Chapter 4 - Anatomy And Physiology

25 July 2022
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question
What cell type is the most abundant in the epidermis?
answer
Keratinocytes are the most abundant cell type in the epidermis.
question
Which layer of the epidermis produces new epidermal cells?
answer
The stratum basale produces new epidermal cells.
question
Excess shedding of scales from the superficial layer of the skin of the scalp causes dandruff. What is the name of that skin layer?
answer
The stratum corneum is the name of the skin layer that causes dandruff.
question
How do the body locations of serous and mucous membranes differ?
answer
1) Serous membranes line ventral body cavities closed to the exterior. 2) Mucous membranes line body cavities open to the exterior. Examples are the respiratory, digestive, urinary, and reproductive organ cavities.
question
Where would you find a synovial membrane?
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Lining a fibrous capsule surrounding a joint.
question
Explain the relationships between the words skin, cutaneous membrane, integument, and integumentary system.
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1) The skin is the epithelial membrane that covers the surface of the body. 2) Cutaneous membrane is a synonym for skin, as is integument, which means covering. 3) The integumentary system is the skin and its derivatives (nails, hair, and glands).
question
What are three important functions of the integumentary system?
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Important functions of the integumentary system are (choose any three): 1) It protects deeper tissues from mechanical damage such as bumps, chemical damage due to acids and bases, bacterial damage, UV radiation from the damaging effects of sunlight, thermal damage (heat or cold), and desiccation (drying out). 2) It aids in body heat loss or heat retention (controlled by the nervous system). 3) It aids in excretion of urea and uric acid. and 4) It synthesizes vitamin D.
question
If you get a paper cut that hurts a lot but doesn't bleed, has the cut penetrated into the dermis or just the epidermis?
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Just the epidermis.
question
What pigments determine skin color?
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Melanin, carotene, and hemoglobin all contribute to skin color.
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Which of the cutaneous gland types can make your hair limp and oily?
answer
The sebaceous glands, which produce oily secretions.
question
What are the three concentric regions of a hair shaft, from the outside in?
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Cuticle, cortex, and medulla.
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What is a sebum?
answer
Sebum is an oily secretion of the sebaceous glands.
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How do secretions of apocrine glands differ from those of the eccrine sweat glands?
answer
Both are dilute salt solutions containing vitamins and wastes. Apocrine secretion also contains proteins and fatty acids.
question
If your entire nail is pulled off (including the nail matrix and bed), will it grow back? Why or why not?
answer
No, the nail won't regrow because the growth region (nail matrix) is torn off.
question
What are two life-threatening consequences of a severe burn?
answer
Loss of body fluids containing needed proteins and electrolytes, resulting in circulatory shock, and overwhelming infection.
question
What are the criteria for classifying burns as first, second, or third degree?
answer
1) First-degree burns are red and swollen but usually heal within 2-3 days; there is only epidermal damage. 2) Second-degree burns damage the epidermis and some of the dermis; blisters appear but epithelial regeneration can occur. 3) Third-degree burns destroy the entire skin thickness. The burn is gray and painless; must graft.
question
What name is given to the rule for recognizing the signs of melanoma?
answer
The ABCD rule.
question
What is the single most common risk factor for skin cancer?
answer
Sun exposure.
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Why do no skin cancers develop from stratum corneum cells?
answer
Because stratum corneum cells are dead.
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What change in aging skin accounts for wrinkles and cold intolerance in older adults?
answer
Loss of subcutaneous fat.
question
What is the source of vernix caseosa that covers the skin of a newborn baby?
answer
The sebaceous glands of the baby.
question
True statements about mucous and serous membranes:
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1) The epithelial type is the same in all serous membranes, but there are different epithelial types in different mucous membranes. 2) Serous membranes line closed body cavities, whereas mucous membranes line body cavities open to the outside. 3) Both membranes contain an epithelium plus a layer of loose connective tissue.
question
Serous membranes:
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1) Have parietal and visceral layers; and 2) Secrete a lubricating fluid.
question
What are the components of sweat?
answer
Water, ammonia, and sodium chloride.
question
What structures are associated with a hair?
answer
1) Shaft; 2) Cortex; 3) Cuticle; and 4) Lunule.
question
In investigating the cause of thinning hair, what questions need to be asked?
answer
1) Is the diet deficient in proteins? 2) Has the person been exposed to excessive radiation? 3) Has the person recently suffered severe emotional trauma?
question
What structures are associated with a nail?
answer
1) Nail bed; 2) Lunule; and 3) Nail folds.
question
What is associated with the production of perspiration?
answer
1) Sweat glands; 2) Sweat pores; 3) Eccrine gland; and 4) Apocrine gland.
question
What are the 3 skin structures?
