Verified Test Bank Ch22 The Integumentary System - Medical Assisting Procedures 6e | Test Bank by Kathryn Booth by Kathryn Booth. DOCX document preview.

Verified Test Bank Ch22 The Integumentary System

Chapter 22

The Integumentary System

 


Multiple Choice Questions
 

1.

Which of these structures or substances in the skin helps prevent UV radiation from damaging deep structures of the skin?  
 

A. 

Sebaceous glands

B. 

Melanin

C. 

Keratinocytes

D. 

Keratin

E. 

Collagen fibers

 

2.

Signs and symptoms listed in the ABCDE rule would apply to which condition?  
 

A. 

Melanoma

B. 

Basal cell carcinoma

C. 

Squamous cell carcinoma

D. 

Alopecia

E. 

Herpes zoster

 

3.

When the skin is injured, inflammation follows. One effect of this response is that it ____.  
 

A. 

prevents hemorrhage

B. 

decreases swelling

C. 

decreases blood supply to the area

D. 

decreases nutrients to the area

E. 

carries defensive cells to the area

 

4.

The extent of a burn injury is estimated by ____.  
 

A. 

calculating body mass

B. 

calculating weight, height, and age

C. 

using the rule of nines

D. 

identifying the substance that caused the burn

E. 

classifying the thickness of the burn injury

 

5.

Julio called this morning and asked to be seen today if possible. You fit him into the schedule and he arrives at your office with a red face that looks painful. He states that the gas stove flashed in his face when he was lighting it. You note that facial hair has been burned, but there are no blisters. Your best first response is to ____.  
 

A. 

call 911 because burns to the head are always serious

B. 

apply ointment to the burns on his face

C. 

check his vital signs and put ice on the burned area

D. 

get him to drink some cool water to prevent shock

E. 

cover the burn to keep out bacteria

 

6.

You are working at a walk-in urgent care center. Kenneth is an auto mechanic and was brought in by a co-worker after his arm accidentally came in contact with the hot motor of a car he was working on. His long-sleeved shirt appears to be sticking to a burned area that extends from the upper arm to the mid-forearm. Your best response is to ____.  
 

A. 

remove the shirt from the burned area

B. 

cool the burn with large amounts of water

C. 

contact emergency personnel

D. 

check the airways for swelling

E. 

apply a soothing lotion to the burned area

 

7.

The skin plays a role in regulating body temperature by ____.  
 

A. 

dilating or constricting blood vessels in the skin

B. 

stimulating the hypothalamus

C. 

eliminating wastes

D. 

retaining fluids

E. 

producing vitamin D

 

8.

Which of the following is mostly adipose tissue?  
 

A. 

Epidermis

B. 

Dermis

C. 

Hypodermis

D. 

Stratum basale

E. 

Stratum germinativum

 

9.

In which layer of skin are keratinocyte cells located?  
 

A. 

arrector pili

B. 

epidermis

C. 

dermis

D. 

subcutaneous layer

E. 

hypodermis

 

10.

Melanin, which helps protect underlying layers of skin from UV radiation, is deposited throughout the ____.  
 

A. 

dermis

B. 

epidermis

C. 

subcutaneous layer

D. 

hypodermis

E. 

arrector pili

 

11.

Which skin layer contains all of the major tissue types, including epithelial tissue, connective tissues, muscle tissue, and nervous tissue?  
 

A. 

Arrector pili

B. 

Epidermis

C. 

Dermis

D. 

Subcutaneous

E. 

Hypodermis

 

12.

Keratin is a durable protein that makes which skin layer waterproof and resistant to bacteria and viruses?  
 

A. 

Arrector pili

B. 

Epidermis

C. 

Dermis

D. 

Subcutaneous

E. 

Hypodermis

 

13.

Sweat glands are found in the ____.  
 

A. 

arrector pili

B. 

epidermis

C. 

dermis

D. 

subcutaneous

E. 

hypodermis

 

14.

When the supply of oxygen in the blood is low, what color would the skin appear?  
 

