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Anatomy and Physiology 10th Edition

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Chapter 10: Skin
Patton: Anatomy and Physiology, 10th Edition

MULTIPLE CHOICE

1. Which of the following vitamins is(are) absorbed through the skin?


a. Vitamin A
b. Vitamin D
c. Vitamin K
d. All of the above
ANS: D DIF: Memorization REF: p. 191
TOP: Functions of the Skin

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


a. Defense against disease organisms
b. Synthesis of vitamin E
c. Regulation of body temperature
d. Excretion of water and salts
ANS: B DIF: Application REF: p. 191 TOP: Functions of the Skin

3. The superficial outer layer of the epidermis is the stratum:


a. basale.
b. lucidum.
c. corneum.
d. granulosum.
ANS: C DIF: Memorization REF: p. 184
TOP: Cell Layers

4. Of the five epidermal cell layers, the only one that can undergo mitosis is the stratum:
a. basale.
b. lucidum.
c. corneum.
d. granulosum.
ANS: A DIF: Memorization REF: p. 183
TOP: Cell Layers

5. The area referred to as true skin is the:


a. stratum corneum.
b. subcutaneous layer.
c. dermis.
d. hypodermis.
ANS: C DIF: Memorization REF: p. 186
TOP: Dermis

6. The hypodermis:
a. connects the dermis to underlying tissues.
b. is the layer of skin in which hair is produced.
c. connects the dermis and the epidermis.
d. is the layer of skin in which the nails are produced.
ANS: A DIF: Memorization REF: p. 188
TOP: Hypodermis

7. In what area of the body would you expect to find an especially thick stratum corneum?
a. Back of the hand
b. Thigh
c. Abdomen
d. Sole of the foot
ANS: D DIF: Synthesis REF: p. 181 TOP: Thin and Thick Skin

8. The papillary layer of the dermis:


a. is responsible for cleavage or tension lines in the skin.
b. does not contain blood vessels.
c. produces the ridges that make fingerprints.
d. contains large deposits of fat.
ANS: C DIF: Memorization REF: p. 186
TOP: Papillary Layer

9. Smooth muscles that produce goose pimples when they contract are the _____ muscles.
a. papillary
b. cuticle
c. medullary
d. arrector pili
ANS: D DIF: Memorization REF: p. 187
TOP: Reticular Layer

10. The most common type of skin cancer is:


a. malignant melanoma.
b. basal cell carcinoma.
c. Kaposi sarcoma.
d. All skin cancers occur in about equal frequency.
ANS: B DIF: Memorization REF: p. 201
TOP: Skin Cancer (Mechanisms of Disease)

11. The type of cancer associated with immune deficiencies is:


a. squamous cell carcinoma.
b. Kaposi sarcoma.
c. basal cell carcinoma.
d. malignant melanoma.
ANS: B DIF: Application REF: p. 201
TOP: Skin Cancer (Mechanisms of Disease)

12. Prolonged exposure to the sun causes melanocytes to:


a. increase in number.
b. rupture and release their contents.
c. increase melanin production.
d. decrease melanin production.
ANS: C DIF: Memorization REF: p. 189
TOP: Skin Color

13. The hair follicle is found in the:


a. epidermis.
b. dermis.
c. hypodermis.
d. subcutaneous layer.
ANS: B DIF: Application REF: p. 185 TOP: Hair

14. Fingernail growth is the result of the mitosis of the cells in the stratum:
a. germinativum.
b. granulosum.
c. corneum.
d. lucidum.
ANS: A DIF: Memorization REF: p. 197
TOP: Nails

15. Apocrine sweat glands can be found in all of the following areas except the:
a. soles of the feet.
b. armpits.
c. areolae of the breasts.
d. pigmented skin areas around the anus.
ANS: A DIF: Application REF: p. 199 TOP: Apocrine Glands

16. The type of gland associated with blackheads is:


a. eccrine.
b. apocrine.
c. sebaceous.
d. ceruminous.
ANS: C DIF: Memorization REF: p. 199
TOP: Sebaceous Glands

17. Which is not part of a hair?


a. Shaft
b. Root
c. Lanugo
d. Medulla
ANS: C DIF: Synthesis REF: p. 195 TOP: Hair

18. Hair:
a. alternates between periods of growth and rest.
b. consists of keratinized cells.
c. is formed from cells of the germinal matrix.
d. is all of the above.
ANS: D DIF: Synthesis REF: p. 195 TOP: Hair

19. The hair papilla consists of _____ tissue.


a. epidermal
b. dermal
c. hypodermal
d. fibrous connective
ANS: B DIF: Synthesis REF: p. 195 TOP: Hair

20. The most numerous, important, and widespread sweat glands in the body are:
a. apocrine.
b. eccrine.
c. ceruminous.
d. sebaceous.
ANS: B DIF: Memorization REF: p. 198
TOP: Sweat Glands

21. Sebum:
a. lubricates hair and skin.
b. is produced by sweat glands.
c. consists of dead cells from hair follicles.
d. is responsible for body odor.
ANS: A DIF: Synthesis REF: p. 199 TOP: Sebaceous Glands

22. The waxy secretion in the external ear canal is:


a. eccrine.
b. apocrine.
c. sebaceous.
d. ceruminous.
ANS: D DIF: Memorization REF: p. 199
TOP: Ceruminous Glands

23. The surface film found on the skin has a variety of functions, including:
a. lubrication.
b. buffering of caustic irritants.
c. antibacterial and antifungal activity.
d. all of the above.
ANS: D DIF: Application REF: p. 192 TOP: Surface Film

24. Although body temperature normally changes very little during the course of a day, it is
generally the lowest during:
a. the early morning.
b. mid-afternoon.
c. late afternoon.
d. the evening.
ANS: A DIF: Application REF: p. 193
TOP: Homeostasis of Body Temperature

25. The conversion of water from a liquid state into a gaseous state happens with which form
of body heat loss?
a. Convection
b. Evaporation
c. Radiation
d. Conduction
ANS: B DIF: Synthesis REF: pp. 193-194 TOP: Evaporation

26. Which type of body heat loss is characterized by heat transfer from the surface of one
object to the surface of another object without actual contact?
a. Convection
b. Evaporation
c. Radiation
d. Conduction
ANS: C DIF: Memorization REF: p. 194
TOP: Radiation

