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Test Bank for Accompany Saladin Human Anatomy, 6th Edition, Eric Wise

Test Bank for Accompany Saladin Human Anatomy,


6th Edition, Eric Wise

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Human Anatomy, 6e (Saladin)
Chapter 5 The Integumentary System

1) Which statement about the hypodermis is correct?


A) It consists of loose connective tissue and adipocytes.
B) It is avascular.
C) It stabilizes the skin's position on deeper tissue because it closely adheres to the underlying
muscle.
D) The distribution of subcutaneous fat remains essentially the same as a person grows from
infancy through adolescence to adulthood, especially in women.
E) It is composed of stratified squamous epithelium.

Answer: A
Section: 5.01
Topic: Functions of the subcutaneous layer
Bloom's: 2. Understand
Learning Outcome: 5.1a List the functions of the skin and relate them to its structure.
Accessibility: Keyboard Navigation; Screen Reader Compatible

2) Which of the following is not a function of the skin?


A) Synthesis of vitamin C
B) Retention of water
C) Sensation of pain, temperature, and pressure
D) Facial expression
E) Thermoregulation

Answer: A
Section: 5.01
Topic: General functions of skin and the subcutaneous layer
Bloom's: 4. Analyze
Learning Outcome: 5.1a List the functions of the skin and relate them to its structure.
Accessibility: Keyboard Navigation; Screen Reader Compatible

3) The synthesis of ________ depends on the penetration of ultraviolet light through the
epidermis.
A) collagen
B) keratin
C) cholesterol
D) carotene
E) vitamin D

Answer: E
Section: 5.01
Topic: General functions of skin and the subcutaneous layer
Bloom's: 2. Understand
Learning Outcome: 5.1a List the functions of the skin and relate them to its structure.
Accessibility: Keyboard Navigation; Screen Reader Compatible
1
Copyright © 2020 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written onsent of McGraw-Hill Education.
4) Why are elderly people vulnerable to hypothermia?
A) They produce fewer keratinocytes.
B) They produce less keratin.
C) They produce less melanin.
D) They have less subcutaneous fat.
E) Their skin is more wrinkled.

Answer: D
Section: 5.01
Topic: Effects of aging on the integumentary system
Bloom's: 4. Analyze
Learning Outcome: 5.1a List the functions of the skin and relate them to its structure.
Accessibility: Keyboard Navigation; Screen Reader Compatible

5) What is a desirable (and healthy) result of exposure to ultraviolet rays from the sun?
A) A decrease in melanocyte activity
B) Increased production of vitamin D
C) Increased production of vitamin C
D) Sunburn
E) A deep bronze tan

Answer: B
Section: 5.01
Topic: General functions of skin and the subcutaneous layer
Bloom's: 4. Analyze
Learning Outcome: 5.1a List the functions of the skin and relate them to its structure.
Accessibility: Keyboard Navigation; Screen Reader Compatible

6) The skin carries out the first step in the synthesis of vitamin D.

Answer: TRUE
Section: 5.01
Topic: General functions of skin and the subcutaneous layer
Bloom's: 2. Understand
Learning Outcome: 5.1a List the functions of the skin and relate them to its structure.
Accessibility: Keyboard Navigation; Screen Reader Compatible

2
Copyright © 2020 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written onsent of McGraw-Hill Education.
7) Which of the following is not part of the skin?
A) Epidermis
B) Papillary layer
C) Hypodermis
D) Stratum basale
E) Dermis

Answer: C
Section: 5.01
Topic: General functions of skin and the subcutaneous layer
Bloom's: 4. Analyze
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

8) Which cell type is not found in the epidermis?


A) Keratinocyte
B) Melanocyte
C) Adipocyte
D) Dendritic cell
E) Tactile cell

Answer: C
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 2. Understand
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

9) What is the best explanation for the observation that mitosis occurs in the deepest layers of the
epidermis?
A) Cells are dead in the top layer of the skin.
B) Protein granules accumulate in the cytoplasm of cells as they move up the layers.
C) Mitosis requires oxygen and nutrients supplied by blood vessels.
D) Cells undergo apoptosis in upper layers of the epidermis.
E) The cells in the deepest layer of the epidermis are metabolically active.

Answer: C
Section: 5.01
Topic: Functions of skin tissue layers
Bloom's: 3. Apply
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

3
Copyright © 2020 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written onsent of McGraw-Hill Education.
10) Where is thick skin found?
A) On the lips
B) On the dorsal surface of the fingers
C) On the palms
D) On the abdomen
E) On the cheeks

Answer: C
Section: 5.01
Topic: Gross anatomy of skin
Bloom's: 1. Remember
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

11) How does the epidermis differ from the inner lining of the esophagus?
A) It rests on a layer of connective tissue.
B) It is keratinized.
C) It is not keratinized.
D) It is a stratified squamous epithelium.
E) It is not a stratified squamous epithelium.

Answer: B
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 2. Understand
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

12) Which of the following is associated with the sense of touch?


