Complete Test Bank The Integumentary System Chapter 5

Student name:__________

TRUE/FALSE - Write 'T' if the statement is true and 'F' if the statement is false.
1) The skin is both an organ and an organ system.

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⊚ false

2) Thepapillaefound in the superficial hypodermiscreate the unique fingerprints of individuals.

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⊚ false

3) Mammary glands secrete cerumen.

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⊚ false

4) Sebum is oily and acidic.

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⊚ false

5) Water evaporation occurs on the skin as a result of both sensible and insensible perspiration.

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⊚ false

6) Another name for hives is psoriasis.

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⊚ false

7) The ABCDE rule is used to determine the skin area involved in a burn.

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⊚ false

8) Exposure to sunlight is a significant risk factor for development of skin cancer.

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⊚ false

9) Blistering occurs with a second-degree burn.

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⊚ false

10) An adult with third-degree burns over 15% of their body would NOT be considered critical.

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⊚ false

11) Typically, the amount of adipose in the hypodermis decreases in the elderly.

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⊚ false

CHECK ALL THE APPLY. Choose all options that best completes the statement or answers the question.
12) Which are alternate names for the skin? Choose all that apply.

A) Integument
B) Peritoneum
C) Cutaneous membrane
D) Synovial membrane

13) Which of the following are considered to be regions of the skin? Check all that apply.

A) Hypodermis
B) Epidermis
C) Dermis
D) Adipose

14) Which describe the epidermis? Choose all that apply.

A) It is made of simple squamous epithelium.
B) It is made of stratified squamous epithelium.
C) It is richly vascularized.
D) It is avascular.

15) Which are functions of melanin? Choose all that apply.

A) It acts as a vitamin, helping with calcium absorption.
B) It acts as a shield, absorbing UV rays.
C) It is secreted onto the surface of the skin.
D) It is responsible for most of skin color.

16) Which are functions of the skin? Choose all that apply.

A) Produce body heat
B) Prevent water loss
C) Excrete excess water
D) Eliminate ammonia, urea

17) Which of the following are parts of the inflammatory response in skin? Check all that apply.

A) Redness
B) Rapid clotting
C) Pain
D) Vasoconstriction

MULTIPLE CHOICE - Choose the one alternative that best completes the statement or answers the question.
18) The epidermis and dermis make up the

A) serous membrane.
B) subcutaneous membrane.
C) integument.
D) hypodermis.

19) Flexion creases are where

A) skin attaches to joints of the fingers.
B) skin attaches to flexor muscles.
C) skin does not have a dermal layer.
D) arrector pili muscles flex skin hairs.

20) Which is the correct list of the strata of the epidermis, in order?

A) Corneum, lucidum, granulosum, spinosum, basale
B) Corneum, lucidum, spinosum, granulosum, basale
C) Lucidum, corneum, spinosum, granulosum, basale
D) Basale, lucidum, corneum, granulosum, spinosum

21) In which layer of the epidermis are cells constantly dividing?

A) Stratum corneum
B) Stratum lucidum
C) Stratum dermis
D) Stratum basale

22) Which of the following types of cells are NOT found in the epidermis?

A) Squamous epithelial cells
B) Langerhans cells
C) Red blood cells
D) Melanocytes

23) What happens to cells when they move from the epidermis to the surface of the skin?

A) They become softer and more pliable.
B) They divide more.
C) They die.
D) They become dermal cells.

24) Which cell type is the most numerous in the epidermis?

A) Keratinocytes
B) Melanocytes
C) Merkel cells
D) Langerhans cells

25) What is the function of Langerhans cells?

A) Water-proofing
B) UV protection
C) Register pain
D) Phagocytize microbes

26) A person with no color in their skin, hair, or eyes has

A) melanoma.
B) jaundice.
C) albinism.
D) a hematoma.

27) The inability to produce melanin leads to

A) albinism.
B) cyanosis.
C) decubitus.
D) alopecia.

28) Merkel cells detect sensations of

A) pain.
B) deep pressure.
C) touch.
D) temperature.

29) Which layer of the epidermis protects from abrasion and is found only in thick skin?

A) Stratum basale
B) Hypodermis
C) Stratum corneum
D) Stratum lucidum

30) Which layer of the epidermis is closest to the surface?

A) Stratum lucidum
B) Stratum corneum
C) Dermis
D) Stratum basale

31) We constantly shed dead skin cells into the environment. From which epidermal layer do the cells shed?

A) Stratum corneum
B) Stratum lucidum
C) Stratum basale
D) Papillary layer
E) Stratum granulosum

32) The skin is waterproof, not allowing water to come in or out. Which protein is most responsible for this property?11_23_2016_QC_CS-69739

A) Keratin
B) Melanin
C) Carotene
D) Sebum

33) The dermis is composed mostly of

A) stratified squamous epithelium.
B) pseudostratified columnar epithelium.
C) loose connective tissue.
D) dense irregular connective tissue.

34) Which of the following prevents the skin from overstretching and gives it strength?

