Skin Flashcards
What basis of study would crime scene investigators use to capture the large and unique dermal ridges of the suspect?
dermatoglyphics
What three processes occur during the acute to subacute phase change in first intention healing?
neovascularization
fibroplasia
re-epithelialization
How are antlers different than horns?
antlers have a bony core; horns come from keratin from a horn bud
What are the 3 layers of the skin, superficial to deep?
epidermis
papillary layer of dermis
reticular layer of dermis
hypodermis
Thick skin has a thick ___ layer.
cornified
In inflammation more intense in first intention wound or second intention wound healing? Why?
second intention; because there is more necrotic debris, exudate, and fibrin to be removed
Which layer of the dermis is thicker and less cellular?
deep reticular layer
What type of melanin is present in individuals with dark or brown hair?
eumelanin
Which glands are alveolar, holocrine glands consisting of branches acini?
sebaceous glands
Which glands develop at puberty?
apocrine glands
As epithelial cells mature, they fill with ___ and die.
keratin
What are the sphincters called in arterioles?
glomus bodies
Birds and reptiles produce ___ keratins and are found in things like feathers, claws, scales, and beaks.
beta
What determines the overall length of hair on the body?
the ratio of growth between the active growth and resting phases
Where would you find the most Meissner’s corpuscles?
in the hands, feet, lips, and genitalia
What coating on the surface of skin cells forms a mature waterproof layer?
glycolipid coating exocytosed from keratinized cells
What is the dermis composed of?
dense irregular collagenous connective tissue (Type I collagen) with elastic fibers
What represents the interaction between keratohyaline granules and tonofibrils?
process of keratinization
What is the most common form of hair loss?
androgenic alopecia
What happens if the neonate does not ingest the colostrum?
increased chance of death due to infection due to decreased maternal antibodies
The ____ is lined by actively dividing epithelial cells (like the stratum basale).
root bulb
Which types of skin cancers are derived from epithelial cells?
squamous cell carcinoma
basal cell carcinoma
In the animal kingdom, what are apocrine glands used for?
sexual attractant pheromones
Which type of laceration would heal with less scarring?
skin incisions or lacerations parallel to Langer’s lines
Where would you find the subcutaneous plexus?
deep within the hypodermis
Under what hormone control is melanin synthesis under?
pituitary hormone (melanocyte stimulating hormone)
What does the deep reticular layer of the dermis interdigitate with?
the subcutis (underlying hypodermis)
Besides pigmentation, where else is melanin important?
it is necessary for normal neural development
What is the deepest layer of the epidermis?
stratum basale (stratum germinativum)
Where do melanocytes originate from?
neuroectoderm (neural crest origin) dendritic cells present in epidermis
Mammary glands are highly modified ____.
apocrine glands
Straight hair is more ____ in cross-section; wavy hair is more ____ in cross-section; curly hair is more ____ in cross-section.
round; oval; flattened
Where does adrenergic sweating begin on the body?
palms and soles of feet
What sensory receptor is the most numerous in the skin?
free nerve endings
Where would you find Langer’s lines?
in the reticular layer of the epidermis
What is it called when cells mature from the stratum basale to the stratum corneum in wound repair?
keratinization
____ healing occurs when wound edges are not able to be approximated and may contain extensive loss of tissue.
Second intention
What is the superficial portion of a hair follicle called?
infundibulum
What is the developing hair surrounded by?
internal and external root sheath
In people with albinism, ____ form but do not mature.
premelanosomes
What are the phases of hair growth?
anagen
catagen
telogen
exogen
____-skinned individuals produce less pigment or digest pigment faster.
Lighter
What type of nerve fibers do Meissner’s and Pacinian corpuscles possess?
afferent nerve fibers (surrounded by modified Schwann cells - more modified in PC)
Under what influence do mammary glands in females develop?
pituitary and ovarian hormones
What is an example of modified apocrine glands in the ear?
ceruminous wax glands (secrete cerumen)
Where would you find vellus hair?
fine body hair of women and children
Why do we make melanin?
because DNA is subject to damage by UV and melanin functions as a shield to prevent mutagenesis
What are the layers of the epidermis, from superficial to deep?
stratum corneum stratum lucidum (thick skin) stratum granulosum stratum spinosum stratum basale
Where does melanin go?
it is taken up by surrounding epidermal cells
Why are Demodex mites helpful?
they keep hair follicles clear which prevents sebum buildup and potential acne
What layer of the epidermis is continuously exfoliated or desquamated?
stratum corneum
What initiates keratinization?
the rupture of lysosomes and release of lysosomal enzymes; rupture of keratohyaline granules + polymerization of contents
Are the collagen bundles in he dermis randomly oriented?
