum granulosum layer of the epidermis, which helps in the formation of keratin fibers.

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Eleidin

A protein found in the stratum lucidum layer of thick skin, acting as an intermediate state of keratin.

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Elastin

A fibrous protein found in the dermis, providing elasticity and allowing the skin to stretch and recoil.

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Fibroblast

A type of cell found in the dermis, responsible for producing collagen, elastin, and other components of the extracellular matrix.

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Hyaluronic acid (HA)

A complex sugar molecule found in the dermis, acting as a humectant and contributing to skin hydration.

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Collagen network

A network of collagen fibers in the dermis, providing structural support and strength to the skin.

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Keratinocytes

The most abundant cell type in the epidermis, responsible for producing keratin, a protein that provides strength and protection to the skin.

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Melanocytes

Specialized cells in the epidermis that produce melanin, a pigment that gives skin its color and protects against harmful UV radiation.

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Langerhans cells

Immune cells found in the epidermis, playing a role in immune responses by presenting antigens to other immune cells.

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Tactile cells (Merkel cells)

Sensory cells found in the epidermis that help detect touch and pressure.

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Stratum basale (Basal layer)

The deepest layer of the epidermis, attached to the dermis. It contains stem cells that continuously produce new keratinocytes.

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Stratum spinosum (Prickly layer)

The thickest layer of the epidermis, composed of several layers of polygonal keratinocytes. It provides strength and flexibility to the skin.

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Stratum granulosum (Granular layer)

A layer of the epidermis where keratinocytes undergo apoptosis (programmed cell death), and keratinization (the process of becoming tough and waterproof) begins.

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Stratum lucidum (Clear layer)

A thin, translucent layer of the epidermis present only in thick skin (palms and soles). Cells in this layer contain a protein called eleidin, a precursor to keratin.

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Stratum corneum (Horny layer)

The outermost layer of the epidermis, composed of dead, flattened keratinocytes. It acts as a protective barrier against external factors.

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Papillary Dermis

The uppermost layer of the dermis, characterized by a loose network of collagen and elastic fibers, forming the dermal papillae which increase surface area.

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Reticular Dermis

The deepest layer of the dermis, comprising about 80% of the thickness, containing dense, irregular connective tissue, blood vessels, sensory and sympathetic nerves, and various structures like hair follicles and glands.

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Transdermal Administration

A method of drug delivery by applying medication directly to the skin.

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Subcutaneous Administration

A method of drug delivery by injecting medication into the subcutaneous layer.

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Intramuscular Administration

A method of drug delivery by injecting medication into the muscle.

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Melanin

The primary pigment responsible for determining skin color.

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Carotenoids

Yellow pigments found in the dermis, contributing to skin coloration.

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Hemoglobin

A protein found in red blood cells, also affecting skin color.

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Pheomelanin

A rarer type of melanin, producing a yellow-red hue to the skin.

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Eumelanin

A more common melanin, contributing to darker skin tones.

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Malignant Melanoma

A tumor that arises from melanocytes (pigment-producing cells) in the skin, capable of spreading to other parts of the body.

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Sun Damage (UV)

Visible signs of skin damage caused by prolonged exposure to ultraviolet radiation from the sun.

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Photosensitivity

An excessive reaction of the skin to sunlight, often amplified by certain medications or substances.

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Burns

Damage to skin tissue caused by heat, electricity, radiation, or chemicals. Characterized by protein denaturation and cell death.

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Pressure Ulcers

A breakdown of skin tissue caused by prolonged pressure on an area of the body, often affecting bedridden individuals.

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Melanoma Signs (ABCD)

A skin lesion characterized by asymmetrical shape, irregular borders, inconsistent color variations, and a diameter greater than 6mm.

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Heat-induced Collagen Degradation

The process of converting protein collagen into gelatin in the skin through the application of heat.

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Histamine Release

The release of histamine from injured cells in the skin, leading to increased blood vessel permeability and inflammation.