A) Melanin
B) Collagen fibers
C) Adipose tissue
D) Elastic fibers

35) Which of the following allows movement of muscles and joints and maintains normal skin tension?

A) Elastic fibers
B) Collagen fibers
C) Sensory fibers
D) Dermal papillae

36) The papillae are located in the ______ layer of the dermis.

A) superficial
B) deep

37) Which layer of the skin contains blood vessels AND nerve fibers?

A) Epidermis
B) Dermis
C) Epidermis and dermis

38) Poorly oxygenated blood in the dermis will cause an individual's skin to appear

A) cyanotic.
B) jaundiced.
C) pale.
D) pink.

39) Reduced blood flow into the dermis will cause

A) cyanosis.
B) pallor.
C) blushing.
D) jaundice.

40) Continuous pressure that reduces blood supply to the skin can result in a(n)

A) urticaria.
B) decubitus ulcer.
C) hirsutism.
D) callus.

41) The hypodermis consists mostly of

A) adipose tissue.
B) dense regular connective tissue.
C) dense irregular connective tissue.
D) stratified squamous epithelium.

42) When a healthcare provider delivers a subcutaneous injection with a hypodermic needle, what types of tissue are immediately around the tip of the needle?

A) Dense regular connective and epithelial
B) Areolar and adipose
C) Simple squamous and reticular
D) Stratified columnar and dense irregular

43) Hair is produced by epithelial cells located in the

A) epidermis.
B) dermis.
C) hypodermis.
D) dermis and hypodermis.

44) Which consists of keratinized cells?

A) Hair
B) Nails
C) Stratum corneum
D) All apply.

45) A condition described by excessive body and facial hair in women is

A) hirsutism.
B) decubitus ulcer.
C) scabies.
D) alopecia.

46) Which of the these pairs is incorrectly matched?

A) Hair follicle - smooth muscle that contracts to move the hair
B) Hair shaft - the part of the hair beyond the skin
C) Hair root - the part of the hair buried in the skin
D) Hair matrix - the growth center of the hair

47) The structure in which cells repeatedly divide to produce new cells that form a hair is the

A) hair matrix.
B) lunula.
C) hair shaft.
D) Merkel region.

48) The loss of hair is termed

A) alopecia.
B) hirsutism.
C) cyanosis.
D) albinism.

49) The arrector pili muscle

A) is a smooth muscle.
B) causes hair to "stand on end."
C) contracts when cold, forming goose bumps.
D) All apply.

50) __________ glands open into hair follicles in the anal region, groin, and armpits.

A) Sebaceous
B) Apocrine
C) Eccrine
D) Ceruminous

51) The area of rapidly dividing cells in the nail base is the

A) cuticle.
B) nail bed.
C) lunula.
D) follicle.

52) What type of skin gland secretes sweat?

A) Sebaceous gland
B) Sudoriferous gland
C) Ceruminous gland
D) Mammary gland

53) Which type of skin gland becomes active with puberty?

A) Ceruminous gland
B) Apocrine sweat gland
C) Eccrine sweat gland
D) Both ceruminous and eccrine sweat glands.

54) Which types of glands open into hair follicles?

A) Sebaceous glands and eccrine glands
B) Apocrine sweat glands and sebaceous glands
C) Eccrine sweat glands and ceruminousglands
D) Sudoriferous glands and endocrine glands

55) Which type of gland functions to cool the body with its secretions?

A) Eccrine
B) Apocrine
C) Sebaceous
D) Ceruminous

56) What type of skin gland secretes earwax?

A) Sebaceous gland
B) Eccrine sweat gland
C) Apocrine sweat gland
D) Ceruminous gland

57) An inflammation of sebaceous glands that occurs during adolescence is

A) impetigo.
B) psoriasis.
C) acne vulgaris.
D) decubitus ulcer.

58) Sebaceous glands secrete

A) sebum.
B) cerumen.
C) sweat.
D) breast milk.

59) What is needed to produce vitamin D?

A) Calcium
B) Sebum
C) Ultraviolet light
D) Melanin

60) Vitamin D is needed by the body to

A) form keratin.
B) absorb calcium from food.
C) make blood cells.
D) help the skin tan.

61) When one walks into a cold room, exposed skin will experience

A) dermal vasoconstriction.
B) dermal vasodilation.
C) epidermal vasoconstriction.
D) increased sweat gland activity.

62) What in the skin contracts when environmental temperatures decrease?

A) Arrector pili
B) Sweat glands
C) Sebaceous glands
D) Hair

63) Along with sweat glands, what actively regulate body temperature?

A) Langerhans cells
B) Blood vessels
C) Sebaceous glands
D) All apply.

64) What condition is described by high temperature, low blood pressure, and profuse sweating?

A) Heat exhaustion
B) Heat stroke
C) Fever
D) Hypothermia

65) _______ is characterized by a too-low body temperature, while _______ is characterized by a too-high body temperature.

