You are on page 1of 68

Anatomy and Physiology An Integrative

Approach 2nd Edition McKinley Test


Bank
Visit to download the full and correct content document: https://testbankdeal.com/dow
nload/anatomy-and-physiology-an-integrative-approach-2nd-edition-mckinley-test-ban
k/
Chapter 06 - Integumentary System

Chapter 06
Integumentary System

Multiple Choice Questions

1. Another name for the skin is the _________ membrane.


A. serous
B. parietal
C. mucous
D. cutaneous
E. visceral

Bloom's Level: 1. Remember


HAPS Objective: E01.01 Describe the general functions of the skin.
HAPS Topic: Module E01 General functions of the skin & the subcutaneous layer.
Learning Objective: 06.01.01 Describe the five layers (strata) of the epidermis.
Section: 06.01
Topic: General functions of skin and the subcutaneous layer

2.

Which is not a function of the integument?

A. Protection
B. Water loss prevention
C. Temperature regulation
D. Synthesis of cholecalciferol (vitamin D precursor)
E. No exceptions; all are functions of the integument

Bloom's Level: 3. Apply


HAPS Objective: E01.01 Describe the general functions of the skin.
HAPS Topic: Module E01 General functions of the skin & the subcutaneous layer.
Learning Objective: 06.01.07 List the functions of the subcutaneous layer.
Learning Objective: 06.01.09 Describe the integument's involvement in calcium and phosphorus utilization.
Learning Objective: 06.01.10 Describe the integument's role in secretion and absorption.
Learning Objective: 06.01.12 Explain how skin helps cool the body or retain warmth.
Section: 06.01
Topic: General functions of skin and the subcutaneous layer

6-1
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

3. What type of stimulus is detected by the sensory receptors of the skin?


A. Heat
B. Cold
C. Pressure
D. Vibration
E.

All of the choices are correct.

Bloom's Level: 1. Remember


HAPS Objective: E04.01d With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Describe the function of each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.01.13 List the sensations detected by the skin's sensory receptors.
Section: 06.01
Topic: General functions of skin and the subcutaneous layer

4. What type of epithelium is found in the epidermis?


A. Keratinized stratified squamous
B. Nonkeratinized stratified squamous
C. Keratinized stratified cuboidal
D. Nonkeratinized stratitified cuboidal
E. Transitional

Bloom's Level: 1. Remember


HAPS Objective: E02.01a With respect to the epidermis: Identify and describe the tissue type making up the epidermis.
HAPS Topic: Module E02 Gross & microscopic anatomy of skin.
Learning Objective: 06.01.01 Describe the five layers (strata) of the epidermis.
Section: 06.01
Topic: Microscopic anatomy of skin

6-2
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

5. From deep to superficial, the order of the strata of the epidermis is


A. Basale - spinosum - granulosum - lucidum - corneum
B. Spinosum - granulosum - basale - lucidum - corneum
C. Corneum - lucidum - granulosum - spinosum - basale
D. Basale - granulosum - spinosum - lucidum - corneum
E. Corneum - granulosum - lucidum - spinosum - basale

Bloom's Level: 1. Remember


HAPS Objective: E02.01b With respect to the epidermis: Identify and describe the layers of the epidermis, indicating which are found in thin
skin and which are found in thick skin.
HAPS Topic: Module E02 Gross & microscopic anatomy of skin.
Learning Objective: 06.01.01 Describe the five layers (strata) of the epidermis.
Section: 06.01
Topic: Microscopic anatomy of skin

Fill in the Blank Questions

6. The skin's immune responsiveness will be diminished by a decrease in the number of


epidermal _________ cells.
dendritic or
Langerhans

Bloom's Level: 2. Understand


HAPS Objective: E03.01b With respect to the epidermis: Explain how each of the five layers, as well as each of the following cell types and
substances, contributes to the functions of the epidermis: stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel
cells and discs, keratin, and extracellular lipids.
HAPS Topic: Module E03 Roles of specific tissue layers of skin & the subcutaneous layer.
Learning Objective: 06.01.01 Describe the five layers (strata) of the epidermis.
Section: 06.01
Topic: Functions of skin tissue layers

7. The stratum _________ derives its name from the spiny appearance of the "bridges" that
connect neighboring cells.
spinosum

Bloom's Level: 1. Remember


HAPS Objective: E02.01b With respect to the epidermis: Identify and describe the layers of the epidermis, indicating which are found in thin
skin and which are found in thick skin.
HAPS Topic: Module E02 Gross & microscopic anatomy of skin.
Learning Objective: 06.01.01 Describe the five layers (strata) of the epidermis.
Section: 06.01
Topic: Microscopic anatomy of skin

6-3
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

Multiple Choice Questions

8.

Keratinocytes are

A. the most abundant cell type in the epidermis.


B. found throughout all epidermal strata.
C. sometimes alive and sometimes dead, depending on where they are found.
D. able to synthesize the protein keratin.
E. All of the choices are correct.

Bloom's Level: 3. Apply


HAPS Objective: E03.01b With respect to the epidermis: Explain how each of the five layers, as well as each of the following cell types and
substances, contributes to the functions of the epidermis: stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel
cells and discs, keratin, and extracellular lipids.
HAPS Topic: Module E03 Roles of specific tissue layers of skin & the subcutaneous layer.
Learning Objective: 06.01.01 Describe the five layers (strata) of the epidermis.
Section: 06.01
Topic: Microscopic anatomy of skin

9.