A. 

Pink

B. 

Rosy

C. 

Yellow

D. 

Bluish

E. 

Amber

 

15.

A person with a rich supply of oxygenated blood will have what hue of skin color?  
 

A. 

Pink

B. 

Cyanotic

C. 

Yellow

D. 

Bluish

E. 

Amber

 

16.

The most aggressive skin cancer is ____.  
 

A. 

basal cell carcinoma

B. 

squamous cell carcinoma

C. 

melanoma

D. 

eczema

E. 

scabies

 

17.

The most common skin cancer is ____.  
 

A. 

basal cell carcinoma

B. 

squamous cell carcinoma

C. 

melanoma

D. 

eczema

E. 

scabies

 

18.

A ____ often begins with a mole.  
 

A. 

verruca

B. 

basal cell carcinoma

C. 

squamous cell carcinoma

D. 

melanoma

E. 

wart

 

19.

Which of the following begins in the flat cells of the epidermis?  
 

A. 

Basal cell carcinoma

B. 

Alopecia

C. 

Melanoma

D. 

Squamous cell carcinoma

E. 

Pediculosis

 

20.

Which of the following conditions may require chemotherapy?  
 

A. 

Basal cell carcinoma

B. 

Alopecia

C. 

Melanoma

D. 

Squamous cell carcinoma

E. 

Pediculosis

 

21.

Which of the following diseases or disorders has five stages?  
 

A. 

Eczema

B. 

Pediculosis

C. 

Herpes zoster

D. 

Melanoma

E. 

Folliculitis

 

22.

The causes of eczema are ____.  
 

A. 

inherited

B. 

viral

C. 

hormonal

D. 

bacterial

E. 

mostly unknown

 

23.

Which of the following causes herpes simplex?  
 

A. 

A virus

B. 

Bacteria

C. 

Lice

D. 

Hormones

E. 

Unknown causes

 

24.

Rosacea results from dilation of small facial blood vessels; the cause of this dilation is ____.  
 

A. 

a virus

B. 

bacteria

C. 

a fungus

D. 

a worm

E. 

unknown

 

25.

Pediculosis, which comes in three forms, is caused by which of the following?  
 

A. 

A virus

B. 

Bacteria

C. 

A fungus

D. 

A worm

E. 

Lice

 

26.

Cellulitis is an inflammation of connective tissues in skin caused by ____.  
 

A. 

a virus

B. 

bacteria

C. 

a fungus

D. 

a worm

E. 

lice

 

27.

Which of these skin problems requires treating the whole family?  
 

A. 

Folliculitis

B. 

Psoriasis

C. 

Scabies

D. 

Dermatitis

E. 

Eczema

 

28.

Which of these skin problems can be caused by excessive rubbing of the skin?  
 

A. 

Folliculitis

B. 

Psoriasis

C. 

Scabies

D. 

Dermatitis

E. 

Pediculosis

 

29.

Which of these skin problems is an inherited autoimmune disorder?  
 

A. 

Folliculitis

B. 

Psoriasis

C. 

Scabies

D. 

Dermatitis

E. 

Pediculosis

 

30.

Which skin condition has characteristics of itchy, silvery, scaly lesions?  
 

A. 

Folliculitis

B. 

Psoriasis

C. 

Scabies

D. 

Pediculosis

E. 

Eczema

 

31.

Which of the following are mites that burrow beneath the skin?  
 

A. 

Folliculitis

B. 

Psoriasis

C. 

Eczema

D. 

Scabies

E. 

Dermatitis

 

32.

Which of the following is associated with eccrine sweat glands?  
 

A. 

Produce watery sweat

B. 

Produce sweat with a high amount of protein

C. 

Activated by nervousness or stress

D. 

Most numerous in armpits and groin

E. 

Become active during puberty

 

33.

Which of the following is not associated with eccrine sweat glands?  
 

A. 

Most numerous

B. 

Produce watery sweat

C. 

Cause loss of body heat

D. 