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Hair, hair papilla, and nail.
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Structures and functions:
answer
1) Melanocytes protect from UV radiation. 2) Hypodermis insulates and is used for energy storage. 3) Stratum corneum is for waterproofing and preventing water loss. 4) Dermal blood supply - temperature regulation. 5) Eccrine sweat glands - excretion of water, urea, and salts. 6) Papillary layer of the dermis - produces the patterns for fingerprints.
question
What is the name of the connective tissue membrane found lining the joint cavities?
answer
Synovial membrane.
question
From what types of damage does the skin protect the body?
answer
1) Mechanical damage, such as bumps; 2) Chemical damage, such as acids and bases; 3) Ultraviolet radiation (damaging effects of sunlight); 4) Thermal damage (heat or cold); 5) Desiccation (drying out)
question
Explain why we become tanned after sitting in the sun.
answer
When the skin is exposed to sunlight, the melanocytes are stimulated and produce more of the melanin pigment, and tanning occurs.
question
What is a decubitus ulcer? Why does is occur?
answer
Decubitus ulcers (bedsores) occur in bedridden patients who are not turned regularly or who are dragged or pulled across the bed repeatedly. The weight of the body puts pressure on the skin, especially over bony projections. Because this restricts the blood supply, the skin becomes pale or blanched at pressure points. At first, the skin reddens when pressure is released, but if the situation is not corrected, the cells begin to die, and small cracks or breaks in the skin appear at compressed sites. Permanent damage to the superficial blood vessels and tissue eventually results in degeneration and ulceration of the skin.
question
Name two different categories of skin secretions and the glands that manufacture them.
answer
Two categories of skin secretions are: 1) Sebum - an oily secretion produced by the sebaceous glands. Sebum is a mixture of oily substances and fragmented cells. It keeps the skin soft and moist and prevents the hair from becoming brittle. Sebum also contains chemicals that kill bacteria. 2) Sweat - produced by the sudoriferous glands (sweat glands). Sweat travels to the skin's surface via pores in the skin.
question
How does the skin help to regulate body temperature?
answer
Your skin regulates your body temperature through blood vessels and through the process of sweating. The skin is your body's thermostat. When you're out in cold weather, your skin triggers shivering so the blood vessels will contract and keep you as warm as possible. But if there's a heat wave, you'll sweat to increase the blood flow to the capillaries, which in turn increases sweating. This process cools you off as the water evaporates from your skin.
question
What is a blackhead?
answer
If a sebaceous gland's duct is blocked by sebum, a whitehead appears on the skin surface. If the accumulated material oxidizes and dries, it darkens, forming a blackhead.
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What are arrector pili? What do they do?
answer
Arrector pili are small bands of smooth muscle cells. They connect each side of the hair follicle to the dermal tissue.
question
Which skin cancer arises from the youngest epidermal cells?
answer
Basal cell carcinoma develops from the youngest epidermal cells.
question
Why does hair turn gray?
answer
Like balding, this is usually genetically controlled by a "delayed-action" gene. Once the gene takes effect, the amount of melanin deposited in the hair decreases or becomes entirely absent, which results in gray-to-white hair.
question
Name three changes that occur in the skin as one ages.
answer
Three changes that occur in the skin as you age are: 1) The amount of subcutaneous tissue decreases, leading to the intolerance of cold that is so common in older adults; 2) The skin also becomes drier (because of decreased oil production), and as a result, it may become itchy and bothersome; 3) The skin thins, which makes it more susceptible to bruising and other types of injuries.
question
Is a bald man really hairless? Explain.
answer
A bald man is not really hairless - he does have hairs in the bald area. But, because those hair follicles have begun to degenerate, the hairs are colorless and very tiny (and may not even emerge from the follicle). Such hairs are called vellus (vell = wool) hairs.