The Integumentary System (PHC411)

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Questions and Answers

What condition is characterized by thinning of hair or baldness?

  • Alopecia (correct)
  • Seborrheic dermatitis
  • Melanoma
  • Hirsutism

What is the average growth rate of nails per week?

  • 2 mm
  • 1.5 mm
  • 0.5 mm
  • 1 mm (correct)

What type of sweat gland is responsible for emotional sweating?

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

Which of the following substances is NOT secreted by sebaceous glands?

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

What is the primary function of ceruminous glands?

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

The nail matrix is important because it does what?

<p>Produces new nail cells (B)</p> Signup and view all the answers

Which type of sweat gland is most numerous in the skin?

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

What characterizes hirsutism?

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

What part of the hair is responsible for hair growth?

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

Which stage of hair growth lasts approximately 2-6 years?

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

What is the primary composition of the cortex of hair?

<p>Layers of elongated keratinized cells (A)</p> Signup and view all the answers

What is the function of the papilla in the hair follicle?

<p>Nourish the growing hair follicle (D)</p> Signup and view all the answers

What type of hair is described as fine, nonpigmented, downy hairs that cover the body of a fetus?

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

What happens during the regression stage of hair growth?

<p>Cells of hair matrix stop dividing and shrink (A)</p> Signup and view all the answers

What component beneath the hair root is responsible for producing the internal root sheath?

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

Which type of cells is most abundant in the epidermis and synthesizes keratin?

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

How is hair color primarily determined?

<p>Amount and type of melanin (B)</p> Signup and view all the answers

What is the primary function of melanocytes in the epidermis?

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

Where are Dendritic (Langerhans) cells primarily found in the epidermis?

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

What type of epithelium is the epidermis primarily composed of?

<p>Keratinized stratified squamous epithelium (A)</p> Signup and view all the answers

Which layer of the epidermis contains the stem cells?

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

What is the primary function of the stratum corneum?

<p>To provide a barrier against injury and microbial invasion (B)</p> Signup and view all the answers

If a large layer of the epidermis is destroyed, what process may be required for regeneration?

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

Which layer of the epidermis is primarily responsible for keratinization?

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

What is the primary characteristic of keratin that relates to its function?

<p>Offers protection due to its toughness (A)</p> Signup and view all the answers

What characterizes the stratum lucidum?

<p>It consists of flattened clear, dead keratinocytes. (A)</p> Signup and view all the answers

What is the role of tactile (Merkel) cells in the epidermis?

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

What is the primary composition of the dermis?

<p>Dense irregular connective tissue and collagen (A)</p> Signup and view all the answers

Which statement about psoriasis is correct?

<p>It results in the abnormal production of keratin. (C)</p> Signup and view all the answers

What type of connective tissue is found in the papillary region of the dermis?

<p>Loose areolar connective tissue (C)</p> Signup and view all the answers

Which epidermal layer is made up of dead, scaly cells that are continuously exfoliated?

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

What is the effect of constant friction on the stratum corneum?

<p>Increases cell and keratin production (C)</p> Signup and view all the answers

What is the primary purpose of fingerprints?

<p>Used for identifying individuals due to their uniqueness. (D)</p> Signup and view all the answers

What role do melanocytes play in skin color?

<p>They produce melanin in melanosomes. (D)</p> Signup and view all the answers

How does exposure to UV light affect melanin production?

<p>It increases enzymatic activity leading to more melanin production. (C)</p> Signup and view all the answers

Which factor is primarily responsible for skin color variations among individuals?

<p>The amount and distribution of melanin. (B)</p> Signup and view all the answers

What is the role of melanin in the skin?

<p>It absorbs UV radiation and prevents DNA damage. (B)</p> Signup and view all the answers

Which of the following describes the difference between dark and light skin?

<p>Melanin in dark skin breaks down more slowly than in light skin. (D)</p> Signup and view all the answers

What characterizes the subcutaneous layer in relation to drug absorption?

<p>It provides a moderate blood supply that impacts drug absorption rates. (D)</p> Signup and view all the answers

What is the purpose of using lipid-soluble solvents in transdermal drug administration?

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What is the primary method of thermoregulation during exercise in warm environments?

<p>Increasing sweat secretion from eccrine glands (B)</p> Signup and view all the answers

How does the skin contribute to protection against microbes?

