Structure & Function Flashcards

1
Q

Full structure of the skin:
Divided into epidermis, dermis, and subcutaneous tissue

A
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2
Q

Epidermis layers:
5 major layers of ____. As you go from bottom to top, the cells get ___ and more ____.

A

Keratinocytes
Older
Differentiated

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3
Q

___ ___ layer no longer has a nucleus. It is the toughest layer and the most full of keratin, proteins, and lipids

A

Stratum corneum

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4
Q

Skin tissue is ____ ___ epithelium

A

Stratified squamous

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5
Q

Histology of epidermis:

A
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6
Q

The ___ ___ layer is rapidly proliferating stem cells and can be seen in this picture with melanin.

A

Basal cell

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7
Q

____ ____ has a somewhat spiny appearance. It is multiple cells thick. Creating keratin filaments. Creating other proteins that will pack the filaments into bundles called tonofibrils.

A

Stratum Spinosum

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8
Q

___ ___ is a more flat layer packed with keratin tonofibrils, keratohyaline granules, lamellar bodies.

Seen in the dark cell layer in the picture below.

A

Stratum granulosum

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9
Q

In the stratum granulosum, ___ becomes ___ which is connected to lipids and prevents water loss.

A

Profilaggrin
Filaggrin

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10
Q

___ ___ is not seen in every picture of the skin. It is only present in really thick skin such as on the heel or the palms. No nuclei, clear.

A

Stratum lucidum

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11
Q

____ ___ is a layer of keratinized cells without nuclei that are about to be sloughed off. Elongated and skinny cells.

A

Stratum corneum.

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12
Q

It takes ___ days for a cell to travel from the basal lamina to the stratum corneum to be sloughed off

A

28

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13
Q

Table:

A
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14
Q

____ connect cells to the basement membrane

A

Hemidesmosomes

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15
Q

Proteins and connectors:

A
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16
Q

Cytokerstin filaments become more abundant as you go from the basal lamina to stratum spinosum. they pack together to form ___ ___ and then placed into ___ ___.

A

Keratin tonofibrils
Lamellar bodies

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17
Q

Hemidesmosome connects the ___ to the basement membrane and ____.

A

Epidermis
Dermis

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18
Q

___ ___ is a condition where the patient has antibodies to portions of hemidesmosomes, leading to tense vesicles and Bullae. Tense meaning the vesicles are in between the ___ and ___.

A

Bulbous pemphigoid
Dermis
Epidermis

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19
Q

____ are cell to cell connections. They anchor the cytoskeleton.

A

Desmosomes

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20
Q

____ ___ is an autoimmune disease with antibodies to portion of the desmosomes, leading to flaccid vesicles and bullae. Keratinocytes pull apart from each other. The basal membrane is still intact.

A

Pemphigus vulgaris

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21
Q

_____ is the loss of cell to cell adhesion, resulting in flaccid vesicles.

A

Acantholysis

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22
Q

_____ are derived from neural crest cells. They produce packed pigment into melanosomes for the keratinocytes.

A

Melanocytes

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23
Q

___ ___ are mechanoreceptors essential for sensing light touch and are located in the basal layer. They also release ___ and _____ when activated

A

Merkel cells
Serotonin
Neuropeptides

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24
Q

___ ___ are immunosurveillance cells, derived from monocytes, present antigens to T cells

A

Langerhans cells

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25
Q

Dermis contains:

A

Ground substance, collagen, elastic fibers, glands, hair follicles, somatic sensory and sympathetic autonomic nerves, blood vessels, lymphatics, Pacinian corpuscles

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26
Q

Hypodermis (subcutaneous) contains:

A

Adipose tissue, (not technically part of the skin, but is important to the skin)

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27
Q

The dermis has a ____, ___ border due to dermal papillae and epidermal pegs/ridges.

A

Wavy
Irregular

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28
Q

Dermis division:
____ layer contains loose connective tissue, type one and type three collagen, fibroblasts, mast cells, dendritic cells, and type seven collagen.
____ layer contains dense, irregular connective, tissue and elastic fibers

A

Papillary
Particular

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29
Q

Picture of reticular layer stained for elastic fibers:

A
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30
Q

Important accessory structures in the dermis:

A
31
Q

___ Sweat glands extend from the skin surface down into the dermis. They are located all over the skin. They perform thermal regulation. They are innervated by ___ ___.

A

Eccrine
Cholinergic fibers

32
Q

____ sweat glands are located in auxiliary and perineal regions. They open into hair follicles. Develop in response to sex hormones. Innervated by ___ ___.

A

Apocrine
Adrenergic fibers

33
Q

___ ___ are found in just under the upper dermis, especially in fingertips, palms and soles and sense light touch
___ ___ are deeper in the dermis and hypodermis. They detect vibration and pressure.

