Skin (Exam II) Flashcards
Largest organ of the body (15-20% of body mass)
Skin
Four main functions of skin
1- protection
2- sensation
3- thermoregulation
4- metabolic functions
Three main layers of skin
1- epidermis
2- dermis
3- hypodermis
Another name for hypodermis
Subcutis
What types of insult does skin provide protection from (4):
UV
Mechanical
Chemical
Thermal
Skin has protective qualities that prevent ______; and provides a physical barrier to ____
Dehydration
Microorganisms
Skin is the largest ____ organ of the body
Sense
Skin contains receptors for (4):
Touch
Pressure
Pain
Temp
Skin thermoregulation is accomplished via
Insulation via hair
Subcutaneous fat
Heat loss in skin is facilitated by:
Sweat glands
Derma capillary network
For metabolic functions of the skin, energy is stored in:
Subcutaneous fat
Energy is store in the subcutaneous fat primarily as:
Triglycerides
Vitamin D is synthesized in the skin via:
Sunlight waves
Type of cells that occupy the epidermis
Keratinized stratified squamous epithelium
Cells of the epidermis
Keratinocytes
The epidermis varies in thickness and this difference is reflected in terms of:
Thick skin & thin skin
Epidermis made of a thick highly keratinized layer
Thick skin
Thick skin is restricted to:
Volar (soles)
Palmar (palms)
Thick skin lacks _____ so its termed ____
Hair; glabrous
Most of the body is covered in:
Thin skin
Epidermis lacks:
Blood vessels
Blood vessels do not penetrate the:
Basement membrane
Epidermis is supplied and nourished by blood vessels in the:
Underlying (sub adjacent) dermis
When epidermis and dermis are combined where is skin thickest
Shoulders and back of neck
Composed of dense, irregular, collagenous connective tissue, interspersed with elastic fibers
Dermis
Type of collagen present in the collagenous connective tissue of the dermis
Type I collagen
Progressive damage to the elastic fibers of the dermis from sunlight waves results in (2):
Aging
Loss of skin tone
Aging is caused by damage to:
Elastic fibers
The dermis is highly _____ and contains many _____
Vascular
Sensory receptors
Two layers of the dermis
1- papillary layer
2- reticular layer
Papillary layer of the dermis is _____, while the reticular layer of the dermis is _____
Superficial
Deep
Relatively thin layer of the dermis that interdigitates with the epidermis
Papillary layer
_____ increase surface area for attachment, prevent shear and mechanical abrasion within the dermis
Corrugations
Epidermal projections into the dermis
Epidermal ridges
Epidermal ridges may also be called
Rete ridges
Dermal projections into the epidermis
Dermal ridges
Dermal ridges may also be called
Dermal papillae
Large dermal ridges in thick skin are called:
Fingerprints (dermatoglyphs)
Fingerprints/dermatoglyphs are:
Unique to each individual
What prevents epidermis from peeling off when you bump into something
Corrugations
Deeper layer of dermis that is thicker and less cellular than papillary layer
Reticular layer of dermis
The reticular of the dermis contains (3):
Hair follicles
Sweat glands
Sebaceous glands
The reticular layer of the dermis interdigitates with the underlying:
Hypodermis (subcutis)
Within the reticular layer of the dermis, the thick collagen bundles and elastic fibers form:
Lines of tension (Langer’s lines)
Skin incisions parallel to Langer’s lines heal with:
Less scarring
Layer of skin located below the dermis
Hypodermis
Layer of loose, irregular connective tissue and adipose tissue
Hypodermis
What are the different names for the hypodermis (3)
Subcutis
Superficial fascia
Panniculus adiposus
Three vascular plexi of the skin
1- subpapillary plexus
2- cutaneous plexus
3- subcutaneous plexus
The subpapillary plexus is the most:
Superficial
The cutaneous plexus is located:
In between subpapillary plexus and subcutaneous plexus
The subcutaneous plexus is the most:
Deep
Arrange vascular plexus of skin in order of superficial to deep:
Subpapillary plexus
Cutaneous plexus
Subcutaneous plexus
Subpapillary plexus is located at the junction of:
Papillary & reticular layers
Cutaneous plexus is located at the junction of:
Reticular layer & hypodermis
The subcutaneous plexus is located deep within:
Hypodermis
Largest vascular plexi
Subcutaneous plexus
The vascular plexi of the the skin are used in:
Thermoregulation
The vascular plexi of the skin are used in thermoregulation, especially in fingertips and ears and are associated with _____ containing _____
AV shunts
Glomus bodies
Thickened regions of smooth muscle in wall of arterioles surrounded by connective tissue capsule
Glomus bodies
Bypass capillary bed, re-route blood from arterial to venous circulation
Glomus bodies
On winter day when outside, our hands and feet get cold, this is due to
AV shunts
Glomus bodies
Layer of skin that is continuously grown and replaced
Epidermis
It takes ~25-50 days for cells to travel from ____, mature, and be sloughed from ____
Deep germinal layer
Superficial epidermis
In ______ keratinocyte maturation takes only ~1 week
Psoriasis
In psoriasis there is an absence of a ____ layer
Granular
In psoriasis their are abnormal ____ and ____
Keratohyaline & tonofibrils
Layers of the epidermis:
Stratum basale
Stratum spinosum
Stratum granulosum
Stratum lucidum
Stratum corneum
Another name for stratum basale
Stratum germinativum
The basal layer of the epidermis
Stratum basale
Mitotic layer of cuboidal germinal cells in the epidermis are boudn to the basement membrane by:
Hemidesmosomes
The hemidesmosomes attach to the underlying dermis via (2):
Anchoring filaments
Microfibrils
Prickle cell layer
Stratum spinosum
Layer of epidermis where cells look spiny; thickest layer of epidermis in the skin
Stratum spinosum
Prominent cells within stratum spinosum
