Presentation 3 Flashcards

skin

1
Q

What is the integumentary system composed of?

A

The skin (cutis), subcutaneous tissue (hypodermis), and accessory organs (hair, nails, glands).

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2
Q

What are the two main layers of the skin?

A

Epidermis (outer) and dermis (inner).

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3
Q

What is the function of the hypodermis?

A

Provides cushioning, insulation, and stores energy.

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4
Q

What is another name for the hypodermis?

A

Superficial fascia.

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5
Q

What is the main difference between thick and thin skin?

A

Thick skin has no hair follicles or sebaceous glands, whereas thin skin does.

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6
Q

Where is thin skin found?

A

Covers most of the body.

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7
Q

What is the role of stem cells in the epidermis?

A

They generate new keratinocytes in the stratum basale.

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8
Q

What do keratinocytes produce?

A

Keratin, a tough structural protein.

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9
Q

Where are melanocytes located?

A

In the stratum basale of the epidermis.

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10
Q

What is the function of melanocytes?

A

They produce melanin, which protects against UV radiation.

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11
Q

What are Merkel (tactile) cells and where are they found?

A

They are mechanoreceptors found in the fingertips and other sensitive areas.

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12
Q

What do dendritic (Langerhans) cells do?

A

They help detect and fight pathogens in the skin.

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13
Q

What is the deepest layer of the epidermis?

A

Stratum basale.

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14
Q

Which epidermal layer is responsible for mitotic activity?

A

Stratum basale.

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15
Q

What happens in the stratum spinosum?

A

Keratinocytes start producing keratin and strengthen connections between cells.

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16
Q

Which epidermal layer contains the epidermal water barrier?

A

Stratum granulosum.

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17
Q

Which layer of the epidermis is present only in thick skin?

A

Stratum lucidum.

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18
Q

What is the primary function of the stratum corneum?

A

Acts as a protective outer layer with dead, keratinized cells.

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19
Q

How long does the exfoliation cycle take?

A

30-40 days.

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20
Q

What protein helps bundle keratin into tough structures?

A

Filaggrin.

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21
Q

What seals the epidermal water barrier?

A

Lipids secreted from lamellar granules.

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22
Q

What happens to cells after the water barrier is formed?

A

They become isolated, degenerate, and die.

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23
Q

What are the three main types of UV radiation?

A

UVC, UVB, and UVA.

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24
Q

Which type of UV radiation is absorbed before reaching the skin?

A

UVC (100-290 nm).

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25
Which type of UV radiation penetrates the epidermis and can cause DNA damage?
UVB (290-320 nm).
26
Which type of UV radiation penetrates deeper and contributes to photoaging?
UVA (320-400 nm).
27
What are natural antimicrobial defenses on the skin?
Acid mantle, dermcidin, and defensins.
28
What are the two layers of the dermis?
Papillary layer and reticular layer.
29
What type of connective tissue is found in the papillary layer?
Loose areolar connective tissue.
30
What structures are found in the papillary layer?
Small blood vessels, nerve endings, and Meissner’s corpuscles (touch receptors).
31
What type of connective tissue is found in the reticular layer?
Dense irregular connective tissue.
32
What causes stretch marks?
Tearing of collagen fibers in the dermis.
33
What causes fingerprints?
Dermal papillae and friction ridges.
34
What are flexion lines?
Natural folds in the skin at joints and flexor surfaces.
35
Why are cleavage lines important for surgery?
Incisions along cleavage lines heal better with less scarring.
36
What types of substances can be absorbed through the skin?
Lipid-soluble substances like vitamins A, D, E, K, steroids, toxins, and some drugs.
37
How can certain chemicals enhance skin absorption?
By disrupting the epidermal water barrier (e.g., alcohol, essential oils).
38
What type of tissue is found in the hypodermis?
Areolar and adipose tissue.
39
Why is the hypodermis ideal for drug absorption?
It is highly vascular, allowing for rapid uptake of injected substances.
40
What are the two types of melanin?
Eumelanin (brown-black) and pheomelanin (reddish-yellow).
41
Why do darker-skinned individuals have more protection against UV radiation?
They produce more melanin and have wider melanin dispersion.
42
What causes cyanosis?
Oxygen deficiency in the blood.
43
What causes erythema?
Increased blood flow to the skin.
44
What causes pallor?
Reduced blood flow or low hemoglobin levels.
45
What is jaundice?
Yellowing of the skin due to bilirubin accumulation.
46
What is a hematoma?
A bruise caused by clotted blood under the skin.
47
What are the three types of hair?
Lanugo (fetal hair), vellus (fine body hair), and terminal hair (thicker hair on scalp, eyebrows, pubic regions).
48
What are the three stages of the hair growth cycle?
Anagen (growth phase), Catagen (transition phase), Telogen (resting phase).
49
What is the nail matrix?
The growth zone of the nail.
50
What condition is indicated by spoon nails?
Iron-deficiency anemia.
51
What are Beau’s lines on nails a sign of?
Malnutrition or systemic disease.
52
What are the two types of sweat glands?
Merocrine (eccrine) glands and apocrine glands.
53
What is the function of merocrine glands?
Regulate body temperature through sweat production.
54
Where are apocrine glands located?
Axillary and genital regions.
55
What do sebaceous glands secrete?
Sebum, an oily substance that moisturizes hair and skin.
56
What is the function of ceruminous glands?
Produce earwax to protect the ear canal.
57
Which modified glands produce milk?
Mammary glands.
58
Which skin cancer is the most common and least dangerous?
Basal cell carcinoma.
59
Which skin cancer is more aggressive and can metastasize if untreated?
Squamous cell carcinoma.
60
Which type of skin cancer is the most deadly?
Malignant melanoma.
61
What is a first-degree burn?
A burn that damages only the epidermis.
62
What is a second-degree burn?
A burn that affects both the epidermis and part of the dermis, causing blisters.
63
What is a third-degree burn?
A full-thickness burn that destroys the epidermis, dermis, and possibly deeper tissues.
64
Why do third-degree burns require skin grafts?
Because the skin cannot regenerate on its own when all layers are destroyed.