A) Hypothermia; hyperthermia
B) Hyperthermia; hypothermia

66) When body temperature soars to as high as 110 degrees F, and sweating ceases, the patient is said to have

A) heat stroke.
B) heat exhaustion.
C) fever.
D) hypothermia.

67) Hyperthermia that is brought on by a bacterial infection is called

A) fever.
B) hypothermia.
C) cyanosis.
D) sweating.

68) Which of the following does not normally occur with hypothermia?

A) Deep breathing
B) Shivering
C) Hallucinations
D) Slow heart rate
E) Incoherent speech

69) Which of the following describes rickets?

A) It is characterized by soft, deformed bones.
B) It is a skin disease caused by too much calcitriol.
C) It is characterized by excessive shivering.
D) It results in abnormal water loss through skin.

70) Athlete's foot is

A) a bacterial infection.
B) caused by over keratinization.
C) caused by sensitivity to chemicals.
D) a fungal infection.

71) Impetigo is

A) a bacterial infection resulting in crusty pustules.
B) caused by over keratinization.
C) overactive cell division.
D) a fungal infection.

72) Eczema is

A) a bacterial infection.
B) caused by over keratinization.
C) caused by sensitivity to chemicals.
D) caused by overactive cell division giving silvery scales.

73) Dandruff is

A) a viral infection of the scalp.
B) caused by over keratinization.
C) caused by sensitivity to chemicals.
D) a fungal infection of the scalp.

74) Which of the following is the most common type of skin cancer?

A) Basal cell carcinoma
B) Squamous cell carcinoma
C) Melanoma
D) Kaposi's sarcoma

75) Which is the most dangerous form of skin cancer?

A) Basal cell carcinoma
B) Squamous cell carcinoma
C) Melanoma
D) Both basal cell carcinoma and squamous cell carcinoma

76) In the ABCDE rule for melanoma, "B" stands for

A) bloody discharge.
B) borders that are irregular.
C) burning feeling.
D) brightly colored.

77) Which pair of terms is INCORRECT?

A) A - assymmetry
B) C - color
C) D - depth
D) E - evolving
E) B - border regularity

78) What type of skin cancer is seen most often in patients with AIDS?

A) Kaposi's sarcoma
B) Basal cell carcinoma
C) Melanoma
D) Squamous cell carcinoma

79) Compared to basal cell carcinoma, squamous cell carcinoma is

A) more common and more likely to spread.
B) more common but less likely to spread.
C) less common but more likely to spread.
D) less common and less likely to spread.

80) Squamous cell carcinoma originates in the

A) superficial epidermis.
B) deepest layer of the epidermis.
C) superficial dermis.
D) deepest layer of the dermis.

81) Which of the following is NOT a sign of inflammation as seen in a skin injury?

A) Pallor
B) Swelling
C) Redness
D) Pain

82) What is the function of a blood clot?

A) Prevents blood loss
B) Prevents toxins from entering other tissues
C) Prevents pathogens from entering other tissue
D) All apply.

83) What is NOT a function of fibroblasts in wound healing?

A) Bring about scar formation
B) Promote tissue regeneration
C) Fight infections
D) Pull the margins of wound together

84) What is a scar mostly composed of?

A) Epithelium
B) Blood clot
C) Collagen fibers
D) Areolar tissue

85) Only the epidermis is damaged in a

A) first-degree burn.
B) second-degree burn.
C) third-degree burn.
D) fourth-degree burn.

86) The epidermis and part of the dermis are damaged from a

A) first-degree burn.
B) second-degree burn.
C) third-degree burn.
D) fourth-degree burn.

87) Pain might not immediately be felt from a full-thickness burn that destroys pain receptors, such as a

A) first-degree burn.
B) second-degree burn.
C) third-degree burn.
D) sunburn.

88) Severe burns can result in

A) fluid loss.
B) heat loss.
C) bacterial infection.
D) All apply.

89) What percentage of a person's skin would be involved if they had burned their left arm, front of the trunk, and the front of their left leg?

A) 45%
B) 40.5%
C) 36%
D) 31.5%

90) Which of the following helps explain why elderly people have trouble with thermoregulation?

A) Their skin has less collagen.
B) They have fewer sweat glands.
C) They have fewer sebaceous glands.
D) The epidermis becomes thinner.

91) Which of the following explains why people get gray hair as they age?

A) Collagen decreases in quantity and function with aging.
B) Sebaceous glands decrease in number and function with aging.
C) Hair follicles atrophy and decrease in function with aging.
D) Melanocytes decrease in function with aging.

92) The integumentary system works closely with the _______ system to protect the body against infection.

A) renal
B) lymphatic
C) digestive
D) reproductive

93) How does the skin work closely with the skeletal system?

A) It produces vitamin D.
B) It produces sweat.
C) It stores fat.
D) It protects against infection.

94) Which statement best describes how the skin works with the nervous system?

A) Neurons detect sensationsand control glands and arrector pili.
B) Neurons control clot formation and inflammation.
C) Neurons detect the presence of bacteria and viruses.
D) Neurons stimulate melanocytes to change the pigment of the skin.