NO - follow lines of tension
__ are used in thermoregulation, especially in the periphery of the body.
Vascular plexi
Hair, nails, sebaceous glands, sweat glands, and horns are all considered ___.
skin appendages
____-skinned individuals produce more pigment and retain more pigment longer.
Darker
Where do mammary ridges or milk lines extend from?
from axillae to groin
Why do tattoos “blur” and fade?
because macrophages come along to digest the ink but cannot, so they die and another macrophage comes along. These macrophages do not remain in the same position so the lines of tattoo ink become slightly blurred as macrophages get replaced.
The ___ is the darkly pigmented, ridged region around the nipple and contains numerous glands (merocrine, sebaceous).
areola
How many sebaceous glands are associated with a hair follicle?
one or more (develop as outgrowths of external root sheath)
Where is hair absent from?
thick skin of palms and soles of feet
What is the nail lunula covered by?
the cuticle or eponychium
What exfoliated layer of the skin makes up the bulk of house dust and dandruff?
stratum corneum dead cells
What type of sensory receptors look like melanocytes and are located in stratum basale?
Merkel cells
What is first intention healing from?
a clean, surgical incision
What enzyme do people affected with albinism possess?
tyrosinase
After birth, what is the secretory product of the mammary glands for the first few days?
colostrum
Which cell layer is characterized by keratohyaline granules?
stratum granulosum
What is gray hair the result of?
decreased melanin production or even air bubbles
These glands contain proteins, carbohydrates, ammonia, lipids and organic products.
apocrine glands
What is the nail bed called?
hyponichium
These unbranched, tubular glands have 1-2 layers of cuboidal or columnar epithelium with excretory ducts.
merocrine/eccrine glands
What burn involves only the epidermis?
1st degree burn
How can you distinguish an amelanotic melanoma from a squamous cell carcinoma or basal cell carcinoma?
by using a stain for tyrosinase
(+) = melanocytes
(-) = not melanocytes
How is tyrosinase useful in tumor identification?
tyrosinase can be used as a marker in tumor cells to differentiate between melanocytes and keratinocytes containing phagocytosed melanin
Which keratins are more delicate?
alpha
These glands have coiled, tubular glands with large dilated lumina.
apocrine glands
Demodex mites feed on ___ secretions.
sebaceous gland
What is one of the most common causes of acne?
hypertrophy
Where would you find free nerve endings in the skin?
in the epidermis and papillary dermis
Which layer of the epidermis has spiny, prickly-looking cells?
stratum spinosum
What does a pilosebaceous unit consist of?
a hair follicle, associated arrector pili muscle, and sebaceous gland
Wound repair if often referred to as what?
re-epithelialization
What is hair made of?
dead keratin
What are mammary glands drained by?
drained into the terminal ducts»_space; lactiferous ducts»_space; lactiferous sinus (in nipple)
In first intention healing, when do neutrophils infiltrate the clot?
within 3-24 hours (acute phase)
What layer of the dermis contains hair follicles, sweat glands and sebaceous glands?
deep reticular layer
Where is the nail matrix?
underneath the lunula (white crescent) at the base of the nail
What prevents shear and mechanical abrasion of the skin?
the corrugations in the attachment area between the epidermis and papillary layer
How does the sebaceous gland release its contents?
by secreting the entire cells in its duct
The two layers of the dermis are ___ and ___.
superficial papillary layer; deep reticular layer
What is the inactive resting phase of hair growth called?
telogen
What are “goosebumps” caused by sympathetic stimulation due to cold, fear, or aggression?
piloerection
The internal root sheath corresponds to the ___ of the skin.
stratum corneum
During ___, fibroblasts produce collagen that migrate into the wound.
fibroplasia
What are the flattened, enucleate, dead cell remnants of skin cells?
squames
At the base of the bulb is a ____, which is an invagination of dermis containing blood vessels.
vascular core (dermal papilla)
___ are derived from the neural crest and are pressure-sensitive mechanoreceptors.
Merkel cells
What causes thick “caterpillar” eyebrows in older men?
the missed telogen (rest) phase of the hair growth cycle
What does the proximal end of the nail, the “nail root,” attach to?
the periosteum of distal phalanx
How does your body retain heat in cold temperatures?
by bypassing heat-releasing capillary beds with AV shunts
Where does hair growth occus?
deep within the terminal expansion of the follicle “root bulb”
What is indicative of a change in phagocytic cells?
the transition from acute to subacute phase
____ is an alkaline, yellowish secretion with high protein and salt content, low lipid and carbohydrate content and many antibodies.
Colostrum
Where and how is sweat secreted?
onto the skin surface; via a sweat pore
Which sensory receptor lacks connective tissue capsule and associated Schwann cells?
free nerve endings
Where do new keratinocytes come from?
from the deep germinal layer (matured in 25-50 days)
What hair is certain vellus hair replaced with at puberty?
terminal hair