Tactile (Merkel) cells are sensitive to

A. sound.
B. light.
C. touch.
D. heat.
E. cold.

Bloom's Level: 1. Remember


HAPS Objective: E03.01b With respect to the epidermis: Explain how each of the five layers, as well as each of the following cell types and
substances, contributes to the functions of the epidermis: stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel
cells and discs, keratin, and extracellular lipids.
HAPS Topic: Module E03 Roles of specific tissue layers of skin & the subcutaneous layer.
Learning Objective: 06.01.01 Describe the five layers (strata) of the epidermis.
Section: 06.01
Topic: Microscopic anatomy of skin

6-4
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

10. Epidermal dendritic (Langerhans) cells function as part of the ______ response.
A. immune
B. sensory
C. tanning
D. heating
E. sweating

Bloom's Level: 1. Remember


HAPS Objective: E03.01b With respect to the epidermis: Explain how each of the five layers, as well as each of the following cell types and
substances, contributes to the functions of the epidermis: stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel
cells and discs, keratin, and extracellular lipids.
HAPS Topic: Module E03 Roles of specific tissue layers of skin & the subcutaneous layer.
Learning Objective: 06.01.01 Describe the five layers (strata) of the epidermis.
Section: 06.01
Topic: Microscopic anatomy of skin

11. Which are applicable to the stratum corneum?


a: Most superficial stratum
b: Consists of about 3-5 cell layers
c: Cells are dead
d: Interlocking keratinized cells
e: Cells are anucleate
A. a, c, d
B. a, c, e
C. a, b, d
D. a, c, d, e
E. a, b, c, d, e

Bloom's Level: 4. Analyze


HAPS Objective: E02.01b With respect to the epidermis: Identify and describe the layers of the epidermis, indicating which are found in thin
skin and which are found in thick skin.
HAPS Topic: Module E02 Gross & microscopic anatomy of skin.
Learning Objective: 06.01.01 Describe the five layers (strata) of the epidermis.
Section: 06.01
Topic: Microscopic anatomy of skin

True / False Questions

6-5
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

12. The process of keratinization begins in the stratum granulosum.


TRUE

Bloom's Level: 1. Remember


HAPS Objective: E02.01d With respect to the epidermis: Describe the processes of growth and keratinization of the epidermis.
HAPS Topic: Module E03 Roles of specific tissue layers of skin & the subcutaneous layer.
Learning Objective: 06.01.01 Describe the five layers (strata) of the epidermis.
Section: 06.01
Topic: Microscopic anatomy of skin

Fill in the Blank Questions

13.

The stratum _______ is found only in thick skin, such as the skin covering the palms and soles.

lucidum

Bloom's Level: 1. Remember


HAPS Objective: E02.01c With respect to the epidermis: Correlate the structure of thick and thin skin with the locations in the body where
each are found.
HAPS Topic: Module E02 Gross & microscopic anatomy of skin.
Learning Objective: 06.01.02 Differentiate between thick skin and thin skin.
Section: 06.01
Topic: Microscopic anatomy of skin

Multiple Choice Questions

6-6
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

14.

Thick skin contains

A. seven epidermal strata and lacks sweat glands.


B. five epidermal strata and lacks sweat glands.
C. four epidermal strata and lacks sebaceous glands.
D. six epidermal strata and lacks sweat glands.
E. five epidermal strata and lacks sebaceous glands.

Bloom's Level: 1. Remember


HAPS Objective: E02.01c With respect to the epidermis: Correlate the structure of thick and thin skin with the locations in the body where
each are found.
HAPS Topic: Module E02 Gross & microscopic anatomy of skin.
Learning Objective: 06.01.02 Differentiate between thick skin and thin skin.
Section: 06.01
Topic: Microscopic anatomy of skin

15.

Normally, skin color results from a combination of


a: melanin
b: hemoglobin
c: bilirubin
d: carotene

A. a, b, d
B. a, c, d
C. a, d
D. a, b, c
E. b, c, d

Bloom's Level: 1. Remember


HAPS Objective: E02.04a With respect to skin color: Describe the three pigments most responsible for producing the various skin colors.
HAPS Topic: Module E02 Gross & microscopic anatomy of skin.
Learning Objective: 06.01.03 Explain what causes differences in skin color.
Section: 06.01
Topic: Microscopic anatomy of skin

6-7
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

16. Generally, people have ________ number of melanocytes ______________.


A.

about the same; no matter where they live

B.
a highly variable; irrespective of where they live

C.
a lower; if they live in colder climates of the northern hemisphere

D.
a higher; if they live in the warmer climates near the equator

E.
a higher; if they live in the southern hemisphere

Bloom's Level: 3. Apply


HAPS Objective: E03.01b With respect to the epidermis: Explain how each of the five layers, as well as each of the following cell types and
substances, contributes to the functions of the epidermis: stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel
cells and discs, keratin, and extracellular lipids.
HAPS Topic: Module E03 Roles of specific tissue layers of skin & the subcutaneous layer.
Learning Objective: 06.01.03 Explain what causes differences in skin color.
Section: 06.01
Topic: Microscopic anatomy of skin

6-8
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

17.

The function of melanin in the skin is to

A. reduce water loss.


B. prevent infections.
C. help regulate body temperature.
D. protect against UV light.
E. keep the epidermis soft and pliable.

Bloom's Level: 1. Remember


HAPS Objective: E02.04a With respect to skin color: Describe the three pigments most responsible for producing the various skin colors.
HAPS Topic: Module E02 Gross & microscopic anatomy of skin.
Learning Objective: 06.01.03 Explain what causes differences in skin color.
Section: 06.01
Topic: Microscopic anatomy of skin

18.

Within the body, carotene is converted to

A. vitamin A, which is important for auditory function.


B. vitamin E, which is important for auditory function
C. vitamin E, which is important for visual function.
D. vitamin A, which is important for visual function.

Bloom's Level: 1. Remember


HAPS Objective: E02.04a With respect to skin color: Describe the three pigments most responsible for producing the various skin colors.
HAPS Topic: Module E02 Gross & microscopic anatomy of skin.
Learning Objective: 06.01.03 Explain what causes differences in skin color.
Section: 06.01
Topic: Microscopic anatomy of skin

6-9
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

19. Which skin markings usually disappear during childhood?


A. Friction ridges
B. Capillary hemangiomas
C. Cavernous hemangiomas
D. Pili
E. Nevi

Bloom's Level: 1. Remember


Learning Objective: 06.01.03 Explain what causes differences in skin color.
Section: 06.01
Topic: Gross anatomy of skin

20.

Freckles are the result of

A. melanocyte number and genetic inheritance.


B. melanocyte number and sun exposure.
C. melanocyte activity, genetic inheritance, and sun exposure.
D. melanocyte number, genetic inheritance, and diet.
E. melanocyte activity and diet.

Bloom's Level: 1. Remember


HAPS Objective: E03.01b With respect to the epidermis: Explain how each of the five layers, as well as each of the following cell types and
substances, contributes to the functions of the epidermis: stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel
cells and discs, keratin, and extracellular lipids.
HAPS Topic: Module E03 Roles of specific tissue layers of skin & the subcutaneous layer.
Learning Objective: 06.01.03 Explain what causes differences in skin color.
Section: 06.01
Topic: Gross anatomy of skin

6-10
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

21.