<p>By releasing oils that kill bacteria (A)</p> Signup and view all the answers

Which process assists in the synthesis of Vitamin D in the skin?

<p>Absorption of UV rays and modification by enzymes in the liver and kidney (C)</p> Signup and view all the answers

What is one of the main functions of keratin in the skin?

<p>To provide structure and protect against abrasion (A)</p> Signup and view all the answers

What change occurs in the body during vasodilation in the skin?

<p>Increased blood flow to the skin's surface (A)</p> Signup and view all the answers

What is a determining factor in the type of wound healing that occurs?

<p>Depth of the injury (B)</p> Signup and view all the answers

Which of the following is not a cutaneous sensation provided by the skin?

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

What role do Langerhans cells play in skin protection?

<p>They alert the immune system to pathogens (B)</p> Signup and view all the answers

What is the significance of melanin in the skin?

<p>It absorbs UV rays and prevents damage to DNA. (A)</p> Signup and view all the answers

How do the melanin granules in dark-skinned individuals differ from those in light-skinned individuals?

<p>They are tightly packed and break down more slowly. (A)</p> Signup and view all the answers

What role do melanocytes play in skin color variability?

<p>They synthesize melanin which varies by UV exposure. (D)</p> Signup and view all the answers

What is the function of melanosomes in melanocytes?

<p>To synthesize and store melanin. (B)</p> Signup and view all the answers

What characteristic of the subcutaneous layer affects drug absorption?

<p>It provides stabilization for the skin relative to underlying tissues. (C)</p> Signup and view all the answers

Why do fingerprints remain unchanged throughout a person's life?

<p>They are created by the interaction of specific skin layers. (B)</p> Signup and view all the answers

Which statement correctly describes the absorption characteristics of transdermal drug administration?

<p>Lipid-soluble solvents are used to increase drug absorption through the skin. (D)</p> Signup and view all the answers

What factor primarily affects the enzymatic activity of melanocytes in the synthesis of melanin?

<p>Exposure to UV light. (C)</p> Signup and view all the answers

Flashcards

Epidermis

The outermost layer of skin, composed of stratified squamous epithelium.

Keratinocytes

The most abundant epidermal cells, producing keratin for protection.

Melanocytes

Epidermal cells that produce melanin, protecting skin from UV radiation.

Langerhans cells

Immune cells in the epidermis that help fight pathogens.

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Stratum basale

The deepest layer of the epidermis, containing stem cells and melanocytes.

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Stratum spinosum

A layer of the epidermis, characterized by keratin filaments and Langerhans cells.

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Skin Graft

A procedure to replace damaged skin.

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Cutaneous wound healing

The process by which the skin repairs itself following injury.

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Skin disorder

A medical condition affecting the skin.

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Fingerprint Formation

Fingerprints develop where the stratum basale meets the dermal papillae, creating unique ridge patterns.

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Fingerprint Uniqueness

Fingerprints are unique to each individual and do not change.

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Subcutaneous Layer Function

The subcutaneous layer stabilizes skin position relative to underlying tissues.

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Transdermal Drug Delivery

Substances absorb through the skin using oils/lipids. Drugs move slowly across.

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Skin Color - Melanin

Melanin, produced by melanocytes, is the primary determinant of skin color.

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Melanin Types

Eumelanin (brown/black) and pheomelanin (yellow/red) are types of melanin.

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Melanocyte Function

Melanocytes produce melanin, protecting skin from UV rays and neutralizing free radicals.

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UV Exposure and Melanin

UV exposure increases melanin production, darkening the skin.

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Skin Color Variations

People have the same number of melanocytes but different amounts of melanin, due to varying UV exposure.

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Stratum Granulosum

3-5 layers of flat keratinocytes undergoing apoptosis, containing keratohyalin and lamellar granules.

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Stratum Lucidum

Found only in thick skin (fingertips, palms, soles), this layer consists of flattened, clear, dead keratinocytes.

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Stratum Corneum

Many layers of dead, scaly, keratinized cells forming a protective barrier against abrasion, penetration, and water loss.

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Keratinization

Process of replacing viable cells with keratin protein as cells move to the surface of the skin.

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Callus Formation

Increased keratin production due to constant friction, resulting in skin thickening.