27. The body compensates for the increase in the core body temperature caused by exercise
by:
a. decreasing the blood flow to the skin.
b. increasing the blood flow to the core.
c. increasing the blood flow to the skin.
d. vasoconstriction of the blood vessels in the skin.
ANS: C DIF: Memorization REF: p. 193
TOP: Heat Loss

28. The same degree of environmental temperature seems hotter in humid climates than it
does in dry ones because:
a. evaporation increases in humid climates.
b. evaporation is retarded in humid climates.
c. radiation is increased in humid climates.
d. humid climates alter the temperature receptors in the hypothalamus by
mechanisms unknown.
ANS: B DIF: Application REF: p. 194 TOP: Evaporation

29. A person leaning against a cold cement block wall would lose heat by the process of:
a. convection.
b. evaporation.
c. radiation.
d. conduction.
ANS: D DIF: Synthesis REF: p. 194 TOP: Conduction

30. The body’s temperature control center is located in the:


a. cerebrum.
b. medulla.
c. thalamus.
d. hypothalamus.
ANS: D DIF: Memorization REF: p. 194
TOP: Homeostatic Regulation of Heat Loss

31. A second-degree burn is characterized by:


a. destruction of both the epidermis and the dermis.
b. severe pain, generalized swelling, and edema.
c. minor discomfort and some redness.
d. involvement of muscles, fasciae, or bones.
ANS: B DIF: Application REF: p. 202
TOP: Estimating Body Surface Area (Mechanisms of Disease)

32. A major distinction between second- and third-degree burns is that third-degree burns:
a. involve injury to only the deep epidermal layers.
b. involve damage to only hair follicles.
c. involve damage to only the sweat glands.
d. are characterized by insensitivity to pain immediately after injury.
ANS: D DIF: Synthesis REF: p. 202
TOP: Estimating Body Surface Area (Mechanisms of Disease)

33. In the skin, the dermis:


a. and epidermis are both epithelial tissue.
b. and epidermis are both connective tissue.
c. is connective tissue and the epidermis is epithelial tissue.
d. is epithelial tissue and the epidermis is connective tissue.
ANS: C DIF: Memorization REF: p. 181
TOP: Structure of the Skin

34. The layer beneath the dermis is called the:


a. hypodermis.
b. subcutaneous layer.
c. superficial fascia.
d. All of the above are correct.
ANS: D DIF: Memorization REF: p. 188
TOP: Hypodermis

35. Which cells originate in the bone marrow and are important in the immune function?
a. Dendritic cells
b. Melanocytes
c. Keratinocytes
d. Fibroblasts
ANS: A DIF: Memorization REF: p. 183
TOP: Cell Types

36. Which skin layer is called the barrier area?


a. Stratum lucidum
b. Stratum basale
c. Stratum granulosum
d. Stratum corneum
ANS: D DIF: Memorization REF: p. 184
TOP: Cell Layers

37. Which skin layer has cells that look prickly because of the desmosomes that join the cells
together?
a. Stratum basale
b. Stratum spinosum
c. Stratum granulosum
d. Stratum corneum
ANS: B DIF: Memorization REF: p. 183
TOP: Cell Layer

38. Which skin layer contains closely packed, clear cells that contain a gel-like substance
called eleidin?
a. Stratum lucidum
b. Stratum basale
c. Stratum granulosum
d. Stratum corneum
ANS: A DIF: Memorization REF: p. 184
TOP: Cell Layers

39. In which skin layer does the process of keratinization begin?


a. Stratum basale
b. Stratum corneum
c. Stratum granulosum
d. Stratum spinosum
ANS: C DIF: Memorization REF: p. 183
TOP: Cell Layers

40. Normally, which percentage of the cells in the stratum basale enter mitosis each day?
a. 20% to 25%
b. 10% to 12%
c. 18% to 20%
d. 35% to 40%
ANS: B DIF: Memorization REF: p. 184
TOP: Epidermal Growth and Repair

41. Which of the following is not true of the dermal-epidermal junction?


a. It is important in blocking bacteria from passing through the skin.
b. It is composed chiefly of basement membrane.
c. Its function is to “glue” the two layers of skin together.
d. All of the above are true.
ANS: A DIF: Memorization REF: p. 186
TOP: Dermoepidermal Junction

42. Which of the following is not true of the dermis?


a. It contains a papillary layer.
b. It contains a reticular layer.
c. In general, the dermis is thinner on the dorsal side of the body than on the ventral
side.
d. It plays an important role in body temperature regulation.
ANS: C DIF: Memorization REF: p. 186
TOP: Dermis

43. “Burns” can be caused by:


a. ultraviolet light.
b. corrosive chemicals.
c. electrical current.
d. all of the above.
ANS: D DIF: Memorization REF: p. 202
TOP: Burns (Mechanisms of Disease)

44. The area of the skin in an average-size adult is about _____ square feet.
a. 12
b. 18
c. 24
d. 31
ANS: B DIF: Memorization REF: p. 181
TOP: Introduction

45. The term used to describe the skin and its appendages is:
a. epidermis.
b. dermis.
c. integumentary system.
d. integument.
ANS: C DIF: Memorization REF: p. 181
TOP: Introduction

46. Which cells of the skin are filled with a tough, fibrous protein and account for most of the
epidermal cells of the skin?
a. Dermatocytes
b. Langerhans cells
c. Keratinocytes
d. Melanocytes
ANS: C DIF: Memorization REF: p. 183
TOP: Cell Types

47. Which cells of the skin act as a type of antigen-presenting cell in the skin?
a. Dermatocytes
b. Dendritic cells
c. Keratinocytes
d. Melanocytes
ANS: B DIF: Memorization REF: p. 183
TOP: Cell Types

48. The cell layers of skin from the most superficial to the deepest appear in what order?
a. Stratum corneum, lucidum, granulosum, spinosum, and basale
b. Stratum basale, spinosum, granulosum, lucidum, and corneum
c. Stratum basale, granulosum, lucidum, spinosum, and corneum
d. Stratum corneum, granulosum, lucidum, spinosum, and basale
ANS: A DIF: Application REF: pp. 183-184 TOP: Cell Layers

