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Question: What does the integumentary system consist of?
Answer: The skin and accessory tissues including nails, hair, sweat glands, and sebaceous glands.
Question: What is another name for the skin?
Answer: Cutaneous membrane or integument.
Question: What are the primary protective functions of the integument?
Answer: It acts as a barrier to the outside world and protects against injury, microbes, and UV radiation.
Question: What is dermatology?
Answer: The study of skin.
Question: What are the layers of the integument?
Answer: Epidermis and dermis.
Question: What tissue type comprises the epidermis?
Answer: Keratinized, stratified squamous epithelium.
Question: What tissue type primarily comprises the dermis?
Answer: Dense irregular connective tissue.
Question: What tissue types make up the subcutaneous layer or hypodermis?
Answer: Areolar and adipose connective tissue.
Question: Is the subcutaneous layer part of the integumentary system?
Answer: No, it is deep to the dermis.
Question: What are the strata (layers) of the epidermis from deep to superficial?
Answer: Stratum basale, stratum spinosum, stratum granulosum, stratum lucidum, and stratum corneum.
Question: Which epidermal layers are composed of living keratinocytes?
Answer: The first three layers: stratum basale, stratum spinosum, and stratum granulosum.
Question: What is the deepest layer of the epidermis?
Answer: Stratum basale.
Question: What is the cellular structure of the stratum basale?
Answer: A single layer of cuboidal and columnar cells.
Question: What three cell types are found in the stratum basale?
Answer: Keratinocytes, melanocytes, and tactile cells.
Question: What is the function of keratinocytes in the stratum basale?
Answer: They act as stem cells that divide to regenerate new cells and synthesize keratin.
Question: What is keratin?
Answer: A tough, insoluble fibrous structural protein that strengthens the epidermis and makes it water-resistant.
Question: Where are melanocytes located?
Answer: Scattered among keratinocytes in the stratum basale.
Question: What is the function of melanocytes?
Answer: They produce and store melanin pigment and transfer melanosomes into keratinocytes.
Question: Why do melanocytes transfer pigment granules into keratinocytes?
Answer: To shield nuclear DNA from UV radiation.
Question: What are tactile cells also called?
Answer: Merkel cells.
Question: What is the function of tactile cells?
Answer: They are sensitive to touch and release chemicals that stimulate sensory nerve endings when compressed.
Question: What characterizes the stratum spinosum?
Answer: Several layers of polygonal keratinocytes attached by desmosomes.
Question: What are epidermal dendritic cells or Langerhans cells?
Answer: Cells found in the stratum spinosum and granulosum that initiate immune responses.
Question: What characterizes the stratum granulosum?
Answer: 3 to 5 layers of keratinocytes where keratinization begins.
Question: What happens to keratinocytes in the stratum granulosum?
Answer: They fill with keratin while their nucleus and organelles disintegrate, resulting in dead cells.
Question: What characterizes the stratum lucidum?
Answer: A translucent layer, 2 to 3 cell layers thick, found only on thick skin.
Question: Where is thick skin found?
Answer: Palms of hands and soles of feet.
Question: What translucent protein fills the cells of the stratum lucidum?
Answer: Eleidin.
Question: What are the functions of the stratum lucidum?
Answer: Protection from UV and reduction of friction.
Question: What characterizes the stratum corneum?
Answer: 20 to 30 layers of dead, interlocking, anucleate, keratinized cells.
Question: What protection does the stratum corneum provide?
Answer: Protection against abrasion, infection, and antimicrobial defense.
Question: Which epidermal layers are present in thick skin?
Answer: All five epidermal layers.
Question: What glands are found in thick skin?
Answer: Sweat glands (lacks hair follicles and sebaceous glands).
Question: What covers most of the body and lacks a stratum lucidum?
Answer: Thin skin.
Question: What structures are found in thin skin?
Answer: Sweat glands, hair follicles, and sebaceous glands.
Question: What three components determine typical skin color?
Answer: Hemoglobin, melanin, and carotene.
Question: What is hemoglobin?
Answer: An oxygen-binding protein in red blood cells that turns bright red upon binding oxygen.
Question: What are the two types of melanin?
Answer: Eumelanin and pheomelanin.
Question: What shades are associated with eumelanin?
Answer: Brown and black shades.
Question: What shades are associated with pheomelanin?
Answer: Lighter shades including tan, yellow, and red.
Question: What causes albinism?
Answer: Melanocytes are unable to produce melanin due to an enzyme malfunction.
Question: What is carotene?
Answer: A yellow-orange pigment acquired from certain vegetables.
Question: Where does carotene accumulate in the body?
Answer: In keratinocytes of the stratum corneum and subcutaneous fat.
Question: What is beta-carotene converted into in the liver?
Answer: Vitamin A.
Question: What role does vitamin A derived from carotene play?