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What are apocrine sweat glands and their function?

Apocrine sweat glands are located in areas like the armpits, groin, areola, and genitals. They produce a thicker, milky or yellowish secretion with fats and proteins. These glands release sweat into hair follicles and become active during puberty.

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What are ceruminous glands and their function?

The ceruminous glands are located in the external auditory canal and produce a substance called cerumen (earwax). They are a combination of sebaceous gland and sweat gland secretions. Earwax, along with ear hair, provides a sticky barrier against foreign objects and insects, and protects the ear canal from water and infections.

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What are nails and their function?

Nails are hard, keratinized epidermal cells that form a protective plate over the tips of fingers and toes. They consist of the nail body, free edge, and nail root. They help grip and manipulate small objects, providing protection to the fingertips and toes.

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How fast do nails grow? Why are they pink?

The nail growth rate is around 1 millimeter per week, and it is a continuous process, not cyclical. The pinkish color of nails is due to the tiny capillaries under the nail plate.

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How do we assess the health of nails?

Healthy nails are assessed based on their shape, color, thickness, surface, and lunula, revealing their overall health condition.

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How does aging affect the skin?

The majority of age-related skin changes occur in the dermis. This process begins in the 20s and 30s, with a gradual reduction in collagen production, resulting in wrinkles. Elasticity of the skin deteriorates, and fibroblasts decrease in number.

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How does smoking affect the skin?

Smoking causes various skin damages through chemicals absorbed through the skin and mucous membranes. It reduces blood circulation, leading to dryness and poor wound healing. Smoking also increases free radical formation, damaging cells and increasing cancer risk. It also impacts collagen breakdown and hair follicle function.

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What is the role of the skin in calcium metabolism?

Calcitriol, the active form of vitamin D, is produced by the skin through exposure to sunlight. Calcitriol plays a vital role in calcium metabolism and bone health.

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What hormones are produced by the skin and what are their functions?

The skin produces hormones like vitamin D, stimulating the production of insulin-like growth factor 1 (IGF-1) and transforming growth factor beta (TGF-beta) which have a role in growth and development.

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What is skin cancer and what causes it?

Skin cancer is a serious condition that occurs when abnormal cells grow uncontrollably, forming tumors. It is commonly caused by excessive sun exposure, but other factors like skin type and genetics also play a role. There are three main types: Basal cell carcinoma, Squamous cell carcinoma, and Melanoma.

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Study Notes

Dermatological Physiology

  • The subject matter involves the physiology of the skin.
  • Skin weight accounts for roughly 7% of total body weight.
  • Skin thickness varies between 1.5mm and 4.4mm.
  • The skin consists of the epidermis and dermis layers.
  • The epidermis (outer layer) is approximately 0.1mm thick in the palms and soles, 0.8–1.4mm on the palms and soles.
  • The epidermis contains around 20-30% water.
  • The dermis (inner layer) lies below the epidermis.
  • Subcutaneous tissue (hypodermis) is below the dermis.
  • Skin is composed of areolar connective tissue and adipose tissue.
  • Subcutaneous tissue functions to connect skin to muscles, contain white blood cells, mast cells, and chemicals that facilitate inflammation, contain stored energy in fats, cushions bony areas, insulates from cold, and influences appetite. Also produces cytokines to activate white blood cells.