49. The time required for the completion of mitosis, differentiation, and the movement of new
cells from the stratum basale to the surface of the skin is about:
a. 35 hours.
b. 17 days.
c. 22 days.
d. 35 days.
ANS: D DIF: Memorization REF: p. 184
TOP: Epidermal Growth and Repair

50. To increase the efficiency of protein synthesis, cells in which epidermal layer are rich in
RNA?
a. Stratum corneum
b. Stratum lucidum
c. Stratum spinosum
d. Stratum granulosum
ANS: C DIF: Memorization REF: p. 183
TOP: Cell Layers

51. Cells in which layer are filled with a protein called eleidin?
a. Stratum corneum
b. Stratum lucidum
c. Stratum spinosum
d. Stratum granulosum
ANS: B DIF: Memorization REF: p. 184
TOP: Cell Layers

52. Cells in which layer have a high level of lysosomal enzymes in their cytoplasm?
a. Stratum corneum
b. Stratum lucidum
c. Stratum spinosum
d. Stratum granulosum
ANS: D DIF: Memorization REF: p. 184
TOP: Cell Layers

53. The darkest of the skin pigments is:


a. beta carotene.
b. pheomelanin.
c. eumelanin.
d. none of the above.
ANS: C DIF: Memorization REF: p. 189
TOP: Skin Color

54. Which skin pigment is a light reddish color?


a. Beta carotene
b. Pheomelanin
c. Eumelanin
d. None of the above
ANS: B DIF: Memorization REF: p. 189
TOP: Skin Color

55. When the skin looks cyanotic, it is because _____ can be seen through the skin.
a. oxygen-poor blood
b. oxygen-rich blood
c. hemosiderin
d. bile pigments
ANS: A DIF: Application REF: p. 190 TOP: Other Pigments

56. What increase in body temperature would be caused by pyrogens?


a. Heat exhaustion
b. Heat stroke
c. Fever
d. Malignant hyperthermia
ANS: C DIF: Memorization REF: p. 201
TOP: Abnormal Body Temperature (Mechanisms of Disease)

57. What increase in body temperature can be caused by anesthetics or muscle relaxants?
a. Heat exhaustion
b. Heat stroke
c. Fever
d. Malignant hyperthermia
ANS: D DIF: Memorization REF: p. 202
TOP: Abnormal Body Temperature (Mechanisms of Disease)

58. Hair can become brittle and dry as a result of the:


a. improper function of the sebaceous glands.
b. malfunction of the tactile (Meissner) corpuscle.
c. overproduction of keratin.
d. underproduction of synovial fluid.
ANS: A DIF: Application REF: p. 195 TOP: Hair

59. Many liquid medicines, such as insulin, are administered using a subcutaneous injection.
Why is the subcutaneous layer an ideal site for the administration of such medication?
a. The subcutaneous layer is rich in blood supply and nerve networks.
b. The subcutaneous layer has a rich blood supply and loose spongy texture.
c. The subcutaneous layer has a rich blood supply and firm texture.
d. The subcutaneous layer has a rich supply of nerves and loose spongy texture.
ANS: B DIF: Application REF: p. 188
TOP: Subcutaneous and Intradermal Injections (Box 10-3)

60. Onycholysis is usually caused by:


a. a cuticle infection.
b. malfunctioning of the tactile (Meissner) corpuscle.
c. overproduction of the root of the fingernail.
d. trauma to long fingernails.
ANS: D DIF: Application REF: p. 197 TOP: Nails

61. After several hours of landscaping the yard, Jennifer experienced a body temperature of
105° F; a rapid heart rate; headache; and hot, dry skin. She was taken to a medical facility
and treated for what condition?
a. Heat exhaustion
b. Heat stroke
c. Hypothermia
d. Malignant hyperthermia
ANS: B DIF: Application REF: p. 202
TOP: Abnormal Body Temperature (Mechanisms of Disease)

62. Matt is admitted to the hospital with burns to the deep epidermal layers and injury to the
upper layers of the dermis. The physician treats Matt’s condition as a _____ burn.
a. first-degree
b. hypothermia
c. minor
d. second-degree
ANS: D DIF: Application REF: p. 203
TOP: Estimating Body Surface Area (Mechanisms of Disease)

63. The special network of nerves deep in the dermis that is capable of detecting pressure on
the skin surface is called:
a. free nerve endings.
b. Krause end bulbs.
c. tactile corpuscle.
d. somatic sensory receptors.
ANS: D DIF: Application REF: p. 186 TOP: Dermis

64. Which statement best explains the importance of the dendritic cells?
a. They contribute color to the skin and serve to decrease the amount of ultraviolet
light that can penetrate into the deeper layers of the skin.
b. They become filled with a tough, fibrous protein called keratin.
c. They find markers on bacteria and other invaders and present them to other
immune system cells for recognition and destruction.
d. They form the attachment of the hair follicle with the arrector pili muscles.
ANS: C DIF: Application REF: p. 183 TOP: Cell Types

65. How can the regeneration time required for completion of mitosis, differentiation, and
movement of new keratinocytes from the stratum basale to the surface of the epidermis be
accelerated?
a. By abrasion of the skin surface
b. By the presence of eleidin
c. By the epidermal proliferating unit
d. By the presence of dermal-epidermal junctions
ANS: C DIF: Application REF: p. 184 TOP: Cell Types

66. The fibers in which layer make it possible for skin to stretch and be elastic?
a. Connective tissue
b. Epidermal
c. Muscle
d. Reticular
ANS: D DIF: Application REF: p. 187 TOP: Reticular Layer

67. After several months of extensive weight training, Nick has noticed pinkish, depressed
furrows with jagged edges in his axillary region. These markings are a result of:
a. a decrease in dermal papillae.
b. healing due to tiny tears in the dermis.
c. malfunction of the microvilli.
d. overproduction of the arrector pili muscles.
ANS: B DIF: Application REF: p. 187 TOP: Dermal Growth and
Repair

68. If you were looking under the microscope at a slide that contains skin glands, what three
kinds of microscopic glands would be present?
a. Sebaceous, eccrine, and ceruminous glands
b. Sweat, eccrine, and ceruminous glands
c. Sweat, eccrine, and sebaceous glands
d. Sweat, sebaceous, and ceruminous glands
ANS: D DIF: Application REF: pp. 198-199 TOP: Sweat Glands