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Psoriasis

Chronic skin disorder causing rapid keratinocyte division and movement to the surface.

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Dermis

Layer of skin below the epidermis, composed of dense irregular connective tissue containing collagen and elastic fibers. Contains blood vessels, nerves, glands, and hair follicles.

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Papillary Region (Dermis)

Superficial layer of the dermis, composed of areolar connective tissue with dermal papillae increasing surface area.

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Reticular Region (Dermis)

Deeper layer of the dermis, composed of dense irregular connective tissue, and containing hair follicles, glands, and a lot of collagen and elastic fiber.

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Hair Shaft

The part of the hair above the skin's surface.

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Hair Follicle

The structure that encloses the hair root and is responsible for hair growth.

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Hair Root

The part of the hair below the skin's surface, extending into the dermis

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Medulla

The core of the hair, made of loosely arranged cells and air spaces.

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Cortex

The majority of the hair's structure, made of layers of keratinized cells.

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Cuticle

The outermost layer of the hair, composed of overlapping scaly cells that point outwards.

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Hair Growth Stages

Hair grows in cycles of growth, regression, and resting, with hair cells actively dividing, stopping, and resting for new growth.

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Lanugo Hairs

Fine, nonpigmented, downy hairs that cover a fetus's body.

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Vellus Hairs

Fine, short hairs barely visible, growing on most parts of the body.

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Terminal Hairs

Longer, coarse, heavily pigmented hairs that grow on specific body parts like the head, armpit and pubic region.

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Hair Color

Determined by the amount and type of melanin produced by melanocytes in the hair bulb.

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Hair Papilla

Connective tissue and blood vessels at the base of the hair follicle, nourishing the growing hair follicle.

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Hair Matrix

Cells in the hair bulb that produce new hair.

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Gray Hair Mechanism

Gray hair occurs due to a decrease in melanin production.

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Alopecia

Thinning of hair or baldness.

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Hirsutism Cause

Excessive hair growth in areas not usually hairy due to hormone imbalances from tumors.

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Nail Structure

Keratinized epidermal cells over fingers/toes forming the nail plate.

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Nail Growth

Nail cells divide and grow approximately 1mm per week, but growth is slower in toenails.

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Hyponychium

Structure beneath nail free edge attaching the nail to the fingertip.

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Eponychium

Stratum corneum at the proximal nail border.

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Nail Matrix

Cells dividing to produce new nail cells, determining nail growth.

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Sebaceous Glands Function

Sebum production, preventing dryness and inhibiting bacteria.

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Sebum Composition

Sebum is made of triglycerides, cholesterol, proteins, and inorganic salts.

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Eccrine Sweat Glands

Most numerous sweat glands, producing watery perspiration for thermoregulation.

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Apocrine Sweat Glands

Produce thicker, milky sweat for body odor, activated at puberty.

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Ceruminous Glands

Modified sweat glands in ear canal producing earwax.

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Thermoregulation (sweat)

Sweating releases heat from the body by evaporation at the skin surface, cooling the body down.

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Thermoregulation (blood flow)

Expanding or constricting blood vessels near the skin surface moves heat between the body's core and the environment.

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Skin Blood Reservoir

The skin holds a significant portion of the body's blood, acting as a reserve when needed.

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Skin Protection (keratin)

Hard protein that forms a barrier, protecting the skin from microbes, abrasion, heat, chemicals.

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Skin Protection (lipids)

Skin releases lipids to prevent water loss, keeping it hydrated.

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Skin Protection (sebum)

Oil produced by the skin that prevents drying and kills some bacteria.

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Skin Protection (pH)

Skin's acidity inhibits the growth of some microbes.

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Skin Protection (melanin)

Pigment that shields the skin from UV radiation.

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Skin Immunological Protection

Epidermal cells alert the immune system to pathogens, and the dermis fights infection.

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Cutaneous Sensations

Skin detects various sensations like touch, pressure, vibration, warmth, and coolness.

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Skin Excretion/Absorption

Skin eliminates substances (water, heat, salts, etc.) and absorbs others (fat-soluble vitamins).

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Vitamin D Synthesis

Skin produces a Vitamin D precursor that needs sunlight and further processing by the kidneys and liver for its active form.