Most numerous in armpits and groin

E. 

Activated primarily by heat

 

34.

Which characteristic is associated with apocrine sweat glands?  
 

A. 

Most numerous

B. 

Produces watery sweat

C. 

Produces sweat with a high amount of protein

D. 

Causes loss of body heat

E. 

Concentrated on the forehead, neck, and back

 

35.

Apocrine sweat glands are not associated with which of the following?  
 

A. 

Produce sweat with a high amount of protein

B. 

Activated primarily by heat

C. 

Produce thicker sweat than eccrine glands

D. 

Most numerous in arm pits and groin

E. 

Become active during puberty

 

36.

A burn that causes only pain, swelling, and redness is a ____.  
 

A. 

first-degree burn

B. 

second-degree burn

C. 

third-degree burn

D. 

partial-thickness burn

E. 

full-thickness burn

 

37.

Which type of burn involves the epidermis and dermis but does not affect muscles or bones.  
 

A. 

First-degree

B. 

Second-degree

C. 

Third-degree

D. 

Full-thickness

E. 

Superficial

 

38.

Which type of burn involves all layers of the skin and often the muscles and bones?  
 

A. 

Superficial

B. 

Second-degree

C. 

Full-thickness

D. 

Partial-thickness

E. 

First-degree

 

39.

In the figure of the skin, the sebaceous gland is indicated by the letter ____.  
 

A. 

A

B. 

B

C. 

C

D. 

D

E. 

E

 

40.

The epidermis is indicated by the letter ____ in the figure of the skin.  
 

A. 

A

B. 

C

C. 

D

D. 

E

E. 

F

 

41.

Sweat glands, also known as sudoriferous glands, are indicated by the letter ____ in the figure.  
 

A. 

B

B. 

C

C. 

D

D. 

E

E. 

F

 

42.

Hair follicles are designated by the letter ____ in the figure. rev: 06_12_2014_QC_50431  
 

A. 

B

B. 

C

C. 

D

D. 

E

E. 

F

 

43.

Which letter indicates the dermis?  
 

A. 

A

B. 

B

C. 

C

D. 

D

E. 

E

 

44.

The subcutaneous layer of skin, or hypodermis, is largely made of adipose and loose connective tissue and also contains blood vessels and nerves. It is designated by the letter ____ on the figure.  
 

A. 

A

B. 

B

C. 

C

D. 

D

E. 

F

 

45.

Barry has come to the medical office today because he has a small sore on the back of his left forearm that appeared three months ago and has not gone away. The sore is smooth and red and has a slight waxy sheen. Given the appearance of this sore, which of the following skin disorders would the practitioner test for?  
 

A. 

Dermatitis

B. 

Eczema

C. 

Psoriasis

D. 

Basal cell carcinoma

E. 

Herpes simplex

 

46.

Joanne is in the office today because of a rash that is occurring down one side of her back and thigh. She is obviously in great pain and the rash is beginning to blister in places. Which of the following questions would help the provider make a diagnosis in this case?  
 

A. 

"How many people live in your home?"

B. 

"Have you noticed any similar symptoms in other family members?"

C. 

"Did you have chickenpox when you were a child?"

D. 

"Have you had any sexual contact in the last 6 months?"

E. 

"How long has it been since you had a tetanus shot?"

 

 


Fill in the Blank Questions
 

47.

A first-degree burn is shown at letter ________ in the figure.  
 
________________________________________

 

48.

A partial-thickness burn involves the epidermis and dermis. This is shown at letter ________ in the figure.  
 
________________________________________

 

49.

A third-degree burn is shown at letter ________ in the figure.  
 
________________________________________

 

50.

Unless they are extensive, burns like the one shown in the figure by letter ________ do not require medical attention and usually heal well.  
 
________________________________________

 

51.

In a third-degree burn (letter ________), the skin often looks black or charred, which is known as eschar.  
 
________________________________________

 

52.

Most of the time, ________ is inherited and results in hair loss. Other common causes include hormonal changes, chemotherapy, stress, burns, and fungal infections of the skin.  
 