Among the components of the dermis are


a: sweat glands
b: hair follicles
c: collagen fibers
d: sensory nerve endings
e: arrector pili muscles

A. a, b, d
B. a, c, d
C. a, b, d, e
D. a, b, c, e
E. a, b, c, d, e

Bloom's Level: 2. Understand


HAPS Objective: E04.01b With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Describe the location of each structure in the body.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.01.04 Characterize the two layers of the dermis.
Section: 06.01
Topic: Microscopic anatomy of skin

22.

Blood capillaries that supply nourishment for the epidermis are located in the

A. dermal papillae.
B. epidermal ridges.
C. reticular connective tissue.
D. epidermis proper.
E. subcutaneous layer.

Bloom's Level: 1. Remember


HAPS Objective: E03.02b With respect to the dermis: Describe the specific function of each dermal layer and relate that function to the
skin’s overall functions.
HAPS Topic: Module E03 Roles of specific tissue layers of skin & the subcutaneous layer.
Learning Objective: 06.01.04 Characterize the two layers of the dermis.
Section: 06.01
Topic: Microscopic anatomy of skin

6-11
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

23.

The reticular layer of the dermis consists primarily of

A. adipose tissue.
B. reticular connective tissue.
C. dense irregular connective tissue.
D. nervous tissue.
E. elastic connective tissue.

Bloom's Level: 1. Remember


HAPS Objective: E02.02 Identify and describe the dermis and its layers, including the tissue types making up each dermal layer.
HAPS Topic: Module E02 Gross & microscopic anatomy of skin.
Learning Objective: 06.01.04 Characterize the two layers of the dermis.
Section: 06.01
Topic: Microscopic anatomy of skin

24. Why might someone pale when they are exposed to a cold temperature?
A. Vasodilation has occurred
B. Vasoconstriction has occurred
C. Purely psychological
D. Dehydration of the stratum corneum
E. Constriction of the dermal collagen and elastic fibers

Bloom's Level: 3. Apply


HAPS Objective: E03.02a With respect to the dermis: Describe the overall functions of the dermis.
HAPS Topic: Module E03 Roles of specific tissue layers of skin & the subcutaneous layer.
Learning Objective: 06.01.06 Describe how dermal blood vessels function in temperature regulation.
Section: 06.01
Topic: Functions of skin tissue layers

6-12
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

25. The deeper sublayer of the dermis is the ________ layer, and it is the _______ of the two.

A. reticular, thicker
B. reticular, thinner
C. papillary, thicker
D. papillary, thinner

Bloom's Level: 1. Remember


HAPS Objective: E02.02 Identify and describe the dermis and its layers, including the tissue types making up each dermal layer.
HAPS Topic: Module E02 Gross & microscopic anatomy of skin.
Learning Objective: 06.01.04 Characterize the two layers of the dermis.
Section: 06.01
Topic: Microscopic anatomy of skin

26. To speed healing from surgery, incisions should be placed ________ to lines of cleavage.

A. parallel
B. perpendicular

Bloom's Level: 3. Apply


HAPS Objective: E03.02c With respect to the dermis: Evaluate the advantages and disadvantages of the structure of the papillary and the
reticular layers/regions.
HAPS Topic: Module E03 Roles of specific tissue layers of skin & the subcutaneous layer.
Learning Objective: 06.01.05 Explain the significance of cleavage lines.
Section: 06.01
Topic: Clinical applications of the integumentary system

27.

Lines of cleavage are a result of

A. the alignment of dermal papillae.


B. the orientation of collagen fibers in the dermis.
C. the alignment of epidermal ridges.
D. wounds to the epidermis such as hemangiomas.

Bloom's Level: 1. Remember


HAPS Objective: E03.02c With respect to the dermis: Evaluate the advantages and disadvantages of the structure of the papillary and the
reticular layers/regions.
HAPS Topic: Module E03 Roles of specific tissue layers of skin & the subcutaneous layer.
Learning Objective: 06.01.05 Explain the significance of cleavage lines.
Section: 06.01
Topic: Microscopic anatomy of skin

6-13
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

28. What is the composition of the subcutaneous layer?


A. Adipose connective tissue
B. Areolar connective tissue
C. Dense irregular connective tissue
D. Areolar connective tissue and dense irregular connective tissue
E. Areolar connective tissue and adipose connective tissue

Bloom's Level: 1. Remember


HAPS Objective: E02.03 Identify and describe the subcutaneous tissue, including the tissue types making up subcutaneous tissue.
HAPS Topic: Module E02 Gross & microscopic anatomy of skin.
Learning Objective: 06.01.07 List the functions of the subcutaneous layer.
Section: 06.01
Topic: Microscopic anatomy of skin

29.

Areas where adult males tend to accumulate subcutaneous fat include the

A. hips and buttocks.


B. abdomen, forearms, and hips.
C. neck, abdomen, and buttocks.
D. breasts, upper back, and buttocks.

Bloom's Level: 1. Remember


HAPS Objective: E02.03 Identify and describe the subcutaneous tissue, including the tissue types making up subcutaneous tissue.
HAPS Topic: Module E02 Gross & microscopic anatomy of skin.
Learning Objective: 06.01.07 List the functions of the subcutaneous layer.
Section: 06.01
Topic: Gross anatomy of skin

6-14
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

30.

The hypodermis is rich in adipose, and thus its functions include

A. frequent regeneration, structural support, and defense against infection.


B. maintenance of boundaries and sensation of stimuli.
C. water regulation and vitamin synthesis.
D. organ protection, energy storage, and thermal insulation.