Lecture Objectives

  • Introduction to the structure and functions of the skin
  • Function of epidermal cells and stratum corneum
  • Impact of ultraviolet radiation and environmental factors
  • Influence of age and pathological changes on skin

Outline

  • Introduction to skin function
  • Stratum corneum layers
  • Dermal layers
  • Skin coloration
  • Appendages of the skin
  • Aging and skin disorders
  • Common skin abnormalities

Skin- Body's Largest Organ

  • Skin comprises 7% of total body weight
  • Skin thickness is 1.5 to 4.4 mm
  • Skin is divided into two layers: Epidermis and Dermis
  • Epidermis (epidermal layer): approx. 0.1mm (palms and soles 0.8-1.4 mm) and contains 20-30% water.
  • Dermis (dermal layer): lies beneath epidermis

Subcutaneous Tissue/Hypodermis

  • Located below the dermis
  • Composed of loose connective tissue and adipose tissue
  • Connect skin to underlying muscles

Body Temperature Regulation

  • Blood vessels (and sweat glands) regulate temperature
  • Blood flow changes with temperature changes
  • Sweating is a primary cooling mechanism

Protection

  • Physical barrier against pathogens,
  • Prevention of water loss
  • UV radiation protection
  • Barrier to pathogens and harmful substances
  • Barrier against microbes
  • Prevention from dehydration

Sensation

  • Sensory nerve endings for pressure, touch, temperature, and pain are located in the dermis
  • Sensory receptors detect stimuli and transmit signals to the brain
  • Skin aids in preventing external harm via detecting stimuli

Excretion and Absorption

  • Sweat and sebum release (secretion)
  • Limited transdermal absorption, but limited clinical use

Vitamin D Production

  • Skin produces vitamin D3 when exposed to UV radiation
  • Crucial for calcium and phosphorus regulation

Skin Structure - microscopic view

  • Keratinocytes (approx 90%)
  • Melanocytes (approx. 8%)
  • Langerhans cells
  • Tactile cells (Merkel cells)

Stratum Basale

  • Deepest layer of epidermis
  • Contains stem cells for new keratinocytes
  • Contains melanocytes (produce melanin)
  • Contains Merkel cells

Stratum Spinosum

  • Several layers of cells
  • Contains intermediate filaments (resisting mechanical stress)
  • Cells are interconnected via desmosomes (cell junctions)

Stratum Granulosum

  • 3-5 layers of flattened cells
  • Cells are dying and becoming keratinized
  • Contain keratohyalin granules (help form the stratum corneum)
  • Containing lamellar granules

Stratum Lucidum

  • Only present in thick skin
  • Clear layer of flattened, dead cells

Stratum Corneum

  • Outermost layer of epidermis
  • Many layers of flattened, dead cells
  • Forms a waterproof barrier
  • Lipids (ceramides, cholesterol, fatty acids) fill the spaces between the cells, contributing to the skin's barrier function
  • Water content generally ranges from 20–35%. 50-60% in granular layer, 65% in spinous, and 70 % in basal

Skin Coloration

  • Melanin production by melanocytes is primary factor for skin color
  • Carotenoids and hemoglobin contribute
  • Melanin protects against UV radiation

Skin Appendages

  • Hair follicles
  • Sebaceous glands
  • Sweat glands
    • Eccrine
    • Apocrine
  • Nails

Aging and Skin Disorders

  • Loss of collagen and elastin, reduced blood supply, and decreased cell turnover lead to wrinkles, sagging and a decrease in skin thickness
  • Skin's immune defenses lessen
  • Increased risk for age-related skin cancers

Pressure Ulcers

  • Also known as bedsores
  • Tissue damage due to prolonged pressure
  • Occur frequently in patients who are bedridden or immobile.
  • Develop frequently on bony areas (such as the heels, buttocks, or over the tailbone).

Burns

  • Thermal injuries to the skin.
  • Vary in severity depending on duration of exposure, temperature, and depth of tissue damage.
  • Degree of injury divided into categories: 1st, 2nd, and 3rd.
  • Healing times vary based on severity.

Skin Cancer

  • Basal cell carcinoma (most common)
  • Squamous cell carcinoma
  • Malignant melanoma (most serious type)
    • Diagnosed by asymmetry, irregular borders, color variation, diameter, evolution (ABCDE)

General Skin Function

  • Protection
  • Temperature regulation
  • Sensation
  • Excretion
  • Vitamin D synthesis

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