A) Dendritic cells
B) Keratinocytes
C) Melanocytes
D) Fibroblasts
E) Tactile cells

Answer: E
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 1. Remember
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

4
Copyright © 2020 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written onsent of McGraw-Hill Education.
13) In which skin layer is areolar tissue found?
A) Stratum corneum
B) Stratum lucidum
C) Stratum spinosum
D) Papillary layer
E) Reticular layer

Answer: D
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 1. Remember
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

14) Which of the following is an epidermal cell with an immunological function?


A) Keratinocyte
B) Melanocyte
C) Plasma cell
D) Dendritic (Langerhans) cell
E) Tactile (Merkel) cell

Answer: D
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 1. Remember
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

15) Which layer is absent in thin skin?


A) The reticular layer
B) The stratum corneum
C) The stratum lucidum
D) The papillary layer
E) The hypodermis

Answer: C
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 2. Understand
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

5
Copyright © 2020 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written onsent of McGraw-Hill Education.
16) The reticular layer of the dermis consists of what kind of tissue?
A) Reticular connective tissue
B) Stratified squamous epithelium
C) Dense regular connective tissue
D) Dense irregular connective tissue
E) Areolar connective tissue

Answer: D
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 1. Remember
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

17) Which of the following occurs in the stratum granulosum?


A) Keratinocytes are produced through the process of mitosis.
B) The cells produce more keratin filaments that cause the cells to flatten.
C) The keratinocytes flake off the surface of the skin.
D) The keratinocytes undergo apoptosis.
E) Melanocytes produce melanin.

Answer: D
Section: 5.01
Topic: Functions of skin tissue layers
Bloom's: 4. Analyze
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

18) Which feature(s) of the dermis ensure(s) that it remains interlocked with the epidermis?
A) The dermal papillae
B) The areolar connective tissue
C) The collagen fibers in the reticular layer
D) Tension lines
E) Adipocytes

Answer: A
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 3. Apply
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

6
Copyright © 2020 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written onsent of McGraw-Hill Education.
19) ________ cells are undifferentiated cells that undergo mitosis and give rise to keratinocytes.

Answer: Stem
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 1. Remember
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

20) Receptor cells for the sense of touch are called ________ cells.

Answer: tactile
Merkel
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 1. Remember
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

21) Macrophages that migrate to the epidermis to guard against pathogens are known as
________ cells.

Answer: dendritic
Langerhans
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 1. Remember
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

22) In the epidermis, the layer where keratinocytes contain keratohyalin granules is the stratum
________.

Answer: granulosum
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 1. Remember
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

7
Copyright © 2020 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written onsent of McGraw-Hill Education.
23) The ________ layer of the dermis consists of areolar tissue.

Answer: papillary
superficial
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 1. Remember
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

24) Apoptosis of keratinocytes occurs in the stratum ________ layer of the epidermis.

Answer: granulosum
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 2. Understand
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

25) A dermal ________ is a structure in the dermis that provides nutrition for hair growth.

Answer: papilla
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 1. Remember
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

26) The principal protein found in the stratum corneum of the epidermis is ________.

Answer: keratin
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 1. Remember
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

8
Copyright © 2020 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written onsent of McGraw-Hill Education.
27) The stratum ________ of the epidermis is only found in thick skin.

Answer: lucidum
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 2. Understand
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

28) The epidermal ________ are downward waves that are extensions of the epidermis and lie
between the dermal papillae.

Answer: ridges
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 2. Understand
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

29) Living keratinocytes exfoliate from the epidermis as tiny specks called dander.

Answer: FALSE
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 3. Apply
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

30) The deeper of the two layers of the skin is the hypodermis.

Answer: FALSE
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 1. Remember
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

9
Copyright © 2020 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written onsent of McGraw-Hill Education.
31) The youngest keratinocytes are found in the stratum basale.

Answer: TRUE
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 2. Understand
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

32) Which of the following is not found in the epidermis?


A) Melanocytes
B) Fibroblasts
C) Stem cells
D) Keratinocytes
E) Tactile cells

Answer: B
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 4. Analyze
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

33) Skin covering the ________ has sweat glands but no hair follicles or sebaceous glands.
A) forearm
B) buttocks
C) abdomen
D) fingertips
E) back

Answer: D
Section: 5.01
Topic: Gross anatomy of skin
Bloom's: 3. Apply
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

10
Copyright © 2020 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written onsent of McGraw-Hill Education.
34) In which of the following skin layers would a subcutaneous injection be administered?
A) Stratum basale
B) Stratum spinosum
C) Stratum corneum
D) Dermis
E) Hypodermis

Answer: E
Section: 5.01
Topic: Clinical applications of the integumentary system
Bloom's: 3. Apply
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

35) Which of the skin layers below is the most superficial?


