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WorksheetsIntegumentary System Review Quiz
Total questions: 100
Worksheet time: 50mins
Basal layer is responsible for the production of new cells
True
False
Cells that detect deep pressure and vibration
Free nerve endings
Dermal Papillae
Meissner's corpuscles
Pacinian corpuscles
Dermis is the deeper layer of the skin that develops from the mesenchyme
True
False
Epidermal cell which is responsible for protection of the skin and underlying tissue from heat, microbes, and chemicals.
Keratinocyte
Langerhans cell
Melanocyte
Merkle cell
Epidermis is the superficial layer of the skin that develops from the neural crest cells.
True
False
Functions include Recognition, Uptake, Processing & Presentation of antigens to sensitized T lymphocytes.
Melanocyte
Langerhans cell
Keratinocyte
Neutrophil
Granular layer consists of large polyhedral cells containing fine tonofibrils.
True
False
Horny layer is made up of closely packed dead cells containing keratin
True
False
Layer of the epidermis where the nucleus of the keratinocyte is shed.
Stratum granulosum
Stratum spinosum
Stratum lucidum
Stratum corneum
Origin of the Melanocyte
Neural Crest
Mesenchyme
Surface ectoderm
Endoderm
Regulate body temperature through evaporation (perspiration)
Eccrine
Apocrine
Spinous layer contains small keratohyaline granules in its cells.
True
False
The dermis is thickest at the
back
eyelids
palms and soles (acral)
face
The layer of the epidermis which is uniquely found on acral skin.
Stratum spinosum
Stratum basale
Stratum granulosum
Stratum lucidum
The skin and its associated structures, hair, nails, and glands are derived from the surface ectoderm.
True
False
What is the congenital absence of hair?
Hypertrichosis
Ichthyosis
Atrichia
Vitiligo
Condition in which accessory nipples have formed resulting from the persistence of fragments of the mammary line
Polymastia
Polythelia
Inverted nipple
Piebaldism
globally reduced or absent pigmentation in the skin, hair and eyes.
Vitiligo
Albinism
Waardenburg Syndrome
Harlequin
Condition in which the lactiferous ducts open into the original epithelial pit that has failed to evert
inverted nipple
polythelia
polymastia
exverted nipple
Provides strength and flexibility to the skin
Stratum granulosum
Stratum spinosum
Stratum basale
Stratum lucidum
Present only in the finger tips, palms of the hands and soles of the feet
Stratum granulosum
Stratum lucidum
Stratum spinosum
Stratum corneum
Produces the pigment melanin which contributes to skin color and absorbs UV light
Melanocyte
Melansomes
Keratinocytes
Langerhans cell
Detection of sensations of touch, shape and texture
Meissner's corpuscles
Pacinian corpuscles
Mast cells
Merkel cells
Essential for discrimination of the fine spatial details
Merkel cell
Langerhans cell
Mast cell
Meissner's corpuscles
At what week is the fetus covered by downy hair or lanugo
25th week
20th week
30th week
5th week
The Stratum lucidum is present in the lips
True
False
Which signaling pathway is implicated in differentiation of melanoblasts into melanocytes
WNT
TRP
IL-1
IL-2
How many days does it take for skin to have cellular turnover?
28
10
15
22
Large macule, 1 cm or greater in diameter
patches
papules
vesicles
wheals
Evanescent, surrounded by a flare or macular erythema
wheals
vesicles
papules
macules
Dried serum, pus or blood, usually mixed with epithelial and sometimes bacterial debris
scales
crusts
pustules
erosions
Composed of new connective tissue that has replaced lost substance in the dermis or deeper parts resulting from injury or disease
scars
tumors
ulcers
scales
Undergoes mitosis and enables skin to repair.
Stratum basale
Stratum spinosum
Stratum granulosum
Stratum corneum
Found in Stratum spinosum and contains Birbeck granules.
Langerhans cells
Merkel cells
Melanocytes
Keratinocytes
Which of the following is most implicated in skin squamous cell carcinoma?
UVA
UVB
UVC
Which structure is responsible for the formation of "goose skin"?
collagen bundles
connective tissue sheath
arrector pili muscle
external root sheath
Peg-like projections of upper region of dermis
adnexa
dermal papillae
callus
arector pili
Secretion that lubricates hair and skin
sebum
sweat glands
sebaceous gland
cerumen wax
crescent white part of the nail
lunula
nail body
nail root
cuticle
thin layer with keratinocytes become filled with keratin, flatten and lose their nuclei
Stratum granulosum
Stratum lucidum
Stratum corneum
Stratum spinosum
Fungal infection of the nails
Onychomycosis
Onycholysis
Onychomeiosis
Instrumental in dispelling the theory of spontaneous generation of germs and proving that it existed.
Louis Pasteur
Joseph Lister
Robert Wood Johnson
Ignaz Semmelweis
The first to differentiate between infected and diseased wounds compared to non-infected wounds.
Sumerian
Egyptian
Edwin Smith
Lister
The 1st to use phenol in sterilizing instruments and the OR
Pasteur
Lister
Semmelweis
Smith
Peak time of neutrophil invasion
12-24H
24-48H
1 week
48-96H
Achieve significant numbers in the wound by 48 to 96H
Neutrophil
Macrophages
Collagen
Fibroblasr
serves as scaffolding for the migration into the wound of inflammatory cells
Platelet granule release
Fibrin clot
PMNs
Macrophages
The most abudant protein in the body
TNF
Collagen
Proteoglycan
Fibroblast
Involves re-epithelization
Primary intention
Secondary Intention
Tertiary Intention
Greater degree of tissue loss and granulation tissue must be built
Primary intention
Secondary Intention
Tertiary intention
Delayed Intention
A moist or even wet wound environment is critical to normal wound healing.
