Chapter 5: Skin Flashcards

1
Q

What are the two layers of the skin?
What layer is below the skin? What layer is below that?
What do lamellate corpuscles detect?

A

skin: epidermis and dermis
subcutaneous is below the skin (large blood vessels, areolar and adipose connective tissue), and fascia is below that
lamellate corpuscles: detect pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the most common cells in the epidermis? What are the other three cells?

Keratinocytes have which granules that release a lipid sealant?

A

most common: keratinocytes (90%)

other three: melanocytes (8%), intra-epidermal macrophages (immune response), tactile epithelial cells (detect touch, least common)

lamellar granules

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Which layer does tough skin have that thin skin doesn’t?

What are the five stratum of tough skin?

A

stratum lucidum

stratum corneum (superficial), stratum lucidum, stratum granulosum, stratum spinosum, stratum basale

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which skin stratum produces new cells?
Which skin stratum has apoptosis?
Which skin stratum is the thickest?
Which skin stratum has keratohyalin and lamellar granules?
Which skin stratum has tonofilaments (keratin precursor)?
Which skin stratum has tactile epithelial cells?
Which two layers have melanocytes?
Which layer has macrophages?

A
produces new cells: stratum basale 
apoptosis: stratum granulosum
thickest: stratum corneum
keratohyalin (make keratin)/lamellar granules: stratum granulosum
tonofilaments: stratum basale
tactile epithelial: stratum basale
melanocytes: stratum basale and spinosum
macrophages: stratum spinosum
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Which hormone-like protein controls skin growth?
What causes psoriasis?
What is a callus?

A

epidermis growth factor (EGF) controls skin growth

psoriasis: keratinization occurs quickly (7-10 days instead of 4-6 weeks) and get abnormal keratin
callus: area of thick corneum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Most common cell in the dermis layer?

Does the dermis layer have collagen, elastic fibres, fibroblasts, macrophages, adipocytes, blood vessels, nerves, glands and hair follicles?

What are the two layers of the dermis? Which is larger? Which is stronger?

A

Fibroblasts

Yep

Papillary region and reticular region; reticular region is larger; reticular region is stronger (more regular and thick collagen bundles)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What do dermal papillae all have? What do some have?

Does the reticular region have collagen, fibroblasts, wandering cells, adipose, elastic fibres, blood vessels, nerves, hair follicles, oil and sweat glands?

A

all have capillary loops; some have Meissner corpuscles (touch), nerve endings (warmth, cool, pain, tickling and/or itching)

yep

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are epidermal ridges due to? Function?

What three things create skin pigment?

A

epidermis produces down into dermis between dermis papillae; strengthens bond between layers, improves grip, more surface area for sensitivity/touch, makes fingerprints

skin pigment: melanin, hemoglobin, carotene

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
What are the two types of melanin? 
What do albinos lack?
What is vitiligo due to?
What is jaundice due to?
Another name for hair?
A

melanin: pheomelanin (yellow to red) and eumelanin (brown to black)
albinos: lack tyrosinase (to make tyrosine to melanin)
vitiligo: loss of melanocytes
jaundice: bilirubin build up (yellow, due to liver disease)
hair: pili

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
Where is hair root?
What are the three layers of hair?
What is arrector pili?
What is hair root plexus?
What is hirsutism?
Terminal hair vs vellus hair?
A

dermis or subcutaneous
three layers: medullar, cortex, cuticle
arrector pili: smooth muscle around hair follicle
plexus: generates nerve impulses if hair shaft moved
hirsutism: increased androgens, increases hairiness
terminal hair is thick and pigmented, vellus is fine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How much melanin do grey and white hair have?

What are the three types of exocrine glands? What type of shape are they?

What are the two types of sudoriferous glands?

A

grey: little melanin, white: no melanin
exocrine: sebaceous, sudoriferous (sweat, mammary) and ceruminous; they are simple branched acinar glands

eccrine or apocrine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Which produces a stinky smell: eccrine or apocrine glands?