Polyhedral cells
Polyhedral cells within the stratum spinosum have prominent (3):
Intercellular bridges (desmosomes)
Numerous cytoplasmic processes
Lateral folding of cell membrane
Predominant cell product of the stratum spinosum
Cytokeratin
Cytokeratin of the stratum spinosum forms ____ that aggregate into larger _____ and anchor on to desmosomes
Tonofilaments
Tonofibrils
Epidermal layer that helps glue the epidermal cells together and helps to prevent sloughing or separating
Stratum spinosum
Anchor to desmosomes and provide increased support
Tonofibrils
Type of keratin humans produce
Alpha keratin
Type of keratin birds and reptiles produce
Beta keratin
Difference between alpha and beta keratin
Beta keratin is a little robust, thicker and stronger than alpha keratin
Granular cell layer of the epidermis
Stratum granulosum
The stratum granulosum is characterized by cells containing ______
Keratohyaline granules
The Keratohyaline granules of the stratum granulosum are:
Basophilic
Non-membrane bound, basophilic, electron-dense granules within the stratum granulosum
Keratohyaline granules
In the stratum granulosum, the keratinization of cells represents the interaction between:
Keratohyaline granules & tonofibrils
The cells of the stratum granulosum have distinctive:
Stippled cytoplasmic staining
Keratinization is initiated by the release of:
Lysosomal enzymes
The release of lysosomal enzymes in keratinization results in the rupture of ______ and polymerization of their contents
Keratohyaline granules
During keratinization process, following the rupture of keratohyaline granules and polymerization of their contents this forms a:
Matrix for tonofibrils of Cytokeratin
During the keratinization process, the matrix formed for tonofibrils of Cytokeratin leads to an amorphous mass of:
Mature keratin
During process of keratinization, the release of lysosomes causes what to happen to cell
Cell death
As keratinocytes mature, they _____ and lose ____
Die; nuclei
Cells of the granular layer contain membrane-bound, lamellar structure called:
Keratinosomes
Contain Glycolipids which provide waterproofing coat for skin cells
Keratinosomes
Cells of what layer mature to form waterproof layer of keratinized cells with Glycolipids coating on surface of the epidermis
Granular layer
Layer of epidermis present only in thick skin
Stratum lucidum
Homogenous, compact layer of enucleate cells between stratum granulosum and stratum corneum
Stratum lucidum
Type of cells present in the stratum lucidum
Enucleate cells
Thin skin will not contain what layer
Stratum lucidum
Layer of epidermis that can extend in radiating lines to surface
Stratum lucidum
Most superficial layer of the epidermis
Stratum corneum
Thickest layer of epidermis in thick skin
Stratum corneum
Flattened, enucleate, dead cell remnants
Squames
Type of cell characteristic of the stratum corneum
Squames
Stratum corneum is composed primarily of:
Soft keratin
The soft keratin of the stratum corneum acts as a:
Hydrophobic barrier preventing desiccation
The stratum corneum is continuously:
Exfoliated
Process of continuous exfoliation of the stratum corneum
Desquamation
In females, _____ cervical ______ cells are routinely examined in a Pap smear, to detect cervical cancer
Exfoliated
Epithelial
Cervical skin cells are prone to _____ which leads to cervical cancer
Dysplasia
Three common types of skin tumors
Squamous cell carcinoma
Basal cell carcinoma
Melanoma
Squamous cell carcinoma & basal cell carcinoma are derived from:
Melanoma is derived from:
Epithelial cells
Melanocytes
Healing from a clean (surgical), approximated incision
First-intention healing
After a clean cut, the incision immediately:
Filled with blood and clots
In first intention wound repair, within 3-24 hours, neutrophils infiltrate the clot, what phase is this:
Acute phase
During wound repair, the epithelial cells of the stratum basale begin:
Mitosis
What cells begin mitosis during first intention healing in wound repair
Epithelial cells of stratum basale
For first intention wound healing to occur, the cut has to reach the:
Dermis (not just epidermis)
In first intention healing during wound repair, why do the epithelial cells of the stratum basale undergo mitosis
To reapproximate the edges of the skin
During first intention healing during wound repair, within 3-7 days, the neutrophils are replaced by:
Macrophages
During first intention healing during wound repair, when the neutrophils begin to be replaced by macrophages (3-7 days) this marks the transition of:
Acute to subacute phase
Three processes that start to occur during the subacute phase of first intention healing:
1- neovascularization
2- fibroplasia
3- re-epithelization
During first intention healing during wound repair, neovascularization causes the:
Growth of new vessels, repair of damaged old vessels
During first intention healing during wound repair, neovascularization, fibroplasia, and re-epithelialization all lead to:
Production of granulation tissue
During first intention healing during wound repair, fibroplasia refers to the production of ____ by ____
Collagen by fibroblasts
Re-epithelialization refers to:
Epithelial proliferation
During first intention healing during wound repair, around day 5, the incision is filled with:
Granulation tissue
During first intention healing during wound repair, during week two we have continued _____ and _____ leading to mature granulation tissue
Fibroplasia & collagen accumulation
During first intention healing during wound repair, during week two we have a progressive decrease in:
Inflammation
During first intention healing during wound repair, the presence of inflammatory cells and inflammatory cell products leads to:
Itching