A) Basal lamina
B) Epidermis
C) Papillary layer
D) Reticular layer
E) Hypodermis

Answer: B
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 4. Analyze
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

36) Which of the following best describes the composition of the dermis?
A) Collagen and living keratinocytes
B) Collagen and dead keratinocytes
C) Collagen and fibroblasts
D) Elastic fibers and melanocytes
E) Elastic fibers and dendritic cells

Answer: C
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 2. Understand
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

11
Copyright © 2020 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written onsent of McGraw-Hill Education.
37) What type of tissue is found in the most superficial layer of skin?
A) Simple squamous epithelium
B) Stratified squamous epithelium
C) Dense irregular connective tissue
D) Areolar connective tissue
E) Dense regular connective tissue

Answer: B
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 3. Apply
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

38) Looking at a slide of thin skin under the microscope, you note that the stratum basale is the
________ layer of the epidermis in from the surface.
A) second
B) third
C) first
D) fifth
E) fourth

Answer: E
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 3. Apply
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

39) Which layer of the epidermis consists of up to 30 layers of dead cells?


A) Stratum basale
B) Stratum spinosum
C) Stratum granulosum
D) Stratum lucidum
E) Stratum corneum

Answer: E
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 1. Remember
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

12
Copyright © 2020 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written onsent of McGraw-Hill Education.
40) Which of the following are associated with the sense of touch?
A) Fibroblasts
B) Melanocytes
C) Keratinocytes
D) Dendritic (Langerhans) cells
E) Tactile (Merkel) cells

Answer: E
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 1. Remember
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

41) The fastest rate of mitosis happens in the ________.


A) stratum basale
B) stratum spinosum
C) stratum granulosum
D) stratum lucidum
E) stratum corneum

Answer: A
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 3. Apply
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

42) Leather is made of the ________ layer of the dermis.


A) areolar
B) keratin
C) reticular
D) collagen
E) papillary

Answer: C
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 2. Understand
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

13
Copyright © 2020 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written onsent of McGraw-Hill Education.
43) The hypodermis is characterized by an abundance of which tissue?
A) Stratified squamous epithelium
B) Smooth muscle
C) Nervous tissue
D) Adipose tissue
E) Dense irregular connective tissue

Answer: D
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 1. Remember
Learning Outcome: 5.1b Describe the histological structure of the epidermis, dermis, and
subcutaneous tissue.
Accessibility: Keyboard Navigation; Screen Reader Compatible

44) Why is there variation in skin color among modern humans?


A) People have different numbers of melanocytes.
B) People have a different distribution of carotene in their skin.
C) People have a different distribution of melanin in their epidermis.
D) People are exposed to different chemicals over their lifetime.
E) People have different hemoglobin in vessels close to their skin.

Answer: C
Section: 5.01
Topic: Clinical applications of the integumentary system
Bloom's: 2. Understand
Learning Outcome: 5.1c Describe the normal and pathological colors that the skin can have and
explain their causes.
Accessibility: Keyboard Navigation; Screen Reader Compatible

45) Which of the following might result from embarrassment?


A) Cyanosis
B) Jaundice
C) Pallor
D) Erythema
E) Tension lines

Answer: D
Section: 5.01
Topic: Clinical applications of the integumentary system
Bloom's: 3. Apply
Learning Outcome: 5.1c Describe the normal and pathological colors that the skin can have and
explain their causes.
Accessibility: Keyboard Navigation; Screen Reader Compatible

14
Copyright © 2020 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written onsent of McGraw-Hill Education.
46) Which of the following substances that contributes to skin color is of dietary origin?
A) Collagen
B) Hemoglobin
C) Melanin
D) Carotene
E) Bilirubin

Answer: D
Section: 5.01
Topic: Microscopic anatomy of skin
Bloom's: 2. Understand
Learning Outcome: 5.1c Describe the normal and pathological colors that the skin can have and
explain their causes.
Accessibility: Keyboard Navigation; Screen Reader Compatible

47) Which of the following does not contribute to skin color?


A) Hemoglobin
B) Melanin
C) Keratin
D) Carotene
E) All of the choices contribute to skin color.

Answer: C
Section: 5.01
Topic: Gross anatomy of skin
Bloom's: 4. Analyze
Learning Outcome: 5.1c Describe the normal and pathological colors that the skin can have and
explain their causes.
Accessibility: Keyboard Navigation; Screen Reader Compatible

48) Which genetically inherited condition results from an inability to produce melanin?
A) Pallor
B) Jaundice
C) Erythema
D) Albinism
E) Addison disease

Answer: D
Section: 5.01
Topic: Clinical applications of the integumentary system
Bloom's: 1. Remember
Learning Outcome: 5.1c Describe the normal and pathological colors that the skin can have and
explain their causes.
Accessibility: Keyboard Navigation; Screen Reader Compatible

15
Copyright © 2020 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written onsent of McGraw-Hill Education.
49) Which condition is characterized by yellowing of the skin and eyeballs?
A) Erythema
B) Albinism
C) Pallor
D) Jaundice
E) Bronzing

Answer: D
Section: 5.01
Topic: Clinical applications of the integumentary system
Bloom's: 1. Remember
Learning Outcome: 5.1c Describe the normal and pathological colors that the skin can have and
explain their causes.
Accessibility: Keyboard Navigation; Screen Reader Compatible

50) In a condition called ________, blueness of the skin results from a deficiency of oxygen.

