The Integumentary System

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Questions and Answers

If a patient's skin is constantly exposed to high levels of mechanical stress, which skin layer would likely exhibit the MOST significant changes?

  • Stratum corneum, as it is the outermost layer and directly interacts with the environment.
  • Stratum basale, due to its high rate of mitosis and cell turnover.
  • Reticular layer of the dermis, owing to its dense network of collagen and elastic fibers. (correct)
  • Papillary layer of the dermis, because it is closest to the epidermis.

A researcher is studying the effects of a new topical medication designed to enhance skin elasticity. Which layer of the skin should the researcher target to achieve the BEST results?

  • Papillary layer of the dermis, to stimulate fibroblast activity and collagen production. (correct)
  • Hypodermis, to increase fat storage and plumpness.
  • Stratum basale, to promote cell regeneration and turnover.
  • Stratum corneum, to create a protective barrier and prevent moisture loss.

Following a severe burn, a patient experiences a compromised ability to regulate body temperature through sweating. Which of the following explains this complication?

  • Damage to the hypodermis reduces insulation, causing excessive heat loss.
  • Destruction of sebaceous glands impairs the skin's ability to produce a protective oily layer.
  • Damage to melanocytes reduces the skin's ability to absorb heat from the environment.
  • The burn damaged sweat glands, preventing evaporative cooling. (correct)

A forensic scientist is analyzing a skin sample found at a crime scene. Specifically, they're examining the epidermal ridges. What is the PRIMARY significance of analyzing these ridges?

<p>To identify the individual through fingerprint analysis. (C)</p> Signup and view all the answers

In a genetic disorder that impairs the function of Langerhans cells, what would be the MOST likely consequence?

<p>Compromised immune response in the skin. (D)</p> Signup and view all the answers

A patient is diagnosed with a condition that causes excessive keratinization of the stratum corneum. What would be the MOST likely symptom?

<p>Thick, scaly patches on the skin. (C)</p> Signup and view all the answers

A new drug is designed to selectively target and destroy melanocytes in the skin. What would be the MOST significant side effect?

<p>Increased susceptibility to UV damage. (D)</p> Signup and view all the answers

In a patient with a spinal cord injury, leading to immobility, how would this MOST directly impact bone remodeling?

<p>Decreased bone density, because of reduced mechanical stress on the bones. (C)</p> Signup and view all the answers

If a child presents with bowed legs and bone pain, and blood tests reveal low levels of Vitamin D, which cellular process is MOST directly affected?

<p>Calcium absorption in the small intestine. (C)</p> Signup and view all the answers

A researcher discovers a new hormone that significantly increases osteoclast activity. What is the MOST likely effect of this hormone on blood calcium levels and bone density?

<p>Increased blood calcium levels and decreased bone density. (C)</p> Signup and view all the answers

If a drug inhibits the formation of hydroxyapatite crystals in bone, what would be the MOST likely consequence?

<p>Reduced bone strength and increased flexibility. (B)</p> Signup and view all the answers

A patient suffers a traumatic injury that severs the central canal of an osteon. What is the MOST immediate threat to the osteocytes in that osteon?

<p>Loss of blood supply and nutrient delivery. (A)</p> Signup and view all the answers

What distinguishes endochondral ossification from intramembranous ossification?

<p>Endochondral ossification involves a cartilage intermediate, while intramembranous ossification does not. (C)</p> Signup and view all the answers

A researcher is studying the effects of a growth factor that stimulates interstitial growth in long bones. What specific region of the bone would be MOST affected by this growth factor?

<p>The epiphyseal plate. (D)</p> Signup and view all the answers

What is the PRIMARY function of canaliculi in compact bone?

<p>To facilitate communication and nutrient exchange between osteocytes. (B)</p> Signup and view all the answers

What structural feature is UNIQUE to the axial skeleton compared to the appendicular skeleton?

<p>Protection of vital organs. (C)</p> Signup and view all the answers

A patient presents with difficulty in chewing and speaking due to a fractured bone. Which bone is MOST likely affected?