69. Yellowish discoloration of the skin and other tissues is a condition known as jaundice.
This results from the:
a. gallbladder not being able to eliminate bile from the blood efficiently.
b. liver not being able to eliminate bile from the blood efficiently.
c. liver not being able to eliminate hemoglobin from the blood efficiently.
d. red blood cells not being able to eliminate hemoglobin.
ANS: B DIF: Application REF: p. 190 TOP: Jaundice (Box 10-4)

70. Immunity is a function of the skin and occurs by:


a. attacking and destroying pathogens.
b. evaporation and radiation of pathogens.
c. excretion of chemicals in sweat.
d. receptors that can detect sensations.
ANS: A DIF: Application REF: p. 193 TOP: Immunity

71. The skin of an infant is more easily damaged by penetration or abrasion than that of an
adult. Which layer is probably thinner in an infant than in an adult?
a. Stratum basale
b. Stratum corneum
c. Stratum lucidum
d. Stratum spinosum
ANS: B DIF: Application REF: p. 184 TOP: Cell Layers

72. A geneticist informs parents that their newborn infant does not have the enzyme
tyrosinase. The lack of this enzyme will result in:
a. albinism.
b. malignant hyperthermia.
c. scleroderma.
d. vitiligo.
ANS: A DIF: Application REF: p. 189 TOP: Skin Color

73. Which of the following is not true about thick or thin skin?
a. Thin skin is hairless.
b. Most of the body is covered in thin skin.
c. Epidermal ridges are found in thick skin.
d. All of the above are true.
ANS: A DIF: Memorization REF: p. 181
TOP: Thin and Thick Skin

74. Which of the following is not true of dermal growth and repair?
a. Just as the epidermis, the dermis is in a constant state of regeneration.
b. In the healing of an injury, fibroblasts reproduce and begin to form new connective
tissue.
c. Surgical incisions made parallel to cleavage lines are less likely to leave a scar.
d. All of the above statements are true.
ANS: A DIF: Memorization REF: p. 184
TOP: Dermal Growth and Repair

75. Which of the following is not true of the hypodermis?


a. It is also called the subcutaneous layer.
b. It contains mostly loose connective tissue and adipose tissue.
c. It is the deepest part of the skin.
d. All of the above are true.
ANS: C DIF: Memorization REF: p. 188
TOP: Hypodermis

76. The excretory function of the skin includes all of the following except:
a. influencing the fluid volume of the body.
b. playing an important excretory role for the body.
c. removing uric acid and urea from the body.
d. The excretory function includes all of the above.
ANS: B DIF: Memorization REF: p. 192
TOP: Excretion

77. Which of the following is not true of the body’s ability to regulate heat loss?
a. It is part of a negative-feedback mechanism.
b. Sweat glands increase the production of sweat.
c. The homeostatic regulation of body temperature is regulated by the thyroid gland.
d. All of the above are true.
ANS: C DIF: Memorization REF: p. 193
TOP: Homeostatic Regulation of Heat Loss

78. Friction ridges function to:


a. form fingerprints and footprints.
b. enhance our ability to grip surfaces
c. act as sensory aids that amplify vibrations
d. All of these are functions of friction ridges
ANS: D DIF: Synthesis REF: p. 182 TOP: Thick and Thin Skin

TRUE/FALSE

1. One of the important functions of the skin is the synthesis of vitamin D.

ANS: T DIF: Memorization REF: p. 191


TOP: Functions of the Skin

2. Keratin is an important skin pigment that protects against ultraviolet light.

ANS: F DIF: Application REF: p. 183 TOP: Cell Types

3. The hypodermis is a subcutaneous layer rich in adipose and loose fibrous connective
tissue.

ANS: T DIF: Memorization REF: p. 188


TOP: Hypodermis

4. The subcutaneous layer is also referred to as the superficial fascia.

ANS: T DIF: Memorization REF: p. 188


TOP: Hypodermis

5. Melanocytes account for approximately 55% of the epidermal cells.

ANS: F DIF: Memorization REF: p. 183


TOP: Cell Types

6. During the life of an individual, epidermal tissue is constantly being replaced.


ANS: T DIF: Synthesis REF: p. 184
TOP: Epidermal Growth and Repair

7. Turnover time for epidermal tissue can be accelerated by injury.

ANS: T DIF: Synthesis REF: p. 184


TOP: Epidermal Growth and Repair

8. Prolonged exposure to the sun causes decreased melanin production.

ANS: F DIF: Memorization REF: p. 189


TOP: Skin Color

9. A primary function of the dermal-epidermal junction is to “glue” together the dermis and
the epidermis.

ANS: T DIF: Memorization REF: p. 185


TOP: Dermoepidermal Junction

10. The epidermis is referred to as the true skin.

ANS: F DIF: Memorization REF: p. 186


TOP: Dermis

11. Normally about 10% to 12% of all cells in the stratum basale enter mitosis each day.

ANS: T DIF: Memorization REF: p. 184


TOP: Epidermal Growth and Repair

12. Both the epidermis and the dermis continually undergo shedding and regeneration.

ANS: F DIF: Synthesis REF: p. 183 TOP: Cell Layers

13. Sensory receptors are found in the epidermis.

ANS: F DIF: Application REF: p. 186 TOP: Dermis

14. Goose pimples, elevation of the testes, and erection of the nipples result from the
contraction of muscles in the dermis.

ANS: T DIF: Application REF: p. 187 TOP: Reticular Layer

15. The dermis contains both voluntary and involuntary muscle fibers.

ANS: T DIF: Application REF: p. 187 TOP: Reticular Layer

16. Malignant melanoma has been steadily increasing in the United States for the past 20
years.

ANS: T DIF: Synthesis REF: p. 201


TOP: Skin Cancer (Mechanisms of Disease)
17. The basic ingredient in the skin that determines skin color is melanin.