Answer: cyanosis
Section: 5.01
Topic: Clinical applications of the integumentary system
Bloom's: 1. Remember
Learning Outcome: 5.1c Describe the normal and pathological colors that the skin can have and
explain their causes.
Accessibility: Keyboard Navigation; Screen Reader Compatible

51) A pale or ashen color of the skin that may result from severe anemia is called ________.

Answer: pallor
Section: 5.01
Topic: Clinical applications of the integumentary system
Bloom's: 1. Remember
Learning Outcome: 5.1c Describe the normal and pathological colors that the skin can have and
explain their causes.
Accessibility: Keyboard Navigation; Screen Reader Compatible

52) A yellow pigment derived from food that can sometimes color the skin is ________.

Answer: carotene
Section: 5.01
Topic: Clinical applications of the integumentary system
Bloom's: 1. Remember
Learning Outcome: 5.1c Describe the normal and pathological colors that the skin can have and
explain their causes.
Accessibility: Keyboard Navigation; Screen Reader Compatible

16
Copyright © 2020 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written onsent of McGraw-Hill Education.
53) The blood pigment ________ imparts a pinkish hue to the skin.

Answer: hemoglobin
Section: 5.01
Topic: Clinical applications of the integumentary system
Bloom's: 1. Remember
Learning Outcome: 5.1c Describe the normal and pathological colors that the skin can have and
explain their causes.
Accessibility: Keyboard Navigation; Screen Reader Compatible

54) Melanin, hemoglobin, and carotene give color to the skin.

Answer: TRUE
Section: 5.01
Topic: Gross anatomy of skin
Bloom's: 1. Remember
Learning Outcome: 5.1c Describe the normal and pathological colors that the skin can have and
explain their causes.
Accessibility: Keyboard Navigation; Screen Reader Compatible

55) Albinism is the genetic lack of melanin that results in a milky white coloration of the skin.

Answer: TRUE
Section: 5.01
Topic: Clinical applications of the integumentary system
Bloom's: 1. Remember
Learning Outcome: 5.1c Describe the normal and pathological colors that the skin can have and
explain their causes.
Accessibility: Keyboard Navigation; Screen Reader Compatible

56) Embarrassment can be perceived by an abnormal coloration of the skin called cyanosis.

Answer: FALSE
Section: 5.01
Topic: Clinical applications of the integumentary system
Bloom's: 3. Apply
Learning Outcome: 5.1c Describe the normal and pathological colors that the skin can have and
explain their causes.
Accessibility: Keyboard Navigation; Screen Reader Compatible

17
Copyright © 2020 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written onsent of McGraw-Hill Education.
57) Freckles are elevated patches with an abnormal coloration of the skin.

Answer: FALSE
Section: 5.01
Topic: Gross anatomy of skin
Bloom's: 1. Remember
Learning Outcome: 5.1c Describe the normal and pathological colors that the skin can have and
explain their causes.
Accessibility: Keyboard Navigation; Screen Reader Compatible

58) The skin discoloration most likely to suggest physical abuse is ________.
A) pallor
B) albinism
C) erythema
D) hematoma
E) jaundice

Answer: D
Section: 5.01
Topic: Clinical applications of the integumentary system
Bloom's: 3. Apply
Learning Outcome: 5.1c Describe the normal and pathological colors that the skin can have and
explain their causes.
Accessibility: Keyboard Navigation; Screen Reader Compatible

59) Which skin color is most likely to result from anemia?


A) Pallor
B) Erythema
C) Hematoma
D) Albinism
E) Jaundice

Answer: A
Section: 5.01
Topic: Clinical applications of the integumentary system
Bloom's: 4. Analyze
Learning Outcome: 5.1c Describe the normal and pathological colors that the skin can have and
explain their causes.
Accessibility: Keyboard Navigation; Screen Reader Compatible

18
Copyright © 2020 McGraw-Hill Education. All rights reserved.
No reproduction or distribution without the prior written onsent of McGraw-Hill Education.
60) Increased bilirubin levels cause a skin discoloration called ________.
A) erythema
B) jaundice
C) pallor
D) bronzing
E) cyanosis

Answer: B
Section: 5.01
Topic: Clinical applications of the integumentary system
Bloom's: 1. Remember
Learning Outcome: 5.1c Describe the normal and pathological colors that the skin can have and
explain their causes.
Accessibility: Keyboard Navigation; Screen Reader Compatible

61) Which structures create unique patterns on the fingertips in primates?


A) Hemangiomas
B) Flexion lines
C) Tension lines
D) Epidermal ridges
E) Friction ridges

Answer: E
Section: 5.01
Topic: Gross anatomy of skin
Bloom's: 1. Remember
Learning Outcome: 5.1d Describe the common markings of the skin.
Accessibility: Keyboard Navigation; Screen Reader Compatible

62) A/an ________ is a patch of discolored skin sometimes called a birthmark.