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

Damage to the hyoid bone is often a key indicator in forensic investigations involving strangulation. What is the PRIMARY reason for this?

<p>The hyoid bone is easily fractured due to its delicate structure and isolated position. (D)</p> Signup and view all the answers

If the sagittal suture were to prematurely fuse during infancy, what would be the MOST likely consequence?

<p>Restricted growth of the skull in the lateral direction. (A)</p> Signup and view all the answers

In a newborn, the fontanelles allow for skull compression during childbirth and brain growth. What tissue type primarily comprises the fontanelles?

<p>Fibrous connective tissue. (B)</p> Signup and view all the answers

Which of the following accurately describes the order of vertebral regions from superior to inferior?

<p>Cervical, thoracic, lumbar, sacral, coccyx. (B)</p> Signup and view all the answers

An aging individual develops hyperkyphosis. What is the PRIMARY region of the vertebral column affected by this condition?

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

What is the key distinction between true ribs and false ribs?

<p>True ribs attach directly to the sternum, while false ribs attach indirectly via cartilage. (D)</p> Signup and view all the answers

Why does a 'winged scapula' occur?

<p>Due to damage to, or weakness of, the serratus anterior muscle. (B)</p> Signup and view all the answers

In the forearm, how do the radius and ulna change position during pronation?

<p>The radius crosses over the ulna. (A)</p> Signup and view all the answers

What is the PRIMARY difference between a Colles' fracture and a Smith's fracture?

<p>Colles' fracture results from falling on an extended wrist, while Smith's fracture results from falling on a flexed wrist. (C)</p> Signup and view all the answers

What is the MOST important functional distinction between the true pelvis and the false pelvis?

<p>The true pelvis forms the birth canal, while the false pelvis supports the intestines. (B)</p> Signup and view all the answers

How does the shape of the pelvic inlet typically differ between males and females?

<p>The male pelvic inlet is heart-shaped, while the female pelvic inlet is oval. (A)</p> Signup and view all the answers

What is the PRIMARY cause of stress fractures in metatarsals?

<p>Chronic overuse and repetitive stress. (B)</p> Signup and view all the answers

What common characteristic of the vertebral column is MOST responsible for shock absorption during high impact activities?

<p>The curvatures of the vertebral column. (B)</p> Signup and view all the answers

A patient is diagnosed with a rare condition that prevents the formation of the stratum lucidum. Where on the body would this condition be MOST apparent?

<p>The skin on the palms of the hands and soles of the feet would lack extra protection. (B)</p> Signup and view all the answers

Transdermal drug delivery is advantageous for certain medications. What characteristic of the skin makes this route of administration possible?

<p>The skin's lipid-rich environment allows for the diffusion of certain lipophilic substances. (D)</p> Signup and view all the answers

Which of the following receptor types, located in the skin, enables the detection of gentle touch?

<p>Merkel cells. (A)</p> Signup and view all the answers

A patient presents with severely dry skin and brittle hair. Which gland is MOST likely malfunctioning?

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

A burn patient exhibits skin that is numb and has a waxy, white appearance. According to burn classification, what degree of burn MOST accurately describes these symptoms?

<p>Full-thickness (third-degree) burn. (A)</p> Signup and view all the answers

Which statement accurately contrasts compact and spongy bone?

<p>Compact bone provides strength and resistance to bending, while spongy bone is lightweight and supports red bone marrow. (C)</p> Signup and view all the answers

You are examining a tissue sample under a microscope and observe chondrocytes within lacunae, surrounded by a glassy matrix. No blood vessels are visible. Which type of tissue are you MOST likely observing?

<p>Hyaline cartilage. (B)</p> Signup and view all the answers

Which statement BEST expresses the interrelationship between calcitriol, parathyroid hormone (PTH) and the thyroid gland in maintaining calcium homeostasis?