Answer: A role in eyesight.
Question: What is a nevus?
Answer: A mole, which is a localized overgrowth of melanocytes.
Question: Why should nevi be monitored?
Answer: For changes suggesting UV-induced malignancy.
Question: What are freckles?
Answer: Yellowish or brown spots formed by localized areas of increased melanocyte activity.
Question: What is a hemangioma?
Answer: Skin discoloration due to a benign blood vessel tumor.
Question: What are friction ridges?
Answer: Large folds and valleys of the dermis and epidermis that form fingerprints.
Question: What is the papillary layer of the dermis composed of?
Answer: Areolar connective tissue.
Question: What are dermal papillae?
Answer: Projections of the dermis that interlock with epidermal ridges to increase contact area.
Question: What tissue type composes the reticular layer of the dermis?
Answer: Dense irregular connective tissue.
Question: What do parallel bundles of collagen and elastic fibers in the dermis produce?
Answer: Lines of cleavage.
Question: What causes stretch marks (striae)?
Answer: Tearing of collagen fibers when skin is stretched beyond its capabilities.
Question: What do Meissner corpuscles detect?
Answer: Fine touch discrimination in the ridges of fingerprints.
Question: What do nociceptors sense?
Answer: Tissue injury, damage, or pain.
Question: What do Pacinian corpuscles detect?
Answer: Pressure and vibrations deep in the dermis.
Question: Why do tattoos become permanent?
Answer: Dye is injected into the dermis where scar tissue surrounds dye granules too large for dendritic cells to ingest.
Question: What are some tattoo removal methods?
Answer: Excision, dermabrasion, cryosurgery, and laser removal.
Question: What are the functions of the subcutaneous layer?
Answer: Protection, energy storage, and insulation.
Question: Why is the subcutaneous layer a common drug injection site?
Answer: Its extensive vascular network promotes rapid absorption.
Question: Where does testosterone influence subcutaneous fat distribution?
Answer: Neck, upper arms, abdomen, lower back, and buttocks.
Question: Where do estrogen and progesterone influence subcutaneous fat distribution?
Answer: Mammary region, buttocks, hips, and thighs.
Question: How does the epidermis prevent water loss?
Answer: It is water-resistant, preventing excessive water loss while water is lost through sweat and transpiration.
Question: How is vitamin D synthesized in the skin?
Answer: UV light causes keratinocytes to convert a steroid into Vitamin D3.
Question: What is Vitamin D3 a precursor to?
Answer: Calcitriol.
Question: What is the function of calcitriol?
Answer: It increases absorption of calcium and phosphate from the diet and regulates blood calcium levels.
Question: What waste products are left on the skin through sweat?
Answer: Salt and urea.
Question: What is the function of sebum?
Answer: It lubricates skin and hair and provides water resistance.
Question: How does the skin regulate temperature through blood vessels?
Answer: Through vasoconstriction to conserve heat or vasodilation to release heat.
Question: How do nails and hair initially form?
Answer: As portions of the epidermis.
Question: What are nails and hair primarily composed of?
Answer: Dead keratinocytes.
Question: What are exocrine glands of the skin composed of?
Answer: Living epithelial cells.
Question: What are nails?
Answer: Scalelike modifications of the stratum corneum located on the dorsal edges of fingers and toes.
Question: What are the functions of nails?
Answer: Protecting distal tips of digits and assisting in grasping objects.
Question: What constitutes the nail plate?
Answer: The free edge, nail body, and nail root.
Question: What is the nail bed?
Answer: A layer of living epidermis covered by the nail body.
Question: What is the nail root?
Answer: The part of the nail embedded in the skin.
Question: What causes the pinkish color of the nail body?
Answer: Underlying capillaries.
Question: What happens to Pacinian corpuscles with sustained pressure?
Answer: They shut down with sustained pressure.
Question: What system controls the secretion of sweat and sebaceous glands?
Answer: The autonomic nervous system.
Question: Why is the skin suitable for some drug administrations?
Answer: Because it is selectively permeable, allowing transdermal administration.
Question: Why is the distal free edge of the nail whitish?
Answer: Because there are no underlying capillaries.
Question: What do exocrine glands of the skin initially form as?
Answer: Portions of the epidermis composed of living epithelial cells.
Question: Why can't dendritic cells remove tattoo ink granules?
Answer: Because the tattoo dye granules are too large for dendritic cells to ingest.
Question: Where are epidermal dendritic cells found besides the stratum spinosum?
Answer: The stratum granulosum.
Question: What does the skin serve as in addition to a protective barrier?
Answer: A visual indicator of our physiology and health.
Question: Through what two processes is water lost from the skin?
Answer: Sweat and transpiration.
Question: What is the most common form of carotene and what is it a source of?
Answer: Beta-carotene, which is a source of provitamin A.