Answer: hemangioma
Section: 5.01
Topic: Clinical applications of the integumentary system
Bloom's: 1. Remember
Learning Outcome: 5.1d Describe the common markings of the skin.
Accessibility: Keyboard Navigation; Screen Reader Compatible

63) A small, elevated patch of melanized skin that often has hair is called a ________.

Answer: mole
nevus
Section: 5.01
Topic: Clinical applications of the integumentary system
Bloom's: 1. Remember
Learning Outcome: 5.1d Describe the common markings of the skin.
Accessibility: Keyboard Navigation; Screen Reader Compatible
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64) What type of hair covers the fetus?
A) Downy
B) Vernix
C) Vellus
D) Alopecia
E) Terminal

Answer: A
Section: 5.02
Topic: Anatomy of accessory skin structures
Bloom's: 1. Remember
Learning Outcome: 5.2a Distinguish between three types of hair.
Accessibility: Keyboard Navigation; Screen Reader Compatible

65) Unpigmented hair on a fetus is called ________.

Answer: downy
downy hair
lanugo
Section: 5.02
Topic: Functions of accessory skin structures
Bloom's: 1. Remember
Learning Outcome: 5.2a Distinguish between three types of hair.
Accessibility: Keyboard Navigation; Screen Reader Compatible

66) Hair and nails are composed of collagen.

Answer: FALSE
Section: 5.02
Topic: Anatomy of accessory skin structures
Bloom's: 1. Remember
Learning Outcome: 5.2b Describe the histology of a hair and its follicle.; 5.2e Describe the
structure and function of nails.
Accessibility: Keyboard Navigation; Screen Reader Compatible

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67) What are the regions of a hair, from deepest to superficial?
A) Medulla, cortex, and cuticle
B) Vellus, pilus, and downy
C) Root, bulb, and shaft
D) Bulb, root, and shaft
E) Root, stem, and trunk

Answer: D
Section: 5.02
Topic: Anatomy of accessory skin structures
Bloom's: 1. Remember
Learning Outcome: 5.2b Describe the histology of a hair and its follicle.
Accessibility: Keyboard Navigation; Screen Reader Compatible

68) What is the difference between a flattened hair and a round hair?
A) A person's age
B) The hair's growth rate
C) The degree of curliness
D) A person's level of nutrition
E) Color

Answer: C
Section: 5.02
Topic: Anatomy of accessory skin structures
Bloom's: 2. Understand
Learning Outcome: 5.2b Describe the histology of a hair and its follicle.
Accessibility: Keyboard Navigation; Screen Reader Compatible

69) In which part of a hair is the dermal papilla found?


A) Medulla
B) Cuticle
C) Cortex
D) Root
E) Bulb

Answer: E
Section: 5.02
Topic: Anatomy of accessory skin structures
Bloom's: 2. Understand
Learning Outcome: 5.2b Describe the histology of a hair and its follicle.
Accessibility: Keyboard Navigation; Screen Reader Compatible

21
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70) The innermost, soft core of the hair shaft is the ________.
A) medulla
B) cortex
C) cuticle
D) soft keratin
E) bulb

Answer: A
Section: 5.02
Topic: Anatomy of accessory skin structures
Bloom's: 1. Remember
Learning Outcome: 5.2b Describe the histology of a hair and its follicle.
Accessibility: Keyboard Navigation; Screen Reader Compatible

71) A "pilus" is another term for what?


A) A hair
B) A hair's growth center
C) A muscle that moves a hair
D) A sensory nerve fiber around the base of a hair
E) A gland associated with a hair follicle

Answer: A
Section: 5.02
Topic: Anatomy of accessory skin structures
Bloom's: 1. Remember
Learning Outcome: 5.2b Describe the histology of a hair and its follicle.
Accessibility: Keyboard Navigation; Screen Reader Compatible

72) What is the most external layer of a hair shaft?


A) The medulla
B) The cuticle
C) The epidermal root sheath
D) The cortex
E) The connective tissue root sheath

Answer: B
Section: 5.02
Topic: Anatomy of accessory skin structures
Bloom's: 1. Remember
Learning Outcome: 5.2b Describe the histology of a hair and its follicle.
Accessibility: Keyboard Navigation; Screen Reader Compatible

22
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73) The pigment that gives rise to red hair is ________.

Answer: pheomelanin
Section: 5.02
Topic: Anatomy of accessory skin structures
Bloom's: 1. Remember
Learning Outcome: 5.2b Describe the histology of a hair and its follicle.
Accessibility: Keyboard Navigation; Screen Reader Compatible

74) The pigment that is brown-black in color and abundant in dark hair is ________.