________________________________________

 

53.

The ________ glands produce a thicker type of sweat that contains more proteins and are mostly concentrated in areas of skin with coarse hair.  
 
________________________________________

 

54.

The ________ muscles are attached to hair follicles and cause goose bumps.  
 
________________________________________

 

55.

An inflammation of connective tissues in skin that primarily occurs on the face and legs and is caused by staphylococcal and streptococcal bacteria is _______.  
 
________________________________________

 

56.

When the supply of oxygen in the blood is low, the skin looks bluish, which is called ________.  
 
________________________________________

 

57.

________ is a general term defined as inflammation of the skin or a rash that can have many causes. It is a sign of many types of skin disorder.  
 
________________________________________

 

58.

In shingles, a painful blistering rash occurs along the ________, the skin area along the pathway of the affected nerve root.  
 
________________________________________

 

59.

The ________ layer of the skin is deep to the epidermis and contains all the major tissue types.  
 
________________________________________

 

60.

One type of chronic dermatitis that has acute phases is _______. Its causes are mostly unknown, but it is thought to be a type of allergy or the result of an underlying inflammatory condition.  
 
________________________________________

 

61.

The ________ is the most superficial layer of skin and is made up of many layers of tightly packed cells.  
 
________________________________________

 

62.

A hair ________ is a tube-like structure in the dermis of skin made of epithelial tissue.  
 
________________________________________

 

63.

"Swimmer's rash," or ________, is an inflammation of hair follicles resulting from shaving or excess rubbing of skin areas or from bacteria and fungi that develop from prolonged wearing of wet swimwear or undertreated hot tubs.  
 
________________________________________

 

64.

Herpes ________ types 1 and 2 are both caused by a virus. Type 1 causes cold sores, is very contagious, and is spread through saliva. Type 2, known as genital herpes, is sexually transmitted.  
 
________________________________________

 

65.

After a person has chickenpox, the virus becomes dormant in the spine's dorsal nerve root, but it can become active again later in life to cause shingles, also known as herpes ________.  
 
________________________________________

 

66.

Another name for the subcutaneous layer of skin is ________.  
 
________________________________________

 

67.

In ________, the skin develops oozing lesions that eventually crust over with a distinctive honey-colored crust. It is highly contagious for those who come in contact with the lesions or the exudates from them.  
 
________________________________________

 

68.

The durable protein that makes the epidermis waterproof and resistant to bacteria and viruses is ________.  
 
________________________________________

 

69.

The most common cell type in the epidermis is the ________.  
 
________________________________________

 

70.

The white half-moon-shaped area at the base of a nail is called a(n) ________ and contains very active keratinocytes.  
 
________________________________________

 

71.

The pigment called ________ traps ultraviolet radiation from sunlight and prevents the radiation from harming structures in the underlying layers of skin.  
 
________________________________________

 

72.

All people have about the same number of ________, regardless of skin color. What varies from person to person is how active the cells are in producing melanin.  
 
________________________________________

 

73.

The nail ________ holds the nail down to underlying skin and provides nutrients to the nail from the blood supply under it.  
 
________________________________________

 

74.

The skin condition called ________ is caused by parasitic lice and is associated with overcrowded conditions and often with poor hygiene.  
 
________________________________________

 

75.

Most likely an inherited autoimmune disorder, ________ causes recurring episodes of itching and redness with outbreaks of distinctive silvery, scaly skin lesions.  
 
________________________________________

 

76.

The skin disorder that commonly appears as facial redness, predominantly over the cheeks and nose, is ________ and results from dilation of small facial blood vessels.  
 
________________________________________

 

77.

Because ________, which is caused by the itch mite, is highly contagious, it is wise to treat an entire family if one member is infected.  
 
________________________________________

 

78.

The ________ glands produce an oily substance called sebum that is secreted onto hairs to keep them soft and pliable and also to prevent bacteria from growing on the skin.  
 
________________________________________

 

79.