ANS: T DIF: Memorization REF: p. 189


TOP: Skin Color

18. Vitiligo is an acquired condition that results in loss of pigment in certain areas of the skin.

ANS: T DIF: Memorization REF: p. 183


TOP: Vitiligo (Box 10-1)

19. An increase in the enzyme tyrosinase will lead to the destruction of pigment and result in
albinism.

ANS: F DIF: Synthesis REF: p. 189 TOP: Skin Color

20. Darkening of the skin may be caused by a decrease in the secretion of adrenocorticotropic
hormone.

ANS: F DIF: Application REF: p. 189 TOP: Skin Color

21. Lanugo is the technical term used for adult body hair.

ANS: F DIF: Memorization REF: p. 195


TOP: Hair

22. Terminal hair is the coarse pubic and axillary hair that develops at puberty.

ANS: T DIF: Memorization REF: p. 195


TOP: Hair

23. One way to stimulate hair growth is to cut it or shave it.

ANS: F DIF: Memorization REF: p. 195


TOP: Hair

24. One of the factors associated with the common type of baldness is the presence of
testosterone.

ANS: T DIF: Application REF: p. 195 TOP: Hair

25. Growth of nails is the result of mitosis in the stratum basale.

ANS: T DIF: Memorization REF: p. 197


TOP: Nails

26. The gland that produces the waxy secretion in the external ear canal is a sebaceous gland.

ANS: F DIF: Application REF: p. 199 TOP: Ceruminous Glands

27. An increase in sebum secretion in children may lead to increased susceptibility to


ringworm.
ANS: F DIF: Synthesis REF: p. 200
TOP: Skin Infections (Mechanisms of Disease)

28. Apocrine sweat glands are the most numerous and widespread sweat glands in the body.

ANS: F DIF: Synthesis REF: p. 198 TOP: Eccrine Glands

29. There is a more than fivefold increase in the rate of sebum secretion between 10 and 19
years of age.

ANS: T DIF: Memorization REF: p. 198


TOP: Acne (Box 10-7)

30. A person with a body temperature of 38 C would need to be treated for hypothermia.

ANS: F DIF: Application REF: p. 201


TOP: Abnormal Body Temperature (Mechanisms of Disease)

31. When heat must be conserved to maintain a constant body temperature, the dermal blood
vessels increase their diameter.

ANS: F DIF: Synthesis REF: p. 193 TOP: Heat Loss

32. Shivering is a good example of the body’s attempt to produce more heat.

ANS: T DIF: Application REF: p. 193 TOP: Heat Production

33. A person who is shivering would normally have dilated surface blood vessels in the skin.

ANS: F DIF: Synthesis REF: p. 193 TOP: Heat Loss

34. Heat loss by the skin is controlled by a positive-feedback loop.

ANS: F DIF: Memorization REF: p. 194


TOP: Homeostatic Regulation of Heat Loss

35. The body’s temperature control center is located in the hypothalamus.

ANS: T DIF: Memorization REF: p. 194


TOP: Homeostatic Regulation of Heat Loss

36. The normal body temperature set point is 37 C.

ANS: T DIF: Memorization REF: p. 194


TOP: Homeostatic Regulation of Heat Loss

37. Besides changing the rates of metabolism, the primary means of controlling body
temperature is through changes in the size of blood vessels in the skin.

ANS: T DIF: Synthesis REF: p. 194


TOP: Homeostatic Regulation of Heat Loss
38. Skin thermal receptors provide important information to the heat-regulating centers in the
brain, resulting in autonomic regulation of body temperature.

ANS: F DIF: Application REF: p. 194


TOP: Homeostatic Regulation of Heat Loss

39. Heat loss by the skin is controlled by a negative-feedback loop.

ANS: T DIF: Memorization REF: p. 194


TOP: Homeostatic Regulation of Heat Loss

40. Blisters, severe pain, generalized swelling, and edema are characteristic of third-degree
burns.

ANS: F DIF: Application REF: p. 202


TOP: Estimating Body Surface Area (Mechanisms of Disease)

41. The rule of palms and the rule of tens are two methods used in estimating the extent of
body surface area burned.

ANS: F DIF: Application REF: p. 202


TOP: Estimating Body Surface Area (Mechanisms of Disease)

42. Third-degree burns are less severe than first-degree burns and therefore are not as painful.

ANS: F DIF: Synthesis REF: p. 202


TOP: Estimating Body Surface Area (Mechanisms of Disease)

43. The thickest part of the skin is slightly more than 3 cm thick.

ANS: F DIF: Memorization REF: p. 181


TOP: Introduction

44. Integument and integumentary system are interchangeable terms.

ANS: F DIF: Memorization REF: p. 181


TOP: Introduction

45. Integumentary system and skin are interchangeable terms.

ANS: F DIF: Memorization REF: p. 181


TOP: Introduction

46. A large amount of fat can be stored in the hypodermis.

ANS: T DIF: Memorization REF: p. 188


TOP: Hypodermis

47. Thick skin and thin skin refer to the dermis and the epidermis.

ANS: F DIF: Memorization REF: p. 181


TOP: Thin and Thick Skin
48. Hair is usually not found on thick skin.

ANS: T DIF: Memorization REF: p. 182


TOP: Thin and Thick Skin

49. In thin skin, some of the strata of the skin may be absent.

ANS: T DIF: Memorization REF: p. 182


TOP: Thin and Thick Skin

50. The cells at the surface of the skin are dead.

ANS: T DIF: Memorization REF: p. 184


TOP: Cell Layers

51. An abnormal thickening of the stratum corneum is called hyperkeratosis.

ANS: T DIF: Memorization REF: p. 184


TOP: Cell Layers

52. The stratum lucidum and stratum basale are sometimes referred to as the stratum
germinativum.

ANS: F DIF: Memorization REF: p. 183


TOP: Cell Layers

53. Blisters can be the result of damage to the desmosomes in a layer of skin.

ANS: T DIF: Memorization REF: p. 186


TOP: Blisters (Box 10-2)

54. The average turnover time for skin cells to go from the stratum basale to the surface of the
epidermis is about 35 days.

ANS: T DIF: Memorization REF: p. 184


TOP: Epidermal Growth and Repair

55. Continual abrasion to the skin surface tends to lengthen the turnover time of the skin.

ANS: F DIF: Memorization REF: p. 184


TOP: Epidermal Growth and Repair

56. A group of active basal cells, together with its vertical column of migrating keratinocytes,
is called a dermal proliferating unit, or DPU.