Answer: melanin
Section: 5.02
Topic: Anatomy of accessory skin structures
Bloom's: 1. Remember
Learning Outcome: 5.2b Describe the histology of a hair and its follicle.
Accessibility: Keyboard Navigation; Screen Reader Compatible

75) When cats fight, their fur rises due to which mechanism?
A) Myoepithelial cell syneresis
B) Arrector muscle contraction
C) Secretion of sebum into hair follicles
D) Increased blood flow to the skin
E) Stimulation of apocrine glands

Answer: B
Section: 5.02
Topic: Functions of accessory skin structures
Bloom's: 2. Understand
Learning Outcome: 5.2c Discuss some theories of the purposes served by various kinds of hair.
Accessibility: Keyboard Navigation; Screen Reader Compatible

76) What would detect a tiny insect crawling across your skin?
A) Myoepithelial cells
B) Hair receptors
C) Arrector muscles
D) Dendritic cells
E) Keratinocytes

Answer: B
Section: 5.02
Topic: Functions of accessory skin structures
Bloom's: 3. Apply
Learning Outcome: 5.2c Discuss some theories of the purposes served by various kinds of hair.
Accessibility: Keyboard Navigation; Screen Reader Compatible

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77) The contraction of the arrector muscles (pilomotor muscle or arrector pili) in humans causes
________.
A) hairs to stand on end, trapping an insulating layer of warm air next to the skin
B) generation of heat to raise the body temperature
C) hairs to stand on end to make the individual appear bigger
D) hairs to stand on end with no apparent function
E) increased ability to feel pain

Answer: D
Section: 5.02
Topic: Functions of accessory skin structures
Bloom's: 2. Understand
Learning Outcome: 5.2c Discuss some theories of the purposes served by various kinds of hair.
Accessibility: Keyboard Navigation; Screen Reader Compatible

78) Why does hair turn gray or white as people age?


A) Melanocytes die out.
B) Mitosis slows down in the hair shaft.
C) The shaft becomes rounder in cross-section.
D) Keratin production decreases.
E) Blood supply to the scalp diminishes.

Answer: A
Section: 5.02
Topic: Effects of aging on the integumentary system
Bloom's: 2. Understand
Learning Outcome: 5.2d Describe the life cycle of a hair.
Accessibility: Keyboard Navigation; Screen Reader Compatible

79) In the hair growth cycle, what is the period of growth called?
A) Anagen
B) Telogen
C) Telophase
D) Catagen
E) Anaphase

Answer: A
Section: 5.02
Topic: Anatomy of accessory skin structures
Bloom's: 1. Remember
Learning Outcome: 5.2d Describe the life cycle of a hair.
Accessibility: Keyboard Navigation; Screen Reader Compatible

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80) A hair cycle consists of three developmental stages in which order?
A) Anagen, telogen, and catagen
B) Anagen, catagen, and telogen
C) Catagen, anagen, and telogen
D) Catagen, telogen, and anagen
E) Telogen, anagen, and catagen

Answer: B
Section: 5.02
Topic: Anatomy of accessory skin structures
Bloom's: 4. Analyze
Learning Outcome: 5.2d Describe the life cycle of a hair.
Accessibility: Keyboard Navigation; Screen Reader Compatible

81) Where does growth of a nail occur?


A) The nail root
B) The nail matrix
C) The nail fold
D) The lunule
E) The eponychium

Answer: B
Section: 5.02
Topic: Anatomy of accessory skin structures
Bloom's: 1. Remember
Learning Outcome: 5.2e Describe the structure and function of nails.
Accessibility: Keyboard Navigation; Screen Reader Compatible

82) Which of the following are true regarding nails? Select all that apply.
A) They are derived from the stratum corneum.
B) The growth zone is called the nail plate.
C) Nails are hard due to keratin.
D) The eponychium is also called the cuticle.

Answer: A, C, D
Explanation: The growth zone is called the nail matrix.
The growth zone is called the nail matrix.
The growth zone is called the nail matrix.
Section: 5.02
Topic: Anatomy of accessory skin structures
Bloom's: 2. Understand
Learning Outcome: 5.2e Describe the structure and function of nails.
Accessibility: Keyboard Navigation; Screen Reader Compatible

25
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83) What is the white opaque "moon" often found at the proximal end of a fingernail called?
A) Free edge
B) Nail body
C) Eponychium
D) Lunule
E) Nail root

Answer: D
Section: 5.02
Topic: Anatomy of accessory skin structures
Bloom's: 1. Remember
Learning Outcome: 5.2e Describe the structure and function of nails.
Accessibility: Keyboard Navigation; Screen Reader Compatible

84) The narrow zone of dead skin overhanging the proximal end of a nail is called the ________.
A) eponychium
B) lunule
C) nail plate
D) nail body
E) nail root

Answer: A
Section: 5.02
Topic: Anatomy of accessory skin structures
Bloom's: 1. Remember
Learning Outcome: 5.2e Describe the structure and function of nails.
Accessibility: Keyboard Navigation; Screen Reader Compatible

85) What is the most widely distributed sweat gland in the body?
A) Apocrine
B) Eccrine
C) Ceruminous
D) Sebaceous
E) Sweat

Answer: B
Section: 5.03
Topic: Anatomy of accessory skin structures
Bloom's: 1. Remember
Learning Outcome: 5.3a Name two types of sweat glands and describe the structure and
function of each.
Accessibility: Keyboard Navigation; Screen Reader Compatible