Bloom's Level: 4. Analyze


HAPS Objective: E03.03a With respect to the subcutaneous layer: Describe the functions of the subcutaneous layer.
HAPS Topic: Module E03 Roles of specific tissue layers of skin & the subcutaneous layer.
Learning Objective: 06.01.07 List the functions of the subcutaneous layer.
Section: 06.01
Topic: Functions of the subcutaneous layer

31. Nails are hard derivatives formed from the stratum ______ of the epidermis.
A. granulosum
B. basale
C. lucidum
D. corneum
E. spinosum

Bloom's Level: 1. Remember


HAPS Objective: E04.01c With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Describe the anatomy of each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.02 List the main components of the nail.
Section: 06.02
Topic: Anatomy of accessory skin structures

6-15
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

32. Which is the actively growing part of the nail?


A. Free edge
B. Nail root
C. Nail bed
D. Nail folds
E. Nail matrix

Bloom's Level: 1. Remember


HAPS Objective: E04.01c With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Describe the anatomy of each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.02 List the main components of the nail.
Section: 06.02
Topic: Anatomy of accessory skin structures

33. Which of these comprise the nail plate?


a: Free edge
b: Nail folds
c: Eponchyium
d: Nail root
e: Nail body
A. a, d, e
B. a, b, d, e
C. a, b, c, e
D. a, c, d, e
E. a, b, e

Bloom's Level: 2. Understand


Bloom's Level: 4. Analyze
HAPS Objective: E04.01c With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Describe the anatomy of each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.02 List the main components of the nail.
Section: 06.02
Topic: Anatomy of accessory skin structures

Fill in the Blank Questions

6-16
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

34. The white crescent at the proximal end of the nail plate is called the _________.
lunula or
lunule

Bloom's Level: 1. Remember


HAPS Objective: E04.01c With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Describe the anatomy of each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.02 List the main components of the nail.
Section: 06.02
Topic: Anatomy of accessory skin structures

Multiple Choice Questions

35.

Another name for the cuticle is the

A. eponychium.
B. hyponychium.
C. nail bed.
D. nail matrix.
E. nail root.

Bloom's Level: 1. Remember


HAPS Objective: E04.01c With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Describe the anatomy of each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.02 List the main components of the nail.
Section: 06.02
Topic: Anatomy of accessory skin structures

True / False Questions

6-17
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

36. Fingernails are helpful in protecting the distal tips of fingers and in grasping small
objects.
TRUE

Bloom's Level: 1. Remember


HAPS Objective: E04.01d With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Describe the function of each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.01 Describe the function of nails.
Section: 06.02
Topic: Functions of accessory skin structures

Multiple Choice Questions

37. Which type of hair forms the beard on the faces of males?
A. Terminal
B. Lanugo
C. Vellus
D. Nonpigmented
E. Pilus

Bloom's Level: 1. Remember


HAPS Objective: E04.01c With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Describe the anatomy of each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.03 Describe the structure of a hair and a follicle.
Section: 06.02
Topic: Anatomy of accessory skin structures

6-18
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

38. Fine hair called _________, which is unpigmented or lightly pigmented, is the primary
human hair and is found on the upper and lower limbs.
A. terminal
B. lanugo
C. vellus
D. cuticle
E. phalanx

Bloom's Level: 1. Remember


HAPS Objective: E04.01c With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Describe the anatomy of each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.03 Describe the structure of a hair and a follicle.
Section: 06.02
Topic: Anatomy of accessory skin structures

39.

The part of the hair that extends beyond the skin surface is called the

A. shaft.
B. root.
C. bulb.
D. papilla.
E. alopecia.

Bloom's Level: 1. Remember


HAPS Objective: E04.01c With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Describe the anatomy of each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.03 Describe the structure of a hair and a follicle.
Section: 06.02
Topic: Anatomy of accessory skin structures

6-19
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

40.

While most of the cells in a hair are dead, the living epithelial cells are found in

A. the cuticle of the hair shaft.


B. the cortex of the hair shaft.
C. the hair bulb.
D. the hyponychium.

Bloom's Level: 1. Remember


HAPS Objective: E04.02 Describe the growth cycles of hair follicles and the growth of hairs.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.03 Describe the structure of a hair and a follicle.
Section: 06.02
Topic: Anatomy of accessory skin structures

41.

The structure responsible for pulling on the follicle and causing "goose bumps" is the

A. external root sheath.


B. internal root sheath.
C. epithelial root sheath.
D. arrector pili muscle.
E. papilla.

Bloom's Level: 1. Remember


HAPS Objective: E04.01d With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Describe the function of each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.03 Describe the structure of a hair and a follicle.
Section: 06.02
Topic: Anatomy of accessory skin structures

6-20
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

42. The epithelial tissue root sheath is the _________ layer of the concentric layers making up
the hair follicle wall; it derives from the ________.
A.

inner; epidermis

B.
inner; dermis

C.
outer; epidermis

D.
outer; dermis

Bloom's Level: 2. Understand


HAPS Objective: E04.01c With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Describe the anatomy of each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.03 Describe the structure of a hair and a follicle.
Section: 06.02
Topic: Anatomy of accessory skin structures

43. Where on the human body is the hair thick enough to retain heat?
A. Beard
B. Axillary region
C. Nose
D. Pubic region
E. Scalp

Bloom's Level: 1. Remember


HAPS Objective: E04.01b With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Describe the location of each structure in the body.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.04 List the functions of hair.
Section: 06.02
Topic: Functions of accessory skin structures

6-21
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

44. Which of these are functions of hair?


a: Sensory reception
b: Heat retention
c: Pheromone dispersal
d: Protection
e: Visual identification
A. a, b, d
B. a, d, e
C. a, b, d, e
D. a, b, c, d, e

Bloom's Level: 2. Understand


HAPS Objective: E04.01d With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Describe the function of each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.04 List the functions of hair.
Section: 06.02
Topic: Functions of accessory skin structures

45.

The growth rate for a scalp hair is about _______ per day for 1.5 to 7 years, and then the hair becomes dormant.

A. 1.3 mm
B. 1.3 cm
C. 1/30 mm
D. 1/3 mm
E. 3.1 mm

Bloom's Level: 1. Remember


HAPS Objective: E04.02 Describe the growth cycles of hair follicles and the growth of hairs.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.04 List the functions of hair.
Section: 06.02
Topic: Anatomy of accessory skin structures

6-22
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

46. The type of gland that secretes sweat into a hair follicle that is found in the axillary, anal,
and genital regions is the ________ sweat gland.
A. apocrine
B. merocrine
C. ceruminous
D. sebaceous

Bloom's Level: 1. Remember


HAPS Objective: E04.01b With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Describe the location of each structure in the body.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.05 Differentiate between the two types of sweat glands.
Section: 06.02
Topic: Anatomy of accessory skin structures

True / False Questions

47. Apocrine sweat glands secrete sweat by having the apical portion of epithelial cells pinch
off.
FALSE

Bloom's Level: 2. Understand


HAPS Objective: E04.01d With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Describe the function of each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.05 Differentiate between the two types of sweat glands.
Section: 06.02
Topic: Anatomy of accessory skin structures

Multiple Choice Questions

6-23
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

48.