A

Meissner’s
Pacinian

34
Q

Blood vessels:
___ ___ provides nutrients to the epidermidis. ___ ___ is lower in the dermis and into the subcutaneous layer. Both participate in thermal regulation with ____ ___ of blood flow, depending on the needs of the body

A

Subpapillary plexus
Deep plexus
Ateriovenous shunting

35
Q

Keratinization:

A
36
Q
A
37
Q
A

Desmoglein 3 and 1

38
Q
A
39
Q

Review:

A
40
Q

____ (dry skin) is a condition that affects the stratum corneum, reducing its ability to retain moisture, and leading to scaly itching, and sometimes inflammation

A

Xerosis

41
Q

___ ____ (eczema) involves the stratum corneum. A defective skin barrier allows allergens to penetrate the skin leading to itching and inflammation

A

Atopic dermatitis

42
Q
A
43
Q

Atopic dermatitis also results and disrupted ___ ___ ___. Mutation in the gene encoding ____ have been identified as a risk factor for the development of a subset of atopic dermatitis

A

Epidermal water barrier
filaggrin (FLG)

44
Q

Atopic dermatitis:

A
45
Q

____ of the stratum spinosum give this layer its spiny or prickle cell appearance. Numerous enter collating, cytoplasmic processes (spines) how old are together by desmosomes.

A

Desmosomes

46
Q

Desmosomes interact with ___, and intermediate filament. Other adhesion proteins involved in desmosomes are ___, ____, ____, and ___.

A

Keratins
Desmocollin
Desmoglein
Plactoglobin
Desmoplakin

47
Q

Hemidesmosomes link ___ ___ of epithelial cells to laminin in the basal lamina. Adhesion proteins ___ and ___.

A

Intermediate filaments
Integrin
Collagen XVII

48
Q

Stratum granulosum:
_____ granules are masses of Filaggrin and trichohyalin. They promote aggregation of ____ filaments into course bundles called ___.

A

Keratohyalin
Keratin
Tonofibrils

49
Q

What are the physical and molecular features that support the epidermal-dermal attachment?

A
50
Q

___ and ___ are adapter protein components of the hemi desmosomes, which make connections with the keratin filaments

A

Dystonin
Plectin

51
Q

____ ____ ___: caused by defects in laminin and collagen XVII resulting in the detachment of basal cells from basal lamina. Blistering

A

Junctional Epidermolysis Bullosa

52
Q

___ ___ ___: caused by defects in type VII collagen (anchoring fibrils) resulting
In the detachment of the basal lamina from the lamina reticularis. Blistering

A

Dystrophic Epidermolysis Bullosa

53
Q

____ ___ are at sites of mechanical stress. In thick skin, the mitotic basal surface of the epidermis greatly exceeds its free surface. As a result, more cells per unit time enter stratum cornea in ___ versus ___ skin.

A

Epidermal pegs
Thick
Thin

54
Q

___ ___ is a blistering skin disease that occurs most commonly and elderly individuals. It is an auto immune disorder characterized by antibodies against the hemidesmosomal proteins.

A

Bullous pemphigoid

55
Q
A
56
Q

Skin cell types:

A
57
Q

Interdigitating ___ ___ and ___ ___ reinforce the dermal-epidermal Junction

A

Dermal papillae
Epidermal pegs

58
Q

Eccrine sweat gland secretions are primarily composed of ___ and ions such as __, __, and ___. Apocrine sweat gland secretions are more ___.

A

Water
Na, Cl, and K
Viscous

59
Q

The ___ ___ of sweat glands reabsorbs ions to prevent excessive loss. Degree of reabsorption depends on rate of sweat production

A

Duct segment

60
Q

___ ___ of sweat glands contain clear cells that secrets ___ ___, dark cells that secrete ___ and ___, and Myoepithelial cells that surround secretory portions and ___ to move secretions into the ducts.

A

Secretory segment
Interstitial fluid
Mucins and dermcidin
Contract

61
Q

___ ___ is a few spiraling dendrites, surrounded by Schwann cells and a connective tissue capsule. Located in dermal papillae. Sense light touch.

A

Meissner’s corpuscle

62
Q

____ ____ is a single dendrite surrounded by multiple layers of cellular lamellae separated by fluid filled spaces. Located in deep dermis and hypodermis. Sense pressure and vibration.

A

Pacinian corpuscle

63
Q

Papillary dermis versus reticular dermis:

A
64
Q
A

C. Filaggrin

65
Q
A
66
Q
A
67
Q
A

Present antigen to T cells

68
Q
A
69
Q
A

A

70
Q
A
71
Q
A
72
Q
A
73
Q
A

C

74
Q
A