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Epidermal Wound Healing

Repair of superficial wounds that affect only the epidermis, usually with full restoration of function.

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Deep Wound Healing

Repair of wounds that extend to the dermis and subcutaneous layer, often leaving scars.

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Study Notes

The Integumentary System (PHC411)

  • The integumentary system encompasses the skin, hair, and nails.
  • The system's structure is crucial for its function.
  • Skin has 3 main layers: epidermis, dermis, and hypodermis.
  • The epidermis is the outermost protective layer composed of stratified squamous epithelium.
  • The dermis is the middle layer, thick, dense irregular connective tissue containing collagen and elastic fibers.
  • The hypodermis is the deepest layer which consists of areolar connective tissue and adipose tissue.
  • Skin also has four major cells: keratinocytes, melanocytes, Langerhans cells, and Merkel cells.
  • Epidermal cells include the stratum corneum, stratum lucidum, stratum granulosum, stratum spinosum, and stratum basale.
  • Skin color is primarily due to melanin, produced by melanocytes.
  • Skin also contains sebaceous and sweat glands to control body temperature.
  • Hair structures include the follicle, shaft, root, cuticle, cortex, medulla and papilla.
  • Nails are made of hard keratinized epidermal cells found on the dorsal surfaces of fingers and toes.

Skin Structure

  • Epidermis (superficial): Composed of epithelial tissue, avascular, several layers.
  • Dermis (middle): Thick, dense irregular connective tissue, richer blood supply, contains capillaries and nerve endings.
  • Hypodermis (deepest ): Contains adipose tissue and blood vessels, more fat than other layers.

Skin Cells

  • Keratinocytes: Majority, synthesize keratin for protection and structure.
  • Melanocytes: Synthesize melanin for UV protection, located in stratum basale and spinosum layers.
  • Dendritic Cells (Langerhans): Immune system cells, found in stratum spinosum and granulsum, migrate to lymph nodes.
  • Merkel Cells: Sensory receptors, found in stratum basale, involved in touch and pressure sensations.

Skin Color

  • Melanin: Pigment produced by melanocytes, responsible for most of the variation in skin color, affects UV protection.
  • Hemoglobin: Red pigment of red blood cells, responsible for reddish coloration.
  • Carotene: Yellow-orange pigment of vegetables and egg yolks, Concentrated in the stratum corneum and hypodermis.
  • Skin color is an important indicator of certain medical conditions like Jaundice or abnormalities like Vitiligo.

Skin Glands

  • Sebaceous glands: Associated with hair follicles, secrete sebum (oily substance), prevents hair and skin dehydration, and prevents bacterial growth.
  • Sudoriferous glands: include eccrine sweat glands (most numerous, water perspiration) and apocrine sweat glands (produce thicker sweat, in certain areas like groin).

Functions of Skin

  • Protection: Prevents dehydration, protects against UV radiation, chemicals, and injury.
  • Thermoregulation: Releases sweat for evaporation, and vessels dilate or constrict for heat distribution.
  • Sensation: Detects touch, pressure, temperature, and pain.
  • Excretion: Eliminates waste products through sweat.
  • Vitamin D synthesis: Synthesizes Vitamin D in response to UV radiation.
  • Reservoir: Blood vessels carry a significant volume of blood (8-10%).

Wound Healing

  • Epidermal wound healing: Occurs in superficial wounds, returns to normal function.
  • Deep wound healing: Occurs when the dermis is injured, loss of function, scarring is likely.

Burns

  • Classification: First-degree, second-degree, and third-degree burns, based on depth of damage.
    • First degree: Involves epidermis only.
    • Second degree: Damage to epidermis and some dermis.
    • Third degree: Destroys epidermis, dermis, and subcutaneous layers.
  • Severity: Classified by the extent and depth of tissue damage.
  • Treatment: Varies based on the severity of the burn injury.

Skin Cancer

  • Risk factors: Exposure to UV radiation from the sun, being fair-skinned, age.
  • Types: Basal cell carcinoma, squamous cell carcinoma, malignant melanoma.

Common Skin Disorders

  • Conditions like Alopecia, Hirsutism, Dermatitis, Eczema, Folliculitis, Herpes, Shingles, Impetigo, Psoriasis, Ringworm, Scabies, Warts and others.

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