Sebum is a secretion that

A. cools the skin and eliminates certain drugs.


B. lubricates skin and helps defend against bacteria.
C. maintains water balance through waterproofing the skin.
D. acts as a pheremone once reproductive maturity is reached.

Bloom's Level: 2. Understand


HAPS Objective: E04.01d With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Describe the function of each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.06 Describe the function of sebaceous glands.
Section: 06.02
Topic: Functions of accessory skin structures

49.

Cerumen is a secretion that

A. lubricates vellus hairs and waterproofs the skin of the limbs.


B. lubricates the ear canal and traps debris before it reaches the eardrum.
C. cools the body through water evaporation.
D. tends to cause acne on the skin of the face.
E. acts as a pheremone.

Bloom's Level: 1. Remember


HAPS Objective: E04.01d With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Describe the function of each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.07 Name two other modified integumentary glands.
Section: 06.02
Topic: Functions of accessory skin structures

6-24
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

50. What is the greatest risk factor for skin cancer?


A. Exposure to UV light rays
B. Advanced age
C. Being a female
D. Low skin hydration levels
E. Using excessive sun block

Bloom's Level: 1. Remember


HAPS Objective: E06.01 Predict factors or situations affecting the integumentary system that could disrupt homeostasis.
HAPS Topic: Module E06 Predictions related to homeostatic imbalance, including disease states & disorders.
Learning Objective: 06.04.04 List factors that contribute to skin aging.
Section: 06.04
Topic: Clinical applications of the integumentary system

True / False Questions

51. Transpiration is another name for sweating.


FALSE

Bloom's Level: 1. Remember


HAPS Objective: E03.01a With respect to the epidermis: Describe the functions of the epidermis.
HAPS Topic: Module E03 Roles of specific tissue layers of skin & the subcutaneous layer.
Learning Objective: 06.01.08 Name ways in which the integument protects the body and prevents water loss.
Section: 06.01
Topic: General functions of skin and the subcutaneous layer

Multiple Choice Questions

6-25
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

52.

One of the main dangers of burns is

A. dehydration, as water can escape from the body.


B. hyperthermia, as temperture regulation is very compromised.
C. hypocalcemia, as blood ion levels are dramatically altered.
D. respiratory infection, as body defenses are concentrated superficially.

Bloom's Level: 2. Understand


HAPS Objective: E06.02 Predict the types of problems that would occur in the body if the integumentary system could not maintain
homeostasis.
HAPS Topic: Module E06 Predictions related to homeostatic imbalance, including disease states & disorders.
Learning Objective: 06.01.08 Name ways in which the integument protects the body and prevents water loss.
Section: 06.01
Topic: Clinical applications of the integumentary system

True / False Questions

53. Skin is an entirely waterproof barrier, preventing all gain or loss of fluid from the skin
except sweat.
FALSE

Bloom's Level: 2. Understand


HAPS Objective: E03.01a With respect to the epidermis: Describe the functions of the epidermis.
HAPS Topic: Module E03 Roles of specific tissue layers of skin & the subcutaneous layer.
Learning Objective: 06.01.08 Name ways in which the integument protects the body and prevents water loss.
Section: 06.01
Topic: General functions of skin and the subcutaneous layer

Short Answer Questions

6-26
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

54. From what else, besides physical trauma, does the skin provide protection?

UV radiation and "...harmful chemicals, toxins, microbes, and excessive heat or cold."

Bloom's Level: 1. Remember


HAPS Objective: E01.01 Describe the general functions of the skin.
HAPS Topic: Module E01 General functions of the skin & the subcutaneous layer.
Learning Objective: 06.01.08 Name ways in which the integument protects the body and prevents water loss.
Section: 06.01
Topic: General functions of skin and the subcutaneous layer

Multiple Choice Questions

55. Production of this vitamin requires skin exposure to the sun. This vitamin is crucial
for regulation of calcium and phosphate.
A. Vitamin A
B. Vitamin B12
C. Vitamin C
D. Vitamin D
E. Vitamin E

Bloom's Level: 1. Remember


HAPS Objective: E03.01a With respect to the epidermis: Describe the functions of the epidermis.
HAPS Topic: Module E03 Roles of specific tissue layers of skin & the subcutaneous layer.
Learning Objective: 06.01.09 Describe the integument's involvement in calcium and phosphorus utilization.
Section: 06.01
Topic: General functions of skin and the subcutaneous layer

56. When exposed to ultraviolet light, keratinocytes convert a steroid precursor into
________, a molecule that is crucial for regulation of calcium levels.
A. calcitriol
B. cholecalciferol
C. calcitonin
D. creatine
E. phosphorus

Bloom's Level: 1. Remember


HAPS Objective: E03.01a With respect to the epidermis: Describe the functions of the epidermis.
HAPS Topic: Module E03 Roles of specific tissue layers of skin & the subcutaneous layer.
Learning Objective: 06.01.09 Describe the integument's involvement in calcium and phosphorus utilization.
Section: 06.01
Topic: Functions of skin tissue layers

6-27
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

True / False Questions

57. One of the components of sweat is the nitrogenous waste urea.


TRUE

Bloom's Level: 1. Remember


HAPS Objective: E04.01d With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Describe the function of each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.01.10 Describe the integument's role in secretion and absorption.
Section: 06.01
Topic: General functions of skin and the subcutaneous layer

Multiple Choice Questions

58. Drugs that are administered by skin patches tend to be _______ soluble molecules that are
absorbed ________.
A.

lipid; slowly

B.
lipid; quickly

C.
water; slowly

D.
water; quickly

Bloom's Level: 2. Understand


HAPS Objective: E05.02 Explain how the integumentary system relates to other body systems to maintain homeostasis.
HAPS Topic: Module E05 Application of homeostatic mechanisms.
Learning Objective: 06.01.10 Describe the integument's role in secretion and absorption.
Section: 06.01
Topic: Clinical applications of the integumentary system

6-28
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

59.

