Examination of Integumentary System Flashcards

1
Q

The outermost strata of the epidermis

A

STRATUM CORNEUM

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2
Q

It is mostly dead cells, filled with a protein substance called keratin.

A

STRATUM CORNEUM

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3
Q

This layer of skin may not be even exist in thinner skin such as the skin of the under eye or eyelids.

A

STRATUM LUCIDUM

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4
Q

The cells in this layer contains dead or dying cells.

A

STRATUM LUCIDUM

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5
Q

This layer contains irregular granules of keratohyalin.

A

STRATUM GRANULUSOM

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6
Q

This layer consists of polygonal cells. It also plays a part in providing nourishment and immunity to the skin.

A

STRATUM SPINOSUM

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7
Q

It is the deepest layer of the epidermis.

A

STRATUM BASALE

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8
Q

This layer is composed of single layer of columnar epithelial cells that includes keratinocytes, melanocytes, tactile cells (Merkel cells), and nonpigmented granular dendrocytes (Langerhans cells).

A

STRATUM BASALE

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9
Q

This layer of skin contains nerves, nerve endings, blood vessels, lymphatics, sebaceous & sweat glands, elastic fibers, and hair follicles.

A

DERMIS

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10
Q

Name the two divisions of the DERMIS.

A

STRATUM PAPILLAROSUM &STRATUM RETICULOROSUM

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11
Q

T or F

  1. SKIN APPENDAGES serve as a buffer and consists of loose connective tissue, blood vessels, & adipose cells.
A

F (SUBCUTANEOUS TISSUES)

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12
Q

Name 6 skin appendages.

A
  1. HAIRS
  2. NAILS
  3. SWEAT GLANDS
  4. SEBACEOUS GLANDS
  5. MAMARY GLANDS
  6. CERUMINOUS GLANDS
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13
Q

T or F

  1. The integumentary glands have a vital role in body protection and HOMEOSTASIS MAINTENANCE.
A

T

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14
Q

T or F

  1. The INTEGRITY of the ENDOCRINE SYSTEM refers to the ability of the skin to serve as a barrier to environmental threats.
A

F (integumentary system)

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15
Q

Define the primary characteristics of a normal skin as compared to oily and dry skin.

A

A normal skin is elastic, soft, & well-moisturized. On the other hand, dry skin lacks moisture & tend to be rough. Oily skin tends to be greasy with excessive sebum production.

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16
Q

T or F

  1. An increase in sebum production increases the tendency for BACTERIAL INFECTION.
A

T

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17
Q

Cite 4 other skin types other than previously mentioned.

A
  1. COMBINATION
  2. SENSITIVE
  3. ABNORMAL
  4. AGING SKIN
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18
Q

In aging skin, the epidermis usually becomes _____ & _____. This is because the skin does not produce melanin pigment evenly.

A

uneven & irregular

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19
Q

T or F

  1. With aging skin, the DERMIS usually hardens and becomes insoluble.
A

T

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20
Q

For aging skin, the subcutaneous tissue becomes ___ & ___ with prominent veins.

A

thin & vulnerable

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21
Q

T or F

  1. As we age, sebum production DECREASES, making the skin appendages dehydrated.
A

T

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22
Q

T or F

IN AGING SKIN:

  1. Sebum production decreases.
  2. Sweat gland activity decreases.
  3. Wound healing capacity is reduced.
  4. Skin’s immune function increases.
  5. Vitamin D synthesis increases.
  6. Bone synthesis decreases.
A

4, 5 (F)

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23
Q

Hypogranulosis is usually seen in patients with?

A
  1. Psoriasis

2. Bowen’s disease

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24
Q

Hypergranulosis and Hypogranulosis affects which level of the skin?