<p>PTH stimulates calcitriol production, while calcitonin, produced by the thyroid gland, lowers blood calcium levels. (C)</p> Signup and view all the answers

A patient experiences a localized allergic reaction on their forearm, resulting in inflammation and redness confined to the epidermis. Which specific epidermal layer is MOST directly involved in this immediate response?

<p>Stratum spinosum, owing to its high concentration of Langerhans cells. (C)</p> Signup and view all the answers

A researcher is investigating a novel drug that aims to enhance the skin's ability to resist mechanical abrasion. Which of the following cellular changes would provide the MOST compelling evidence of the drug's effectiveness?

<p>Enhanced keratin production by keratinocytes. (C)</p> Signup and view all the answers

A patient presents with a rare genetic mutation that impairs the function of the reticular layer in the dermis. Dysfunction in this layer would MOST likely lead to:

<p>Compromised structural integrity and reduced skin resilience. (A)</p> Signup and view all the answers

A new cosmetic cream claims to reduce the appearance of wrinkles by stimulating collagen production. To what layer of the skin must this cream effectively deliver its active ingredients to achieve the desired result?

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

A patient with a severe autoimmune disorder experiences widespread destruction of sebaceous glands. Which of the following symptoms would MOST likely result from this condition?

<p>Increased skin dryness and hair brittleness. (D)</p> Signup and view all the answers

If a patient is unable to produce sebum, what function would be MOST inhibited?

<p>Keeping skin and hair soft and oily. (B)</p> Signup and view all the answers

A patient has a genetic mutation that results in non-functional Merkel cells. Which sensation would be MOST affected?

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

A burn patient has a large area of skin that is numb, charred black and waxy white. What immediate physiological threat is of GREATEST concern?

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

A patient reports a loss of sensation in their fingertips after a nerve injury. Evaluation reveals damage to specific mechanoreceptors. Which receptor type is MOST likely affected?

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

A patient is prescribed a transdermal patch for medication delivery. What property of the skin is MOST important for this method to be effective?

<p>Permeability of the skin barrier (C)</p> Signup and view all the answers

Flashcards

Functions of Skin

Protects from germs/injuries, keeps water in, regulates temperature, makes vitamin D, senses touch, removes waste, stores fat/water, blocks UV rays.

Transdermal Administration

Medicine delivered through the skin, like a patch.

Vasoconstriction

Blood vessels get smaller to keep heat in.

Vasodilation

Blood vessels get wider to release heat.

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Epidermis

Outer layer of skin; what you touch.

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Dermis

Middle layer of skin containing blood vessels, nerves, and hair follicles.

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Hypodermis (Subcutaneous)

Bottom layer of skin, mostly fat for insulation.

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Papillary Layer

Loose connective tissue that creates fingerprints.

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Reticular Layer

Dense connective tissue that provides skin strength.

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Stratified Squamous Epithelium

Tissue type in the epidermis.

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Connective Tissue

Tissue type in the dermis.

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Adipose and Connective Tissue

Tissue type in the hypodermis.

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Stratum Corneum

Outermost, dead cell layer that flakes off.

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Stratum Lucidum

Epidermal layer only in thick skin (palms/soles).

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Stratum Granulosum

Layer where epidermal cells start dying.

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Stratum Spinosum

Layer where epidermal cells join together.

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Stratum Basale

Deepest epidermal where new cells are made.

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Keratinocytes

Most common skin cells; make skin tough.

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Melanocytes

Cells that make melanin for skin color and sun protection.

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Merkel (Tactile) Cells

Cells that help you feel light touch.

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Langerhans (Dendritic) Cells

Immune cells that fight off invaders.

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Thick Skin

Palms and soles with all 5 epidermal layers.

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Thin Skin

Skin everywhere else, lacking stratum lucidum.

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Arrector Pili Muscles

Muscles connected to hair follicles that cause goosebumps.

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Sweat Glands

Glands that secrete sweat for cooling.

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Sebaceous Glands

Glands that secrete oil to keep skin/hair soft.

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1st-Degree Burn

Epidermis affected; red and sore.