ANS: F DIF: Memorization REF: p. 184


TOP: Epidermal Growth and Repair

57. The papillary layer of the dermis lies just below the dermal-epidermal junction.

ANS: T DIF: Memorization REF: p. 186


TOP: Papillary Layer

58. The reticular layer of the dermis serves as an attachment point for both smooth and
skeletal muscles.

ANS: T DIF: Memorization REF: p. 187


TOP: Reticular Layer

59. Surgical incisions that are made perpendicular to cleavage lines tend to heal with less of a
scar.

ANS: F DIF: Memorization REF: p. 187


TOP: Dermal Growth and Repair

60. Light-skinned people have fewer melanocytes in their skin than do dark-skinned people.

ANS: F DIF: Memorization REF: p. 189


TOP: Skin Color

61. The ability of melanocytes to darken the skin is dependent on the functioning of the
enzyme tyrosinase.

ANS: T DIF: Memorization REF: p. 189


TOP: Skin Color

62. Convection is responsible for most of the heat loss of the body.

ANS: F DIF: Memorization REF: p. 194


TOP: Convection

63. The protective function of the skin is limited to the protection of the underlying tissue
from abrasion and mechanical injury.

ANS: F DIF: Memorization REF: p. 192


TOP: Functions of the Skin

64. The shedding of epithelial elements from the skin surface is called desquamation.

ANS: T DIF: Memorization REF: p. 192


TOP: Functions of the Skin

65. The surface film that aids in the protective function of the skin is remarkably consistent
from one part of the skin to another.

ANS: F DIF: Memorization REF: p. 192


TOP: Surface Film

66. Because sweat can contain ammonia, urea, and other waste products, it plays a major role
in the excretion of body wastes.

ANS: F DIF: Memorization REF: p. 193


TOP: Functions of the Skin
67. When the skin is exposed to sunlight, it has the ability to convert cholecalciferol to vitamin
D.

ANS: F DIF: Memorization REF: p. 193


TOP: Hormone (Vitamin D) Production

68. Because vitamin D is a compound that influences several important chemical reactions, it
can also be classified as an enzyme.

ANS: F DIF: Memorization REF: p. 193


TOP: Hormone (Vitamin D) Production

69. Radiation can account for both heat loss and heat gain.

ANS: T DIF: Memorization REF: p. 194


TOP: Radiation

70. Heat production occurs in two ways: metabolism of food and absorption of heat from the
environment.

ANS: F DIF: Memorization REF: p. 193


TOP: Homeostasis of Body Temperature

71. Sweat that drips off you does very little to cool your body.

ANS: T DIF: Application REF: p. 194 TOP: Evaporation

72. In a cool environment, conduction accounts for most of the heat loss of the body.

ANS: F DIF: Memorization REF: p. 194


TOP: Conduction

73. In using the rule of nines to determine the area of the body involved, the body is divided
into nine areas of 11% each.

ANS: F DIF: Memorization REF: p. 202


TOP: Burns

74. Lanugo is usually found on a fetus or newborn.

ANS: T DIF: Memorization REF: p. 195


TOP: Hair

75. The cells of the germinal matrix are responsible for forming hair.

ANS: T DIF: Memorization REF: p. 195


TOP: Hair

76. The hair itself is composed of three layers: the shaft, the cortex, and the cuticle.

ANS: F DIF: Memorization REF: p. 195


TOP: Hair

77. Fingernails are composed of heavily keratinized epidermal cells.

ANS: T DIF: Memorization REF: p. 197


TOP: Nails

78. Apocrine and eccrine glands are the two types of sebaceous glands.

ANS: F DIF: Memorization REF: p. 198


TOP: Sweat Glands

79. Eccrine glands are the more numerous of the sweat glands.

ANS: T DIF: Memorization REF: p. 198


TOP: Eccrine Glands

80. Although the ducts of the eccrine sweat glands come through the epidermis, the actual
secretory portion is located in the dermis.

ANS: F DIF: Memorization REF: p. 198


TOP: Eccrine Glands

81. Apocrine sweat glands begin functioning shortly after birth.

ANS: F DIF: Memorization REF: p. 199


TOP: Apocrine Glands

82. Because sebaceous glands produce a substance rich in triglycerides and fatty acids, it
provides a good growth medium for fungi.

ANS: F DIF: Memorization REF: p. 198


TOP: Sweat Glands

83. Malignant hyperthermia occurs as a result of exposure to certain types of anesthetic agents
or muscle relaxants.

ANS: T DIF: Memorization REF: p. 202


TOP: Abnormal Body Temperature (Mechanisms of Disease)

84. The skin surface area can be as large as 20 square feet in the average adult.

ANS: T DIF: Memorization REF: p. 181


TOP: Introduction

85. The skin is a thin and relatively flat organ and is an example of a serous membrane.

ANS: F DIF: Memorization REF: p. 181


TOP: Structure of the Skin

86. Fingerprints are an example of the friction ridges of the skin.


ANS: T DIF: Memorization REF: p. 182
TOP: Thin and Thick Skin

87. The keratinocytes of the skin are examples of antigen-presenting cells.

ANS: F DIF: Memorization REF: p. 183


TOP: Cell Types

88. The stratum lucidum is superficial to the stratum basale.

ANS: T DIF: Application REF: p. 184 TOP: Cell Layers

89. An abnormally thick region of the stratum basale is called a callus.

ANS: F DIF: Memorization REF: p. 184


TOP: Epidermal Growth and Repair

90. Cleavage lines and Langer lines refer to the same thing.

ANS: T DIF: Memorization REF: p. 184


TOP: Dermal Growth and Repair

91. Langer lines is the more correct name for stretch marks.

ANS: F DIF: Memorization REF: p. 184


TOP: Dermal Growth and Repair

92. Albinism is the inability of the body to form melanin.

ANS: T DIF: Memorization REF: p. 189


TOP: Melanin

93. Jaundice can occur because of a very high concentration of vitamin A in the skin.

ANS: F DIF: Memorization REF: p. 190


TOP: Other Pigments

94. A high level of melanin in the skin assists in the formation of vitamin D.

ANS: F DIF: Memorization REF: p. 193


TOP: Hormone (Vitamin D) Production

95. Dendritic cells develop in the dermis of the skin but migrate to the epidermis of the skin to
function.

ANS: F DIF: Memorization REF: p. 183


TOP: Cell Types

96. Cells in the stratum spinosum layer are rich in RNA to make protein synthesis more
efficient.

ANS: T DIF: Memorization REF: p. 183


TOP: Cell Layers

97. Keratohyalin is a protein in the stratum lucidum that will eventually be transformed into
keratin in the cells of the epidermis.