A

STRATUM GRANULOSUM

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25
Parakeratosis is seen in patients with?
1. Lupus erythematosus | 2. Warts
26
Hyperkeratosis is seen in patients with?
1. Lichen planus
27
Acanthosis is seen in patients with?
1. Warts 2. Psoriasis 3. Allergies 4. Nummular eczema
28
Reticular ballooning is characterized by a mesh-like appearance and is seen in patients with?
Herpes zoster & other viral infection
29
Name 2 conditions that effects the STRATUM CORNEUM.
1. Hyperkeratosis | 2. Parakeratosis
30
This condition usually affects the Malpighian layers of the skin and causes it to thicken.
ACANTHOSIS
31
This condition is the opposite of acanthosis, where in it thins the Malpighian layers of the skin.
EPIDERMAL ATROPHY
32
Epidermal atrophy is seen in patients with?
1. Poi kilo derma
33
This condition refers to the marked thickening of the outer layer of skin.
HYPERKERATOSIS
34
Incomplete keratinization of the keratinocytes in the STRATUM CORNEUM.
PARAKERATOSIS
35
This condition causes a dark discoloration in body folds such as armpits, neck, or groin. This usually also affects those who are overweight or with unstable hormone levels.
ACANTHOSIS
36
Patients with this condition present with sponge-like appearance of skin.
SPONGIOSIS
37
This refers to the degeneration & thinning of epidermis & dermis; usual manifestation of aging.
EPIDERMAL ATROPHY
38
This is the most common cutaneous skin symptom that patients complain of.
PRURITUS
39
T or F 1. Pruritus is usually indicative of possible SYSTEMIC PROBLEMS.
T
40
Pruritus is indicative of possible systemic condition. Name 3 of which.
1. Diabetes mellitus 2. Drug hypersensitivity 3. Hyperthyroidism
41
PRIMARY LESIONS This refers to the changes in the color of skin.
MACULE
42
SECONDARY LESIONS Small in pityriasis.
Scales
43
PRIMARY LESIONS This refers to a small, solid elevation of lesser than 5mm.
Papule
44
PRIMARY LESIONS This refers to a solid elevation of greater than 5mm.
Nodule
45
SECONDARY LESIONS This refers to the small lesions with punctate or linear shapes. This is a lesion of traumatic nature with epidermal loss in a generally linear shape.
Excoriation
46
SECONDARY LESIONS This refers to the bursting of vesicles.
Erosion
47
SECONDARY LESIONS This refers to skin loss extending though the epidermis and part of the dermis.
Ulcer
48
PRIMARY LESIONS This refers to blisters that are greater that 1 cm in size, with bullous pemphigus.
Bulla
49
PRIMARY LESIONS This refers to small blisters that are lesser than 1 cm in size.
Vesicle
50
PRIMARY LESIONS This refers to the presence of pus.
Pustule
51
SECONDARY LESIONS This refers to a linear cleavage that may extend to the dermis.
Fissure
52
SECONDARY LESIONS This refers to an overgrowth of dense fibrous tissue that usually develops after healing of a skin injury.
Keloid
53
PRIMARY LESIONS This refers to epidermal nodules.
Cyst
54
PRIMARY LESIONS This refers to temporary papules or plaques.
Wheal
55
PRIMARY LESIONS This refers to elevated skin that is 2 cm in diameter.
Plaques
56
This usually caused by damaged or broken blood vessels as a result of a direct blow to the skin.
Contusions/bruise
57
T or F ECCHYMOSIS refers to a localized collection of blood, usually clothed, in a tissue or organ.
F (Hematoma)
58
T or F EXCORIATION refers to the skin discoloration caused by the escape of blood into the tissues from ruptured blood vessels.
F (Ecchymosis)
59
T or F LACERATION describes an injury involving penetration of the skin, in which the wound is deeper than the superficial skin level.
T
60
This refers to a wound accompanied by disruption of the body surface that extends into the underlying tissue or into a body cavity.
PENETRATING WOUND
61
T or F PETECHIAE refers to this tiny red spots in the skin which do not blanch when pressed upon. This is usually a result from blood leaking from capillaries into the skin (<3mm in diameter).
T
62
TYPE OF EXUDATE This type presents as clear, light color with a thin, watery consistency. Considered normal.
Serous
63
TYPE OF EXUDATE This type presents as red with a thin, watery consistency. Indicative of new blood vessel growth or the disruption of blood vessels.
Sanguineous
64
TYPE OF EXUDATE This type presents a light pink/red color, with a thin, watery consistency. Can be normal in a healthy healing wound.
Serosanguinous
65
TYPE OF EXUDATE This type presents as an opaque, yellow or tan color, with a thin, watery consistency. May be an early warning sign of an impeding infection.
Seropurulent
66
TYPE OF EXUDATE This type presents as a yellow/green color with a thick viscous consistency. Generally an indicator of wound infection.
Purulent
67
Name the 5 basic components of dermatologic diagnosis.
1. General diagnosis 2. Physical examination 3. Skin tests 4. Microbiological examination 5. Skin biopsy