True
False
Cell involved in 1 week post injury
Macrophage
PMN
T lymphocyte
Fibroblast
major component of extracellular matrix in the skin
Type I collagen
Type II collagen
Type III collagen
Becomes more prominent and important during the repair process
Type I collagen
Type II collagen
Type III collagen
Phase where coagulation cascade occurs.
Hemostasis and inflammation
Proliferation
Maturation and Remodelling
Collagen lends ______ to the skin
Color
Structure
Elasticity
UV protection
The papillary layer of the dermis is most closely assoc. with which layer of epidermis
Stratum spinosum
Stratum basale
Stratum corneum
Stratum granulosum
The papillary and reticular layers of the dermis are composed mainly of ______.
melanocytes
keratinocytes
connective tissue
adipose tissue
Which of the following is not a function of the hypodermis
Protects underlying organs
Helps maintain body temperature
Source of blood vessels in the epidermis
Site to long term energy storage
In response to stimuli from the Sympathetic nervous system, the arrector pili ________.
are glands on the skin surface
can lead to excessive sweating
are responsible for goosebumps
secrete sebum
The hair matrix contains
hair follicle
hair shaft
glassy membrane
layer of basal cells
Eccrine sweat glands ________.
are present on hair
are present in the skin throughout the body and produce watery sweat
produce sebum
act as a moisturizer
Sebaceous glands are
associated with hair follicles
type of sweat gland
may function in response to touch
release a watery solution of salt and metabolic waste
Similar to the hair, nails grow continuously throughout our lives. Which of the following is furthest from the nail growth center?
nail bed
hyponychium
nail root
eponychium
whitish paste; protects kin against macerating action of amniotic fluid
vernix caseosa
lanugo
corium
dermal root
Characterized by thick adherent silvery scales with marked underling erythema.
Lichen simplex chronicus
Psoriasis vulgaris
Pityriasis rosea
Tinea corporis
Atopic Dermatitis has ___ stages
3
2
1
4
Clustered thin walled vesicles in a dermatomal distribution
Herpes Simplex
Herpes Zoster
Varicella
Pemphigus
Dew drop on a rose petal appearance
chicken pox
measles
acne
shingles
Loss of melanocytes secondary to immunologic activity
vitiligo
tinea versicolor
nevi
ephelides
Has a significant correlation with neurofibromatosis
Nevi
Cafe au lait
Basal cell carcinoma
Ephelides
sclerotic disorder that involves areas beyond the initial injury
hypertrophic scars
keloids
alopecia areata
scarring alopecia
Abnormal shedding and accumulation of the stratum corneum in perceptible flakes
acne
eczema
pruritis
scale
facial ringworm
tinea corporis
tinea faciei
tinea pedis
tinea manuum
fine scaling at periphery of lesion
herald patch
collarette
skin asthma
crust
Phases of Chicken pox lesion
pustular --> vesicular --> necrotic
necrotic -> pustular --> vesicular
vesicular --> pustular --> necrotic
Honey colored crust lesions
impetigo
furuncles
folliculitis
carbuncle
fluid filled lesion
bullae
ichthyosis
edema
erythema
Relieved by dependence, aggravated by elevation
Arterial ulcer
Venous ulcer
Capillary ulcer
Relieve by elevation, aggravated by dependence
Arterial ulcer
Venous ulcer
triggered by trauma, stress or sunburn
herpes simplex
herpes zoster
varicella
rubella
Most common skin cancer worldwide
melanoma
basal cell CA
squamous cell CA
merkel cell CA
hand ringworm
tinea corporis
tinea manuum
tinea pedis
tinea faciei
Associated with allergic rhinitis, hay fever and skin hyperactivity
atopic dermatitis
contact dermatitis
Painful genital ulcerative disorder
syphilis
chancroid
chancre
impetigo
usually occurs 30% post partum after 3-6 months
Telogen effluvium
Anagen effluvium
Alopecia areata
Hirsutism
creamy white or off white patches
tinea corporis
tinea versicolor
tinea pedis
tinea manuum
easily rupture leaving large eroded surfaces
pemphigus
epidermal necrolysis syndrome
steven johnson syndrome
epidermis pustular disorder
fishlike/ platelike scales
lamellar ichthyosis
ichthyosis vulgaris
lichenoid disorder
psoriasis vulgaris
also play significant role in regulating angiogenesis and matrix deposition and remodelling
macrophages
T-lymphocytes
neutrophil
fibronectin
Factors of systemic wound healing except for
nutrition
edema
trauma
smoking
Wound edge are not approximated
Primary intention
Secondary intention
Tertiary intention
Delayed intention
Lower risk of infection and minimal scarring
Primary intention
Secondary intention
Tertiary intention
Delayed intention
precedes and initiates inflammation with the ensuing release of the chemotactic factors from the wound site
hemostasis
remodelling
proliferation
maturation
Caused of delayed healing EXCEPT
nutritional deficiency
moist environment
infection
severe trauma
Usual mechanism for the formation of a chronic wound.
acute wound phase
protracted inflammatory phase
reverse infection phase
phagocytosus
8-10 cell layers held together by desmosomes
Stratum lucidum
Stratum basale
Stratum spinosum
Stratum granulosum
Stretchmarks are dermal tears from mild stretching
TRUE
FALSE
inhibits excessive loss of water and urea
TRUE
FALSE
it provides most the hair's weight.
cuticle
cortex
medulla
follicle