ANS: F DIF: Memorization REF: p. 183


TOP: Cell Layers

98. Cells in the stratum lucidum do not have a high metabolic rate, because they usually do
not have a nucleus.

ANS: T DIF: Memorization REF: p. 184


TOP: Cell Layers

99. High levels of lysosomal enzymes are found in the cells of the stratum granulosum layer.

ANS: T DIF: Memorization REF: p. 184


TOP: Cell Layers

100. One end of the arrector pili muscle is attached to a hair follicle.

ANS: T DIF: Memorization REF: p. 187


TOP: Reticular Layer

101. A scar is a dense mass of keratinocytes that forms when a wound to the skin heals.

ANS: F DIF: Memorization REF: p. 187


TOP: Dermal Growth and Repair

102. People who have mostly pheomelanin in their skin tend to have darker skin than people
who have mostly eumelanin.

ANS: F DIF: Memorization REF: p. 189


TOP: Skin Color

103. Melanosomes help prevent DNA mutations when the cell is exposed to ultraviolet
radiation.

ANS: T DIF: Application REF: p. 189 TOP: Skin Color

104. You turn red when you blush, because the color of blood is red.

ANS: T DIF: Application REF: p. 190 TOP: Other Pigments

105. The presence of hemosiderin and bile pigments in the skin can cause the skin to appear
cyanotic.

ANS: F DIF: Application REF: p. 190 TOP: Other Pigments

106. Both the root and the lunula of the nail are covered by the cuticle and therefore cannot be
seen externally.
ANS: F DIF: Memorization REF: p. 197
TOP: Nails

107. If a person were in a totally bacteria-free environment, any sweat produced would have no
odor.

ANS: T DIF: Application REF: p. 198 TOP: Sweat Glands

108. Chemicals that cause the body to develop a fever are called pyrogens.

ANS: T DIF: Memorization REF: p. 201


TOP: Abnormal Body Temperature (Mechanisms of Disease)

109. Fever is always detrimental to the body, so the body temperature should be reduced to
normal as soon as possible.

ANS: F DIF: Application REF: p. 201


TOP: Abnormal Body Temperature (Mechanisms of Disease)

110. Malignant hyperthermia, heat exhaustion, and heat stroke are increasingly dangerous
consequences of exposure to high environmental temperatures.

ANS: F DIF: Memorization REF: p. 202


TOP: Abnormal Body Temperature (Mechanisms of Disease)

111. The skin is the largest and thinnest organ.

ANS: T DIF: Memorization REF: p. 181


TOP: Introduction

112. The hypodermis is the deepest layer of skin.

ANS: F DIF: Memorization REF: p. 188


TOP: Hypodermis

113. Most of the body is covered by protective thick skin.

ANS: F DIF: Memorization REF: p. 181


TOP: Thin and Thick Skin

114. Keratinocytes are sometimes called corneocytes.

ANS: T DIF: Memorization REF: p. 183


TOP: Cell Types

115. Melanocytes are sometimes called Langerhans cells.

ANS: F DIF: Memorization REF: p. 183


TOP: Cell Types

116. The stratum granulosum is sometimes called the barrier layer of the skin.
ANS: F DIF: Memorization REF: p. 184
TOP: Cell Layers

117. In order for proper growth and repair of the skin to occur, both insulin-like growth factor
and vitamin D must be present in the correct amounts.

ANS: F DIF: Memorization REF: p. 184


TOP: Epidermal Growth and Repair

118. The main function of the dermoepidermal junction is to act as a barrier to harmful
chemicals and bacteria.

ANS: F DIF: Memorization REF: pp. 185-186


TOP: Dermoepidermal Junction

119. Hair follicles and skin glands, made up of epithelial tissue, extend from the epidermis into
the reticular layer.

ANS: T DIF: Memorization REF: p. 187


TOP: Reticular Layer

120. In the healing of a wound, fibroblasts in the dermis quickly reproduce and begin forming a
dense mass of new connective tissue fibers.

ANS: T DIF: Memorization REF: p. 187


TOP: Dermal Growth and Repair

121. The death of melanocytes in the hair follicle of older people causes the hair to turn gray.

ANS: T DIF: Memorization REF: p. 189


TOP: Melanin

122. Permanent tattoos are made by injecting pigments into the epidermis of the skin, and
because of the regeneration of the epidermis, they become less distinct with age.

ANS: F DIF: Memorization REF: p. 190


TOP: Other Pigments

123. The germinal matrix is a small mound of dermis that supplies blood to the hair follicle.

ANS: F DIF: Memorization REF: p. 195


TOP: Hair

124. The hair follicle serves as a primary location of adult stem cells for skin cells like
melanocytes.

ANS: T DIF: Memorization REF: p. 195


TOP: Hair

125. Toenails and fingernails grow at the rate of about 0.5 mm a week, but they grow faster in
the winter than they do in the summer.
ANS: F DIF: Memorization REF: p. 197
TOP: Nails

MATCHING

Match each layer of the epidermis with its corresponding characteristics.


a. Stratum corneum
b. Stratum lucidum
c. Stratum granulosum
d. Stratum spinosum
e. Stratum basale

1. A single layer of columnar cells that undergo mitosis


2. Most superficial layer of the epidermis; composed of very thin squamous cells
3. Layer in which the process of keratinization begins; the cells are filled with keratohyalin
4. Contains cells rich in ribonucleic acid and has prominent intercellular bridges or
desmosomes
5. Layer that is absent in thin skin; cells are filled with a gel-like substance called eleidin

1. ANS: E DIF: Memorization REF: p. 183


TOP: Cell Layers
2. ANS: A DIF: Memorization REF: p. 184
TOP: Cell Layers
3. ANS: C DIF: Memorization REF: p. 183
TOP: Cell Layers
4. ANS: D DIF: Memorization REF: p. 183
TOP: Cell Layers
5. ANS: B DIF: Memorization REF: p. 184
TOP: Cell Layers

