Skin (Exam II) Flashcards
What is the largest organ of the body?
Skin
What are the 4 main functions of skin?
- Protection
- Sensation
- Thermoregulation
- Metabolic functions
What are the 3 main layers of skin?
- Epidermis
- Dermis
- Hypodermis
The hypodermis may also be called:
Subcutis
What types of insult does the skin provide protection from? (4)
UV, Mechanical, chemical & thermal
Our skin has protective qualities that prevent ______; and provides a physical barrier to ______.
Prevents dehydration
Microoganisms
Our skin is the largest _____ organ of the body.
Sense
The skin contains receptors for: (4)
Touch, pressure, pain & temp
Skin thermoregulation functions via:
Insulation via hair & subcutaneous fat
Heat loss in skin occurs by:
Sweat glands & dermal capillary network
For metabolic function of skin, energy is stored in:
Subcutaneous fat
Energy is stored in subcutaneous fat primarily as:
Triglycerides
Vitamin D is synthesized in the skin via:
Sunlight waves
What type of cells occupy the epidermis?
Keratinized, stratified squamous epithelium
The cells of the epidermis are called:
Keratinocytes
The epidermis varies in thickness, and this difference is reflected in terms of:
Thick skin and 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 the thickest?
Shoulders and back of neck
Composed of dense, irregular, collagen outs connective tissue, interspersed with elastic fibers
Dermis
What type of collagen is present in the collagenous connective tissue of the dermis?
Type 1 collagen
Progressive damage to the elastic fibers or the dermis from sunlight waves results in:
Aging/loss of skin tone
Aging is caused by damage to:
Elastic fibers
The dermis is highly ____ and contains many _____.
Vascular ; sensory receptors
What are the two layers of the dermis?
Papillary layer & reticular layer
The papillary of the dermis is ____ and the reticular layer of the dermis is _____.
Papillary= superficial
Reticular= deep
Relatively thin layer of the dermis that interdigitates with the epidermis
Papillary layer
______ increase surface area for attachment and prevent shear and mechanical abrasion within the dermis
Corrugations
Epidermal projections into the dermis:
Epidermal ridges (rate 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 the skin are called:
Fingerprinted (dermatoglyphs)
Fingerprints/ dermatoglyphs are:
Unique to each individual
What prevents the 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
The reticular layer of the dermis contains: (3)
Hair follicles, sweat glands, and sebaceous glands
The reticular of the dermis interdigitates with the underlying:
Hypodermis (subcutis)
Within the reticular layer of the dermis, thick collagen bundles & elastic fibers form:
Lines of tension (langer’s lines)
Skin incisions parallel to langer’s lines heal with:
Less scarring
Located below the dermis:
Hypodermis
Layer of loose, irregular connective tissue and adipose tissue
Hypodermis
What are all the different names for hypodermis? (3)
Subcutis, superficial fascia, panniculus adiposus
What are the 3 vascular plexi of the skin?
Subpapillary plexus
Cutaneous plexus
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 the vascular plexi of the skin in order of superficial to deep:
- Subpapillary plexus
- Cutaneous plexus
- Subcutaneous plexus
The subpapillary plexus is located at the junction of:
Papillary and reticular layers
Cutaneous plexus is located at the junction of:
Reticular layer and hypodermis
The subcutaneous plexus is located deep within:
Hypodermis
What vascular plexi is the largest?
Subcutaneous plexus
The vascular plexi of 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 due to:
AV shunts and 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 layer
In psoriasis we have abnormal: (2)
Keratohyaline & tonofibrils
Layers of the epidermis include:
- Stratum basale
- Stratum spinous
- Stratum granulosum
- Stratum lucidum
- Stratum corneum
What is another name for stratum basale:
Stratum germinativum
What is the basal layer of the epidermis?
Stratum basale
Mitotic layer or cuboidal germinal cells in the epidermis are bound to the basement membrane by:
Hemidesmosomes
Hemidesmosomes attach to the underlying dermis via: (2)
Anchoring filaments and microfibrils
Prickle cell layer
Stratum spinosum
Layer of epidermis where the cells look spiny; and its 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 (desomosomes), 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 onto desmosomes
Tonofilaments ; Tonofibrils
Epidermal layer that helps glue the cells of the epidermis together, and prevents sloughing or separating
Stratum spinosum
Anchor to desmosomes and provide increased support
Tonofibrils
What type of keratin do humans produce?
Alpha keratin
What type of keratin do birds and reptiles produce?
Beta keratin
What is the difference between alpha and beta keratin:
Beta keratin is more robust, thicker and stronger than alpha keratin
Granular cell layer of epidermis
Stratum granulosum
The stratum granulosum is characterized by cells containing basophilic, _________.
Keratohyaline granules
The keratohyaline granules of the stratum granulosum are:
Basophilic
Basophilic, Non-membrane bound, electron-dense granules within the stratum granulosum
Keratohyaline granules
In the stratum granulosum, the keratiniziation of cells represents the interaction between:
Keratohyaline granules & tonofibrils
The cells of the stratum granulosum have distinctive:
Stippled cytoplasmic staining
Keratiniziation is initiated by the release of:
Lysosomal enzymes
The release of lysosomal enzymes in keratiniziation, results int he rupture of ________ & polymerization of their contents
Keratinohyaline granules
During keratinization process, following the rupture of keratohyaline granules & 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
In keratiniziation release of lysosomes causes what to happen to the cell?
Cell death
As the keratinocytes mature, the _____ and lose ____.
Die and lose 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 glycolipid coating on surface of epidermis.
Granular layer
Layer of epidermis present only in thick skin:
Stratum lucidum
Homogenous compact layer of enucleate cells between stratum granulosum & stratum corneum
Stratum lucidum
What type of cells are present in the stratum lucidum?
Enucleate cells
Thin skin will not have what layer?
Stratum lucidum
Most superficial layer of epidermis:
Stratum corneum
What is the thickest layer of epidermis in thick skin?
Stratum corneum
Flattened, enucleate, dead cell remnants:
Squames
What type of cell is characteristic of stratum corneum:
Squames
The stratum corneum is composed primarily of:
Soft keratin
The soft keratin of the stratum corneum acts as a:
Hydrophobic barriers preventing dedication
The stratum corneum is continuously:
Exfoliation
The process of continuous exfoliation:
Desquamation
In females, ____ cervical ____ cells are routinely examined in PAP smear, to detect cervical cancer.
Exfoliated cervical epithelial cells
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 and basal cell carcinoma are both 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:
Fills with blood & clots
In first intention wound repair, within 3-24hrs, neutrophils infiltrate the clot: (what phase is this)
Acute phase
During wound repair, the epithelial cells of the stratum basale being:
Mitosis
What cells being mitosis during fist 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 the macrophages (~3-7 days) this marks the transition of:
Acute to subacute phase
During the subacute phase of first intention healing, what three things start to occur?
- Neovascularization
- Fibroplasia
- Re-epithelialization
During first intention healing during wound repair, neovascularization causes:
Growth of new blood vessels & repair of damage old vessels
During first intention healing during wound repair neovasuclarization, fibroplasia, & re-epithelization all lead to:
Production of granulation tissue
During first intention healing during wound repair, fibroplasia refers to the production of ____ by ____.
Collagen by fibroblasts
During first intention healing during wound repair, re-epithelization 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 2, we are continued _____ and ______ leading to mature granulation tissue.
Fibroplasia and collagen accumulation
During first intention healing during wound repair during week 2, 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