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2nd-Degree Burn

Epidermis and part of dermis affected; blisters and swelling.

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3rd-Degree Burn

All skin layers (possibly deeper) affected; numb, black/white.

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Concerns After 3rd-Degree Burns

Loss of fluids leading to dehydration and risk of infection.

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Meissner’s Corpuscle

Receptor for light touch located in the upper dermis.

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Pacinian Corpuscle

Receptor for deep pressure & vibration, located in the deep dermis.

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Free Nerve Endings

Receptor for pain and temperature located all over the skin.

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Merkel cells

Receptor for gentle touch at the base of the epidermis

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Study Notes

  • The integumentary system protects against germs and injuries.
  • The integumentary system prevents dehydration.
  • The integumentary system regulates body temperature.
  • The integumentary system produces vitamin D with sunlight.
  • The integumentary system facilitates sensing touch, pain, and pressure.
  • The integumentary system removes waste through sweat.
  • The integumentary system stores fat and water.
  • The integumentary system blocks harmful UV rays.

Key Terms

  • Transdermal administration involves medicine delivered through the skin, like a patch.
  • Vasoconstriction occurs when blood vessels get smaller to conserve heat.
  • Vasodilation is when blood vessels widen to release heat.

Skin Layers

  • Epidermis: The outer layer is what you touch.
  • Dermis: The middle layer contains blood, nerves, and hair.
  • Hypodermis (subcutaneous): The bottom layer comprised of fat.

Dermis Layers

  • Papillary layer: Loose tissue creates fingerprints.
  • Reticular layer: Dense tissue provides skin strength.

Tissue Types

  • Epidermis: Made of stratified squamous epithelium (no blood).
  • Dermis: Connective tissue includes nerves and blood.
  • Hypodermis: Adipose (fat) and connective tissue are present.

Epidermis Layers

  • Stratum corneum: Dead, dry cells flake off.
  • Stratum lucidum: Only in thick skin (palms/soles).
  • Stratum granulosum: Cells begin to die in this layer.
  • Stratum spinosum: Cells join together.
  • Stratum basale: New cells are made here through mitosis.

Skin Cell Types

  • Keratinocytes: The most common cell makes the skin tough with keratin.
  • Melanocytes: Produce melanin to give skin color and protect from the sun.
  • Merkel (tactile) cells: Aid in sensing light touch.
  • Langerhans (dendritic) cells: Fight off invaders with an immune response.

Thick vs. Thin Skin

Feature Thick Skin Thin Skin
Location Palms, soles Everywhere else
Layers All 5 (lucidum) 4 (no lucidum)
Sweat glands Many Fewer
Hair/sebaceous None Present

Arrector Pili Muscles

  • Location: Connected to each hair follicle.
  • Function: Contract to make "goosebumps" when you're cold or scared.

Sweat vs. Sebaceous Glands

Feature Sweat Glands Sebaceous Glands
Secretion Sweat (water, salt, waste) Oil (sebum)
Function Cool the body Keep skin/hair soft & oily
Location All over (esp. thick skin) Next to hair follicles

Burns

Burn Type Layers Affected Symptoms Treatment
1st-degree Epidermis only Red, sore (like sunburn) Cool water, aloe, rest
2nd-degree Epidermis + part of dermis Blisters, swelling, painful Keep clean, cover, sometimes medical care
3rd-degree All skin layers (maybe deeper) Numb, black/white skin Emergency! Needs hospital & skin grafts
  • Two major concerns after 3rd-degree burns are fluid loss (dehydration) and infection.

Skin Nerve Receptors

Receptor Type Function (Senses...) Location
Meissner’s corpuscle Light touch Upper dermis (fingertips, lips)
Pacinian corpuscle Deep pressure & vibration Deep dermis
Free nerve endings Pain and temperature All over skin
Merkel cells Gentle touch Base of epidermis
  • Layers of Epidermis memory tip: "Come Let's Get Sun Burned" = Corneum → Lucidum → Granulosum → Spinosum → Basale (Top to bottom)

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