Cancer cells in the epidermis are attacked by

A. Merkel cells.
B. epidermal dendritic cells.
C. melanocytes.
D. keratinocytes.

Bloom's Level: 1. Remember


HAPS Objective: E03.01b With respect to the epidermis: Explain how each of the five layers, as well as each of the following cell types and
substances, contributes to the functions of the epidermis: stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel
cells and discs, keratin, and extracellular lipids.
HAPS Topic: Module E03 Roles of specific tissue layers of skin & the subcutaneous layer.
Learning Objective: 06.01.11 Identify the immune cells that reside in the integument, and describe their actions.
Section: 06.01
Topic: General functions of skin and the subcutaneous layer

60.

Immune cells of the epidermis tend to be found in the stratum:

A. granulosum.
B. lucidum.
C. spinosum.
D. basale.
E. corneum.

Bloom's Level: 1. Remember


HAPS Objective: E03.01b With respect to the epidermis: Explain how each of the five layers, as well as each of the following cell types and
substances, contributes to the functions of the epidermis: stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel
cells and discs, keratin, and extracellular lipids.
HAPS Topic: Module E03 Roles of specific tissue layers of skin & the subcutaneous layer.
Learning Objective: 06.01.11 Identify the immune cells that reside in the integument, and describe their actions.
Section: 06.01
Topic: Microscopic anatomy of skin

6-29
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

61. In order to retain heat, what occurs in the skin on a cold day?
A. Blood vessels of the dermis constrict.
B. Blood vessels of the dermis dilate.
C. Blood vessels of the epidermis constrict.
D. Blood vessels of the epidermis dilate.

Bloom's Level: 2. Understand


HAPS Objective: E03.02a With respect to the dermis: Describe the overall functions of the dermis.
HAPS Topic: Module E03 Roles of specific tissue layers of skin & the subcutaneous layer.
Learning Objective: 06.01.12 Explain how skin helps cool the body or retain warmth.
Section: 06.01
Topic: Functions of skin tissue layers

True / False Questions

62. Sensory receptors in the dermis detect touch, temperature, and light.
FALSE

Bloom's Level: 2. Understand


HAPS Objective: E03.02a With respect to the dermis: Describe the overall functions of the dermis.
HAPS Topic: Module E03 Roles of specific tissue layers of skin & the subcutaneous layer.
Learning Objective: 06.01.13 List the sensations detected by the skin's sensory receptors.
Section: 06.01
Topic: Functions of skin tissue layers

Short Answer Questions

63. What types of stimuli are detected by the skin's sensory receptors?

The book mentions pressure, vibration, and temperature. Chemoreception and nociception would also be acceptable.

Bloom's Level: 1. Remember


HAPS Objective: E04.01d With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Describe the function of each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.01.13 List the sensations detected by the skin's sensory receptors.
Section: 06.01
Topic: General functions of skin and the subcutaneous layer

6-30
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

Multiple Choice Questions

64. Fingernails and toenails start to form in the ______ week of development.
A. 2nd
B. 3rd
C. 5th
D. 10th
E. 16th

Bloom's Level: 1. Remember


Learning Objective: 06.04.02 Explain the developmental origins of nails, hair, and glands.
Section: 06.04
Topic: Effects of aging on the integumentary system

65.

Severe injuries and burns to the skin result in scars that are

A. produced by stratum basale keratinocytes, which effectively bind damaged skin parts
together.
B. produced by chondrocytes and made mainly of desmosomes.
C. produced by fibroblasts and made mainly of collagen.
D. made by macrophages, which produce a dense granulation tissue.
E. fully functional regenerations.

Bloom's Level: 2. Understand


HAPS Objective: E06.02 Predict the types of problems that would occur in the body if the integumentary system could not maintain
homeostasis.
HAPS Topic: Module E06 Predictions related to homeostatic imbalance, including disease states & disorders.
Learning Objective: 06.03.01 Distinguish between regeneration and fibrosis.
Section: 06.03
Topic: Clinical applications of the integumentary system
Topic: Repair and regeneration of the integumentary system

6-31
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

66.

The two types of leukocytes that clean up debris underneath the blood clot of a wound are

A. keratinocytes and macrophages.


B. Merkel cells and dendritic cells.
C. dendritic cells and keratinocytes.
D. macrophages and neutrophils.
E. fibroblasts and neutrophils.

Bloom's Level: 2. Understand


HAPS Objective: E05.02 Explain how the integumentary system relates to other body systems to maintain homeostasis.
HAPS Topic: Module E05 Application of homeostatic mechanisms.
Learning Objective: 06.03.02 Describe the process of wound healing.
Section: 06.03
Topic: General functions of skin and the subcutaneous layer

67.

Granulation tissue is

A. vascular connective tissue.


B. avascular connective tissue.
C. vascular epithelial tissue.
D. avascular epithelial tissue.

Bloom's Level: 1. Remember


HAPS Objective: E05.01 Provide specific examples to demonstrate how the integumentary system responds to maintain homeostasis in the
body.
HAPS Topic: Module E05 Application of homeostatic mechanisms.
Learning Objective: 06.03.02 Describe the process of wound healing.
Section: 06.03
Topic: Repair and regeneration of the integumentary system

6-32
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

68.

The epidermis derives from

A. mesoderm.
B. ectoderm.
C. mesenchyme.
D. granulation tissue.

Bloom's Level: 1. Remember


Learning Objective: 06.04.01 Describe how integument develops from two germ layers.
Section: 06.04
Topic: Effects of aging on the integumentary system

69.

Early in the development of skin, ectoderm becomes

A. periderm and mesoderm becomes mesenchyme.


B. mesenchyme and endoderm becomes periderm.
C. the vernix caseosa and mesoderm becomes the stratum basale.
D. perichondrium and mesoderm becomes the vernix caseosa.

Bloom's Level: 1. Remember


Learning Objective: 06.04.01 Describe how integument develops from two germ layers.
Section: 06.04
Topic: Effects of aging on the integumentary system

True / False Questions

70. Fingernails reach the tips of the fingers before toenails are fully formed.
TRUE

Bloom's Level: 1. Remember


Learning Objective: 06.04.02 Explain the developmental origins of nails, hair, and glands.
Section: 06.04
Topic: Anatomy of accessory skin structures

Multiple Choice Questions

6-33
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

71.