26
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86) Which glands are most responsible for cooling the skin?
A) Ceruminous glands
B) Sebaceous glands
C) Eccrine glands
D) Exothermic glands
E) Apocrine glands

Answer: C
Section: 5.03
Topic: Functions of accessory skin structures
Bloom's: 2. Understand
Learning Outcome: 5.3a Name two types of sweat glands and describe the structure and
function of each.
Accessibility: Keyboard Navigation; Screen Reader Compatible

87) In which of the following areas would one not expect to find apocrine glands?
A) In the genital region
B) Around the nipples
C) In the axillae
D) In the beard region
E) In the forearm region

Answer: E
Section: 5.03
Topic: Anatomy of accessory skin structures
Bloom's: 3. Apply
Learning Outcome: 5.3a Name two types of sweat glands and describe the structure and
function of each.
Accessibility: Keyboard Navigation; Screen Reader Compatible

88) Which integumentary glands normally develop at puberty?


A) The eccrine glands
B) The apocrine glands
C) The ceruminous glands
D) The sebaceous glands
E) The mammary glands

Answer: B
Section: 5.03
Topic: Functions of accessory skin structures
Bloom's: 1. Remember
Learning Outcome: 5.3a Name two types of sweat glands and describe the structure and
function of each.
Accessibility: Keyboard Navigation; Screen Reader Compatible

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89) In the evolution of mammals, which glands were modified to produce milk?
A) Ceruminous glands
B) Eccrine glands
C) Apocrine glands
D) Sebaceous glands
E) Sweat glands

Answer: C
Section: 5.03
Topic: Functions of accessory skin structures
Bloom's: 2. Understand
Learning Outcome: 5.3a Name two types of sweat glands and describe the structure and
function of each.
Accessibility: Keyboard Navigation; Screen Reader Compatible

90) Eccrine sweat glands are associated with hair follicles in the pubic and anal regions, axilla,
areola, and beard.

Answer: FALSE
Section: 5.03
Topic: Anatomy of accessory skin structures
Bloom's: 2. Understand
Learning Outcome: 5.3a Name two types of sweat glands and describe the structure and
function of each.
Accessibility: Keyboard Navigation; Screen Reader Compatible

91) The ________ glands are a source of sex pheromones.


A) ceruminous
B) eccrine
C) mammary
D) sebaceous
E) apocrine

Answer: E
Section: 5.03
Topic: Functions of accessory skin structures
Bloom's: 1. Remember
Learning Outcome: 5.3a Name two types of sweat glands and describe the structure and
function of each.
Accessibility: Keyboard Navigation; Screen Reader Compatible

28
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92) What is the mode of secretion of sebaceous glands?
A) Eccrine
B) Apocrine
C) Holocrine
D) Endocrine
E) Xerocytosis

Answer: C
Section: 5.03
Topic: Anatomy of accessory skin structures
Bloom's: 1. Remember
Learning Outcome: 5.3b Describe the location, structure, and function of sebaceous and
ceruminous glands.
Accessibility: Keyboard Navigation; Screen Reader Compatible

93) ________ glands produce an oily secretion that makes hair shiny.

Answer: Sebaceous
Section: 5.03
Topic: Functions of accessory skin structures
Bloom's: 1. Remember
Learning Outcome: 5.3b Describe the location, structure, and function of sebaceous and
ceruminous glands.
Accessibility: Keyboard Navigation; Screen Reader Compatible

94) ________ is/are formed partly from the secretions of glands in the external ear canal.
A) Sebum
B) Cerumen
C) Sweat
D) Scents
E) Mucus

Answer: B
Section: 5.03
Topic: Functions of accessory skin structures
Bloom's: 1. Remember
Learning Outcome: 5.3b Describe the location, structure, and function of sebaceous and
ceruminous glands.
Accessibility: Keyboard Navigation; Screen Reader Compatible

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95) Looking at a slide of axillary skin under the microscope, you notice the presence of
________ glands that are absent on slides of the scalp.
A) eccrine
B) apocrine
C) sebaceous
D) ceruminous
E) perspiration

Answer: B
Section: 5.03
Topic: Anatomy of accessory skin structures
Bloom's: 4. Analyze
Learning Outcome: 5.3b Describe the location, structure, and function of sebaceous and
ceruminous glands.
Accessibility: Keyboard Navigation; Screen Reader Compatible

96) What is the most likely reason humans have only two nipples?
A) Our primate ancestors probably had litters.
B) Primates generally have only one offspring.
C) Having two nipples is associated with upright walking (bipedality).
D) Most mammals have only two nipples.
E) The number of nipples was reduced in humans due to sexual selection.

Answer: B
Section: 5.03
Topic: Functions of accessory skin structures
Bloom's: 4. Analyze
Learning Outcome: 5.3c Discuss the distinction between breasts and mammary glands, and
explain their respective functions.
Accessibility: Keyboard Navigation; Screen Reader Compatible

97) Breasts are present in both males and females, whereas functional mammary glands are only
present in females.