Match each term with its definition or description.


a. Keratinocytes
b. Hypodermis
c. Papillary layer
d. Pheomelanin
e. Melanocytes
f. Arrector pili muscles
g. Eumelanin
h. Dendritic cells
i. Albinism
j. Reticular layer

6. Skin cells that play a role in immunity


7. Make colored pigment for the skin
8. Also called the superficial fascia
9. Dermis layer made of dense white collagen fibers
10. Darkest of the melanin pigments
11. Structure attached to hair that can lift it and causes goose bumps
12. A genetic condition that causes the inability to produce melanin
13. Most important cell in the epidermis; makes up about 90% of it
14. Dermis layer that forms fingerprints
15. Pigment that produces a red-orange color

6. ANS: H DIF: Memorization REF: p. 183


TOP: Cell Types
7. ANS: E DIF: Memorization REF: p. 183
TOP: Cell Types
8. ANS: B DIF: Memorization REF: p. 188
TOP: Hypodermis
9. ANS: J DIF: Memorization REF: p. 186
TOP: Reticular Layer
10. ANS: G DIF: Memorization REF: p. 189
TOP: Melanin
11. ANS: F DIF: Memorization REF: p. 187
TOP: Reticular Layer
12. ANS: I DIF: Memorization REF: p. 189
TOP: Melanin
13. ANS: A DIF: Memorization REF: p. 183
TOP: Cell Types
14. ANS: C DIF: Memorization REF: p. 186
TOP: Papillary Layer
15. ANS: D DIF: Memorization REF: p. 189
TOP: Melanin

Match each term with its description or definition.


a. Hair papilla
b. Radiation
c. Apocrine gland
d. Lanugo
e. Convection
f. Germinal matrix
g. Sebaceous gland
h. Eccrine gland
i. Conduction
j. Ceruminous gland

16. Transfer of heat between two surfaces without actual contact


17. Most numerous gland of the skin; produces a transparent, watery liquid
18. Soft, fine hair that covers the fetus
19. Cup-shaped cluster of cells in the hair follicle
20. Transfer of heat from one surface to another because of contact with each other
21. Gland that secretes oil for hair and skin
22. Small mound of dermis in the hair follicle
23. Skin gland found in the armpits and the areola of the breast that produces a viscous and
colored secretion
24. Movement of heat away from the body caused by air movement or dissipation of heated
fluid particles
25. Gland that forms the brown waxy material used to protect the ear canal
16. ANS: B DIF: Memorization REF: p. 194
TOP: Heat Loss
17. ANS: H DIF: Memorization REF: p. 198
TOP: Sweat Glands
18. ANS: D DIF: Memorization REF: p. 195
TOP: Hair
19. ANS: F DIF: Memorization REF: p. 195
TOP: Hair
20. ANS: I DIF: Memorization REF: p. 193
TOP: Heat Loss
21. ANS: G DIF: Memorization REF: p. 199
TOP: Sebaceous Glands
22. ANS: A DIF: Memorization REF: p. 195
TOP: Hair
23. ANS: C DIF: Memorization REF: p. 198
TOP: Sweat Glands
24. ANS: E DIF: Memorization REF: p. 193
TOP: Heat Loss
25. ANS: J DIF: Memorization REF: p. 199
TOP: Ceruminous Glands

OTHER

1. Name and describe what occurs in the cells in each of the layers of the epidermis.

ANS:
Answers will vary.

DIF: Synthesis REF: pp. 183-184 TOP: Cell Layers

2. Explain how the involvement of desmosomes in a blister is a good example of the


relationship between structure and function at the chemical level of organization.

ANS:
Answers will vary.

DIF: Synthesis REF: p. 186 TOP: Blisters (Box 10-2)

3. Name and describe the pigments in the skin. Which pigment is more protective against
ultraviolet radiation?

ANS:
Answers will vary.

DIF: Synthesis REF: p. 189 TOP: Skin Color

4. Differentiate among first-, second-, and third-degree burns.

ANS:
Answers will vary.
DIF: Synthesis REF: p. 202
TOP: Estimating Body Surface Area (Mechanisms of Disease)

5. Explain the role of the blood vessels in the skin in the homeostatic regulation of heat loss
in the body.

ANS:
Answers will vary.

DIF: Application REF: p. 194 TOP: Homeostatic Regulation of Heat Loss

6. Name and explain the methods of heat loss discussed in this chapter.

ANS:
Answers will vary.

DIF: Memorization REF: p. 193 TOP: Heat Loss

7. Explain the protection function of the skin, and include the role of the surface film.

ANS:
Answers will vary.

DIF: Memorization REF: p. 192 TOP: Functions of the Skin

8. Describe the formation of hair, and describe the parts of a hair follicle.

ANS:
Answers will vary.

DIF: Memorization REF: p. 195 TOP: Development of Hair

9. Describe the structure of fingernails, and describe how they grow and their rate of growth.

ANS:
Answers will vary.

DIF: Memorization REF: p. 197 TOP: Nails

10. Name the two types of sweat glands. Explain the difference in their location in the body
and the substance they produce.

ANS:
Answers will vary.

DIF: Memorization REF: p. 198 TOP: Sweat Glands

11. Where are the sebaceous glands located? What do they produce, and what are the
properties or functions of the secretion?

ANS:
Answers will vary.
DIF: Application REF: p. 199 TOP: Sebaceous Glands

12. Explain the two ways in which body surface area can be estimated.

ANS:
Answers will vary.

DIF: Memorization REF: p. 202


TOP: Estimating Body Surface Area (Mechanisms of Disease)

ESSAY

1. The process of digesting food requires work from the body. Why would you expect the
body temperature to rise slightly after eating a big meal?

ANS:
Answers will vary.

DIF: Synthesis REF: p. 193 TOP: Heat Production

2. In hospitals, frequently a sensor is put over one fingernail to determine whether the
patient’s blood is properly oxygenated. Explain why this evaluation is possible.

ANS:
Answers will vary.

DIF: Application REF: p. 197 TOP: Nails

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