Sweat and sebaceous glands develop from the

A. stratum corneum.
B. stratum basale of the epidermis.
C. hypodermis.
D. reticular layer.
E. papillary layer of the dermis.

Bloom's Level: 1. Remember


Learning Objective: 06.04.02 Explain the developmental origins of nails, hair, and glands.
Section: 06.04
Topic: Anatomy of accessory skin structures

72. Compared to a young adult, an older individual has ________ skin.


A. thicker
B. thinner

Bloom's Level: 1. Remember


HAPS Objective: E06.01 Predict factors or situations affecting the integumentary system that could disrupt homeostasis.
HAPS Topic: Module E06 Predictions related to homeostatic imbalance, including disease states & disorders.
Learning Objective: 06.04.03 Explain changes to the skin with age.
Section: 06.04
Topic: Effects of aging on the integumentary system

73. Compared to the young, elderly individuals have _______ epidermal dendritic skin cells.
A.

fewer

B. more

Bloom's Level: 1. Remember


HAPS Objective: E06.01 Predict factors or situations affecting the integumentary system that could disrupt homeostasis.
HAPS Topic: Module E06 Predictions related to homeostatic imbalance, including disease states & disorders.
Learning Objective: 06.04.03 Explain changes to the skin with age.
Section: 06.04
Topic: Effects of aging on the integumentary system

6-34
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

74. Skin cancer is the _______ type of cancer, and due to sun exposure it occurs most
frequently on the __________.
A.

most common; head and neck

B.
third most common; head and neck

C.
most common; hands and ears

D.
third most common; hands and ears

Bloom's Level: 1. Remember


HAPS Objective: E06.01 Predict factors or situations affecting the integumentary system that could disrupt homeostasis.
HAPS Topic: Module E06 Predictions related to homeostatic imbalance, including disease states & disorders.
Learning Objective: 06.04.04 List factors that contribute to skin aging.
Section: 06.04
Topic: Clinical applications of the integumentary system

Essay Questions

75. Describe the changes in the skin that occur with aging. Although skin cancers can occur
at any age, why might skin cancers have a higher incidence in the elderly?

Refer to section 6.5 in the text book. Among other effects of aging, skin becomes thinner and
regeneration slows. Increased cancer risk might in part relate to greater duration of sun
exposure and also decreased numbers of epidermal dendritic cells.

Bloom's Level: 3. Apply


HAPS Objective: E06.01 Predict factors or situations affecting the integumentary system that could disrupt homeostasis.
HAPS Topic: Module E06 Predictions related to homeostatic imbalance, including disease states & disorders.
Learning Objective: 06.04.04 List factors that contribute to skin aging.
Section: 06.04
Topic: Clinical applications of the integumentary system
Topic: Effects of aging on the integumentary system

6-35
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

Multiple Choice Questions

Figure: 06.01

76. Which number indicates the reticular layer of the dermis?


A. 1
B. 2
C. 3
D. 4
E. 5

Bloom's Level: 1. Remember


Figure: 06.01
HAPS Objective: E02.02 Identify and describe the dermis and its layers, including the tissue types making up each dermal layer.
HAPS Topic: Module E02 Gross & microscopic anatomy of skin.
Learning Objective: 06.01.04 Characterize the two layers of the dermis.
Section: 06.01
Topic: Microscopic anatomy of skin

77. Which number indicates a dermal papilla?


A. 1
B. 2
C. 3
D. 4
E. 5

Bloom's Level: 1. Remember


Figure: 06.01
HAPS Objective: E02.02 Identify and describe the dermis and its layers, including the tissue types making up each dermal layer.
HAPS Topic: Module E02 Gross & microscopic anatomy of skin.
Learning Objective: 06.01.04 Characterize the two layers of the dermis.
Section: 06.01
Topic: Microscopic anatomy of skin

6-36
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

78. What does number 5 indicate?


A. Eccrine gland
B. Hair follicle
C. Hair matrix
D. Hair shaft
E. Epidermal ridge

Bloom's Level: 1. Remember


Figure: 06.01
HAPS Objective: E04.01a With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Identify each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.01.04 Characterize the two layers of the dermis.
Section: 06.01
Topic: Microscopic anatomy of skin

Figure: 06.09

6-37
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

79. Which number indicates the lunula?


A. 1
B. 2
C. 3
D. 4
E. 5

Bloom's Level: 1. Remember


Figure: 06.09
HAPS Objective: E04.01a With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Identify each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.02 List the main components of the nail.
Section: 06.02
Topic: Anatomy of accessory skin structures

80. Which number indicates the eponychium?


A. 1
B. 2
C. 3
D. 4
E. 5

Bloom's Level: 1. Remember


Figure: 06.09
HAPS Objective: E04.01a With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Identify each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.02 List the main components of the nail.
Section: 06.02
Topic: Anatomy of accessory skin structures

6-38
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

81. Which structure is indicated by number 1?


A. Eponychium
B. Hyponychium
C. Free edge
D. Cuticle
E. Nail fold

Bloom's Level: 1. Remember


Figure: 06.09
HAPS Objective: E04.01c With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Describe the anatomy of each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.02 List the main components of the nail.
Section: 06.02
Topic: Anatomy of accessory skin structures

Figure: 06.10

6-39
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

82.

Which number indicates the hair papilla?

