Trans 4 Flashcards

1
Q

All constituents of the skin are derived from:

______________ and _______________

A

Ectoderm (10-12 days EAG)

Mesoderm (18-19 days EAG)

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2
Q

Epidermis and skin appendages are derived from the ______________.

A

Ectoderm

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3
Q

Melanocytes and the nerves are derived from the _______________.

A

Neuroectoderm

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4
Q
Describe the development of the epidermis in:
Week 4-5 EAG
Week 5-6 EAG
Week 8-10 EAG
Week 12 EAG
A

Week 4-5 EAG - Surface ectoderm develops into a single cuboidal cell layer (mitotically active)
Week 5-6 EAG - Periderm covers the single cuboidal cell layer
Week 8-10 EAG - Germinative layer gives rise to the intermediate layer; the stratified squamous epithelium begins to form
Week 12 EAG - Epidermis is almost complete by the end of the 1st trimester. The different epidermal layers are already present

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5
Q

In adults, keratinization occurs for _________ in a _____ environment

A

14-31 days, dry

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6
Q

In a fetus, keratinization occurs for __________ in a _____ environment

A

22-24 weeks, wet (amniotic fluid)

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7
Q

What compound is abundant in the fetal keratinocyte and serves as the main energy source?

A

Glycogen

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8
Q

Dermis is derived from the __________.

A

Mesoderm

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9
Q

These structures are derived from which germ layer?

Dermis
Epidermis
Fibroblasts
Endothelial and Perithelial cells
Myocytes
Mast cells
Nails
Hair
Fibers
Glands
Ground substance
Melanocytes
Nerves
A
Dermis - Mesoderm
Epidermis - Ectoderm
Fibroblasts - Mesoderm
Endothelial and Perithelial cells - Mesoderm
Myocytes - Mesoderm
Mast cells - Mesoderm
Nails - Ectoderm
Hair - Ectoderm
Fibers - Mesoderm
Glands - Ectoderm
Melanocytes - Neuroectoderm
Nerves - Neuroectoderm
Ground substance - Mesoderm
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10
Q

Which fiber provides tensile strength and limits extent of deformation of skin when pulled?

A

Collagen fibers

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11
Q

Which fiber imparts skin its original shape after being stretched?

A

Elastic fibers

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12
Q

True or false. The dermis is 80% collagen and 1% elastic fiber.

A

True

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13
Q

Development of the dermis:
Week 6
Week 12
Week 24

A

Week 6: Collagen fibers develop
Week 12: Collagen bundles develop
Week 24: Elastic fibers develop

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14
Q

Differentiate neonates and infants

A

Neonatal period: 0-30 days of life

Infant: 30 days - 12 months of life

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15
Q

True or false. Skin development is complete after birth.

A

False. It continues to undergo a process of adaptation and maturation even after birth.

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16
Q

True or false. Newborn skin has less hair, sebaceous and sweat glands.

A

True

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17
Q

True or false. Newborn skin has more intercellular attachments and desmosomes.

A

False

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18
Q

Condition wherein there is a grayish-white film after birth that serves as a lubricant and an antibacterial compound.

A

Vernix caseosa

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19
Q

It is the intensely erythematous skin caused by the drying up and flaking off of the vernix caseosa.

A

Erythema neonatorum

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20
Q

Blotchy or lace-like pattern of dusky erythema caused by exposure to cold environments. It reflects the vasomotor instability (immature autonomic control of cutaneous vascular plexus) of newborns.

A

Mottling and Cutis marmorata

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21
Q

Bluish discoloration on palms, soles, and mouth

A

Acrocyanosis

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22
Q

Sharp longitudinal midline demarcation of the body when placed on his/her side, observed usually in infants with low birth weight. It reflects immaturity of the hypothalamic center.

A

Harlequin color change

23
Q

Few, white globular papules representing benign, superficial epidermal inclusion cysts commonly on the face of newborns.

24
Q

Milia found inside mouth of neonates

A

Epstein’s pearls

25
Maternal androgen stimulation of sebaceous glands resulting to multiple yellowish macules or papules along the nose and forehead.
Sebaceous gland hyperplasia
26
Erythematous papules and/or papulopustules caused by heat rash and eccrine gland occlusion. Also called prickly heat.
Miliaria rubra
27
Minute superficial subcorneal vesicles caused by heat rash or eccrine gland occlusion.
Miliaria crystallina
28
Solitary, intact, oval or linear blisters caused by vigorous intrauterine sucking
Sucking blisters
29
Gradual or sudden hair loss
Telogen effluvium
30
The cause of acne vulgaris
Overproduction of sebum Virilization (overproduction of estrogen and androgens)
31
Excessive sweating in hands, feet, armpit, and groin
Hyperhydrosis
32
Immunological phenomenon wherein there is an increased activity of the sebaceous glands leading to scaling, flaking, or dandruff. Can also be caused by /Malassezia/ spp.
Seborrheic dermatitis
33
True or false. The amount of sebaceous glands is normal for adult, term, and preterm skin.
True
34
True or false. Adult, term, and preterm skin all have the same epidermal thickness and cellular attachments.
False Preterm skin have thinner epidermal thickness (higher permeability to topical agents and higher TEWL) and less cellular attachments (prone to blisters)
35
Gradual physiologic aging due to time, under genetic and hormonal control
Intrinsic aging
36
Dramatic structural and functional changes that are caused by exogenous factors, primarily unprotected sun exposure
Extrinsic aging
37
Also known as liver spots. They are well-defined hyperpigmented patches in old people due to UVA irradiation.
Solar lentigenes
38
Benign papules and plaques in old people which are highly variable in color.
Seborrheic keratosis
39
Described as smaller seborrheic keratosis
Dermatosis papulosa nigra
40
Small circular or oval red papules characterized by proliferation of blood vessels that tend to increase in size and number with age
Senile angiomas
41
Dry skin caused by decreased activity of sweat and sebaceous glands
Xerosis
42
Xerosis complicated by dermatitis. Characterized by dry, pruritic, fissured skin with scales. It is aggravated by cold and low humidity environments.
Asteatotic eczema
43
Condition wherein there is an intense sensation of itch in the skin. It is concurrent with xerosis.
Pruritus
44
Ecchymoses formation on sun-exposed surfaces of arms or hands. Characterized by inadequate support of vessels leading to rupture and extravasation with minor trauma.
Senile purpura
45
Common in pregnant women wherein estrogen and progesterone overproduction cause stimulation of the melanocytes.
Hyperpigmentation
46
Darkened streak on the anterior abdominal wall
Linea nigra
47
Referred to as the “mask of pregnancy” Dense melanocytes seen in sun-exposed skin of the face
Melasma/Chloasma
48
Stretch marks or atrophic tissues below the epidermis
Striae distensae / Gravidarum
49
Flesh-colored or hyperpigmented pedunculated papules known as skin tags
Molluscum fibrosum gravidarum
50
Skin tags for those who are obese
Acrochordon
51
Increased androgen and estrogen secretion leading to mild to moderate hair growth on unwanted areas
Hirsutism
52
Loss of hair in pregnant women
Mild hypotrichosis
53
Single central pulsating arteriole with many fine radiating branches beneath epidermis
Vascular spiders / Spider angiomata
54
Diffuse mottling of entire palm with cyanosis (blue) and pallor (paling). Erythema on bulging surface of palms
Palmar erythema