Where are apocrine glands?

Which is not in sweat: salt, urea, uric acid, cholesterol, ammonia, amino acid, glucose and lactic acid?

Are both eccrine and apocrine sweat part of emotional sweating?

A

apocrine

armpits, groin, nipples, beard area (men)

cholesterol isn’t

yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What does apocrine sweat have that eccrine doesn’t?

Where does sweating to cool down start?

Where does emotional sweating start?

Where aren’t eccrine sweat glands?

A

lipids and proteins

forehead/scalp

palms

lips, nail beds, ear drum, genitals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is insensible sweating?

Where are ceruminous glands?

What is the hyponychium?

What layer of skin doesn’t the nail bed have?

A

sweat that immediately evaporates

eardrum

part of skin that secures nail to finger

stratum granulosum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What type of skin has hair: thick or thin?

What happens to blood flow in skin when warm?

Which type of cells identify microbes and which cell kills them?

What type of molecules can the skin absorb?

A

thin

vasodilation so more blood flow, so more heat loss

intraepidermal macrophages identifies, macrophages kill them

lipids (ex. vit A, D, E and K)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is a transdermal drug application?

What is calcitriol?

What are the two types of wound healing?

A

skin patch

most active form of vit. D (helps calcium absorption and immune system)

epidermal and deep

17
Q

How do epidermal wounds heal?

What are the four stages of deep wound healing?

A

epidermal: basal cells migrate until they reach each other (contact inhibition) and then new cells grow

deep wound: inflammatory (blood clot), migratory (scab forms, scar tissue starts forming), proliferation phase (more growth of scar tissue and blood vessels), maturation (collagen organized, scab falls off)

18
Q

What is fibrosis?

Hypertrophic scar vs keloid?

What layer does embryonic epidermis form from? Dermis?

A

fibrosis: scar tissue formation
hypertrophic: not raised, keloid: raised

epidermis from ectoderm, dermis from mesoderm

19
Q

What is the first layer of skin for an embryo?
When does the periderm form?
When does the intermediate layer, melanocytes and ridge form?
Hair follicles?
Nails?
Vernix caseosa? Lanugo? Sweat glands?

A

basal layer
7 weeks: periderm (outer layer)
intermediate layer, melanocytes and ridges: 11 weeks
hair follicles: 12 weeks
nails: 10 weeks
vernix caseosa (periderm mixed with sebum to be slippery), lanugo and sweat glands: 5 months

20
Q

Which is more harmful: UVA or UVB?

Which is absorbed by ozone: UVA or UVB?

Which is more common UVA or UVB?

A

harmful: UVB
ozone: UVB
common: UVA

21
Q

What are the three common types of skin cancer?

A
  • basal cell carcinoma (78%): rarely metastasize
  • squamous cell (20%): from strata spinosum, can metastasize
  • malignant melanomas (2%): from melanocyte, can metastasize quickly
22
Q

What is a 1st, 2nd and 3rd degree burn?

A

1st: epidermis (no blister, heal 3-6 days)
2nd: epidermis and dermis (blister, heal 3-4 weeks)
3rd: epidermis, dermis and subcutaneous

23
Q
What is a pressure ulcer?
Abrasion?
Bulla?
Comedo?
Contusion?
How do you treat frostbite? A mild burn?
A

lack of blood flow, common in bony areas
abrasion: scrape
bulla: large blister
comedy: blackhead
contusion: deep tissue damage but no broken skin
rapid rewarming for frostbite, mild burn: rinse with cold water

24
Q
What is a hemangioma?
Urticaria?
Keloid?
Keratosis?
Papule?
Pruritus?
Tinea corporis?
Wart?
A

hemangioma: localized, benign tumor from increase in blood vessels
urticaria: hives
keloid: scar tissue with lots of collagen
keratosis: hard epidermal due to sun exposure
papule: round skin elevation less than 1 cm
pruritus: itching
tinea corporis: ring worm
wart: growth, due to papillomavirus