Answer: TRUE
Section: 5.03
Topic: Anatomy of accessory skin structures
Bloom's: 1. Remember
Learning Outcome: 5.3c Discuss the distinction between breasts and mammary glands, and
explain their respective functions.
Accessibility: Keyboard Navigation; Screen Reader Compatible

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98) Which embryonic tissue gives rise to the epidermis?
A) Ectoderm
B) Mesoderm
C) Mesenchyme
D) Endoderm
E) Squamous epithelium

Answer: A
Section: 5.04
Topic: Microscopic anatomy of skin
Bloom's: 1. Remember
Learning Outcome: 5.4a Describe the prenatal development of the skin, hair, and nails.
Accessibility: Keyboard Navigation; Screen Reader Compatible

99) Which cutaneous glands develop as outgrowths of hair follicles?


A) Eccrine and apocrine glands
B) Sebaceous and apocrine glands
C) Ceruminous and sebaceous glands
D) Eccrine and sebaceous glands
E) Eccrine and ceruminous glands

Answer: B
Section: 5.04
Topic: Anatomy of accessory skin structures
Bloom's: 1. Remember
Learning Outcome: 5.4a Describe the prenatal development of the skin, hair, and nails.
Accessibility: Keyboard Navigation; Screen Reader Compatible

100) Which of the following does not develop from embryonic ectoderm?
A) Keratinocytes
B) Dermis
C) Hair follicles
D) Apocrine glands
E) Nails

Answer: B
Section: 5.04
Topic: Microscopic anatomy of skin
Bloom's: 2. Understand
Learning Outcome: 5.4a Describe the prenatal development of the skin, hair, and nails.
Accessibility: Keyboard Navigation; Screen Reader Compatible

31
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101) Which of the following disorders is most deadly?
A) Psoriasis
B) Squamous cell carcinoma
C) Basal cell carcinoma
D) Melanoma
E) Acne

Answer: D
Section: 5.04
Topic: Clinical applications of the integumentary system
Bloom's: 3. Apply
Learning Outcome: 5.4b Describe the three most common forms of skin cancer.
Accessibility: Keyboard Navigation; Screen Reader Compatible

102) What is the most common form of skin cancer?


A) Basal cell carcinoma
B) Squamous cell carcinoma
C) Melanoma
D) Erythema
E) Multiple myeloma

Answer: A
Section: 5.04
Topic: Clinical applications of the integumentary system
Bloom's: 1. Remember
Learning Outcome: 5.4b Describe the three most common forms of skin cancer.
Accessibility: Keyboard Navigation; Screen Reader Compatible

103) The three forms of skin cancer are defined by the types of cells from which they originate.

Answer: TRUE
Section: 5.04
Topic: Clinical applications of the integumentary system
Bloom's: 2. Understand
Learning Outcome: 5.4b Describe the three most common forms of skin cancer.
Accessibility: Keyboard Navigation; Screen Reader Compatible

32
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104) Which two strata of the epidermis are most susceptible to cancer?
A) Stratum corneum and stratum lucidum
B) Stratum basale and stratum corneum
C) Stratum spinosum and stratum basale
D) Stratum granulosum and stratum spinosum
E) Stratum lucidum and stratum granulosum

Answer: C
Section: 5.04
Topic: Clinical applications of the integumentary system
Bloom's: 4. Analyze
Learning Outcome: 5.4b Describe the three most common forms of skin cancer.
Accessibility: Keyboard Navigation; Screen Reader Compatible

105) The "ABCD rule" for recognizing early signs of malignant melanoma refers to the
following characteristics of the lesion:
A) asymmetry, border irregularity, color, and diameter.
B) asymmetry, brightness, color, and diameter.
C) aspect, brightness, color, and distance.
D) aspect, border irregularity, color, and distance.
E) area, border irregularity, color, and density.

Answer: A
Section: 5.04
Topic: Clinical applications of the integumentary system
Bloom's: 3. Apply
Learning Outcome: 5.4b Describe the three most common forms of skin cancer.
Accessibility: Keyboard Navigation; Screen Reader Compatible

106) What is the greatest immediate threat to the survival of a patient with severe burns?
A) Infection
B) Pain
C) Fluid loss
D) Eschar
E) Loss of thermoregulation

Answer: C
Section: 5.04
Topic: Clinical applications of the integumentary system
Bloom's: 2. Understand
Learning Outcome: 5.4c Discuss the three classes of burns and the priorities in burn treatment.
Accessibility: Keyboard Navigation; Screen Reader Compatible

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Test Bank for Accompany Saladin Human Anatomy, 6th Edition, Eric Wise

107) Which of the following describes a second-degree burn?


A) It involves only the epidermis.
B) It involves the epidermis, part of the dermis, and may produce blisters.
C) It indicates the complete destruction of both the epidermis and dermis.
D) It probably will require a skin graft.
E) The skin will not regenerate.

Answer: B
Section: 5.04
Topic: Clinical applications of the integumentary system
Bloom's: 1. Remember
Learning Outcome: 5.4c Discuss the three classes of burns and the priorities in burn treatment.
Accessibility: Keyboard Navigation; Screen Reader Compatible

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