An oily substance called ________ is secreted onto hairs to keep them soft and pliable and is eventually deposited onto skin to keep it soft as well.  
 
________________________________________

 

80.

The stratum ________ is the deepest layer of the epidermis. The cells in this layer are constantly dividing and push older cells up toward the stratum corneum.  
 
________________________________________

 

81.

The most superficial layer of the epidermis is the stratum______. Most of the cells in this layer are dead and very flat and form an impermeable layer for skin.  
 
________________________________________

 

82.

The ________ layer of skin is largely made of adipose and loose connective tissue and contains blood vessels and nerves.  
 
________________________________________

 

83.

Most ________ (sweat) glands are located in the dermis of skin and are of two types: eccrine and apocrine.  
 
________________________________________

 

84.

Ringworm that occurs on the scalp is ________ capitis.  
 
________________________________________

 

85.

The A of the ABCDE rule used in evaluating melanoma is for ________. The mole should look equal in size from side to side.  
 
________________________________________

 

86.

The ________ of a mole should not be irregular, nor should it blur into nearby normal tissue.  
 
________________________________________

 

87.

The ________ of a mole should be even and not lighten or darken.  
 
________________________________________

 

88.

A mole should not grow larger than 6 mm in ________.  
 
________________________________________

 

89.

The American Cancer Society has put together seven cancer warning signs for adults using the acronym ________.  
 
________________________________________

 

90.

  

The skin layer labeled A is the ________.  
 
________________________________________

 

91.

  

The skin layer labeled B is the ________.  
 
________________________________________

 

92.

  

The skin layer labeled C is the ________ layer.  
 
________________________________________

 

93.

  

The item labeled F in the illustration is a(n) ________ gland.  
 
________________________________________

 

94.

  

The item labeled E in the illustration is a hair ________.  
 
________________________________________

 

95.

  

The item labeled D in the illustration is a(n) ________ gland.  
 
________________________________________

 

96.

The skin plays a major role in body ________ regulation by dilating and constricting dermal blood vessels.  
 
________________________________________

 

97.

When skin is exposed to sunlight it produces a molecule that is converted to ________, which the body needs for calcium absorption.  
 
________________________________________

 

98.

Receptors in the skin that detect touch, heat, cold, and pain are called _____ receptors.  
 
________________________________________

 

99.

The skin ________ small amounts of waste products, such as water and salts, through perspiration.  
 
________________________________________

 

100.

A skin lesion that consists of a large blister or cluster of blisters is a(n) ________.  
 
________________________________________

 

101.

Skin lesions that originate from disease or body changes are called ________ lesions.  
 
________________________________________

 

102.

Lesions such as keloids that are caused by a reaction to external traumas are known as ________ lesions.  
 
________________________________________

 

103.

Anomalies of the blood vessels, such as telangiectasias or ecchymoses, are called ________ lesions.  
 
________________________________________

 

104.

A scar inside a wound or tissue is known as a(n) ________.  
 
________________________________________

 

105.

Bleeding disorders may cause pinpoint skin hemorrhages known as ________ .  
 
________________________________________

 

106.

A(n) ________ is an overgrowth of scar tissue.  
 
________________________________________

 

107.

Freckles and flat moles are examples of skin lesions known as ________.  
 
________________________________________

 

108.

An elevated, infected skin lesion that contains pus is a(n) ________.  
 
________________________________________

 

109.

Redness, swelling, localized warmth, and pain are characteristics of ________.  
 
________________________________________

 

110.

The redness around an inflamed area is caused by the ________ of nearby blood vessels.  
 
________________________________________

 

111.

When the structures and blood vessels of the dermis are injured, a blood ________ forms initially.  
 
________________________________________

 

112.

The major component of scars is a whitish fiber called ________.  
 
________________________________________

 

Document Information

Document Type:
DOCX
Chapter Number:
22
Created Date:
Aug 21, 2025
Chapter Name:
Chapter 22 The Integumentary System
Author:
Kathryn Booth

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