A. 1
B. 2
C. 3
D. 4
E. 5

Bloom's Level: 1. Remember


Figure: 06.10
HAPS Objective: E04.01a With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Identify each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.03 Describe the structure of a hair and a follicle.
Section: 06.02
Topic: Anatomy of accessory skin structures

83. Which number indicates the arrector pili muscle?


A. 1
B. 2
C. 3
D. 4
E. 5

Bloom's Level: 1. Remember


Figure: 06.10
HAPS Objective: E04.01a With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Identify each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.03 Describe the structure of a hair and a follicle.
Section: 06.02
Topic: Anatomy of accessory skin structures

True / False Questions

6-40
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

84. The skin consists of different tissue types that perform specific activities and therefore is
to be considered an organ.
TRUE

Bloom's Level: 3. Apply


HAPS Objective: E01.01 Describe the general functions of the skin.
HAPS Topic: Module E01 General functions of the skin & the subcutaneous layer.
Learning Objective: 06.01.01 Describe the five layers (strata) of the epidermis.
Section: 06.01
Topic: Gross anatomy of skin

85. When the body is cold and needs to conserve heat, the blood vessels in the dermis dilate
to allow for more blood flow in that region.
FALSE

Bloom's Level: 3. Apply


HAPS Objective: E03.02a With respect to the dermis: Describe the overall functions of the dermis.
HAPS Topic: Module E03 Roles of specific tissue layers of skin & the subcutaneous layer.
Learning Objective: 06.01.06 Describe how dermal blood vessels function in temperature regulation.
Section: 06.01
Topic: Functions of skin tissue layers

86. The epidermal dendritic cells are able to play an important immune response role by their
phagocytic activity.
TRUE

Bloom's Level: 1. Remember


HAPS Objective: E03.01b With respect to the epidermis: Explain how each of the five layers, as well as each of the following cell types and
substances, contributes to the functions of the epidermis: stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel
cells and discs, keratin, and extracellular lipids.
HAPS Topic: Module E03 Roles of specific tissue layers of skin & the subcutaneous layer.
Learning Objective: 06.01.01 Describe the five layers (strata) of the epidermis.
Section: 06.01
Topic: Functions of skin tissue layers

6-41
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

87. Melanocyte cytoplasmic processes transfer pigment granules into stratum basale
keratinocytes; these pigment granules shield the nuclear DNA from UV radiation.
TRUE

Bloom's Level: 1. Remember


HAPS Objective: E03.01b With respect to the epidermis: Explain how each of the five layers, as well as each of the following cell types and
substances, contributes to the functions of the epidermis: stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel
cells and discs, keratin, and extracellular lipids.
HAPS Topic: Module E03 Roles of specific tissue layers of skin & the subcutaneous layer.
Learning Objective: 06.01.03 Explain what causes differences in skin color.
Section: 06.01
Topic: Functions of skin tissue layers

88. The epidermis exhibits variations among different body regions within a single
individual, as well as differences between individuals.
TRUE

Bloom's Level: 1. Remember


HAPS Objective: E02.01c With respect to the epidermis: Correlate the structure of thick and thin skin with the locations in the body where
each are found.
HAPS Topic: Module E02 Gross & microscopic anatomy of skin.
Learning Objective: 06.01.02 Differentiate between thick skin and thin skin.
Section: 06.01
Topic: Gross anatomy of skin

89. The thin epidermis, lacking the stratum lucidum, contains only four strata and covers
most of the body.
TRUE

Bloom's Level: 1. Remember


HAPS Objective: E02.01b With respect to the epidermis: Identify and describe the layers of the epidermis, indicating which are found in thin
skin and which are found in thick skin.
HAPS Topic: Module E02 Gross & microscopic anatomy of skin.
Learning Objective: 06.01.02 Differentiate between thick skin and thin skin.
Section: 06.01
Topic: Microscopic anatomy of skin

6-42
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

90. The reason for the reddish tint seen in lightly pigmented skin is the molecule formed by
the combination of oxygen and melanin.
FALSE

Bloom's Level: 1. Remember


HAPS Objective: E02.04a With respect to skin color: Describe the three pigments most responsible for producing the various skin colors.
HAPS Topic: Module E02 Gross & microscopic anatomy of skin.
Learning Objective: 06.01.03 Explain what causes differences in skin color.
Section: 06.01
Topic: Gross anatomy of skin

91. Carotene, a pigment that contributes to skin color, is acquired in the body by eating
various yellow-orange vegetables.
TRUE

Bloom's Level: 1. Remember


HAPS Objective: E02.04a With respect to skin color: Describe the three pigments most responsible for producing the various skin colors.
HAPS Topic: Module E02 Gross & microscopic anatomy of skin.
Learning Objective: 06.01.03 Explain what causes differences in skin color.
Section: 06.01
Topic: Gross anatomy of skin

92. Deep cuts that occur perpendicular to cleavage lines tend to gape.
TRUE

Bloom's Level: 1. Remember


HAPS Objective: E06.02 Predict the types of problems that would occur in the body if the integumentary system could not maintain
homeostasis.
HAPS Topic: Module E06 Predictions related to homeostatic imbalance, including disease states & disorders.
Learning Objective: 06.01.05 Explain the significance of cleavage lines.
Section: 06.01
Topic: Clinical applications of the integumentary system
Topic: Microscopic anatomy of skin

93. The subcutaneous layer, or hypodermis, is one of the two parts of the integument.
FALSE

Bloom's Level: 1. Remember


HAPS Objective: E01.02 Describe the general functions of the subcutaneous layer (also known as the hypodermis or superficial fascia).
HAPS Topic: Module E01 General functions of the skin & the subcutaneous layer.
Learning Objective: 06.01.07 List the functions of the subcutaneous layer.
Section: 06.01
Topic: Microscopic anatomy of skin

6-43
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

94. Nails, hair, and sweat and sebaceous glands are all derived from the epidermis.
TRUE

Bloom's Level: 1. Remember


HAPS Objective: E02.01a With respect to the epidermis: Identify and describe the tissue type making up the epidermis.
HAPS Topic: Module E02 Gross & microscopic anatomy of skin.
Learning Objective: 06.04.02 Explain the developmental origins of nails, hair, and glands.
Section: 06.04
Topic: Anatomy of accessory skin structures

95. Most of the nail body appears pink because of the blood in the underlying capillaries.
TRUE

Bloom's Level: 1. Remember


HAPS Objective: E04.01c With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Describe the anatomy of each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.02 List the main components of the nail.
Section: 06.02
Topic: Functions of accessory skin structures

96. Sebum has bactericidal properties.


TRUE

Bloom's Level: 1. Remember


HAPS Objective: E04.01d With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Describe the function of each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.06 Describe the function of sebaceous glands.
Section: 06.02
Topic: Functions of accessory skin structures

6-44
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Chapter 06 - Integumentary System

97. The ability of the components of the integumentary system to respond to stress or trauma
is independent of nervous or endocrine system control.
FALSE

Bloom's Level: 1. Remember


HAPS Objective: E04.01d With respect to the following - sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and
arrector pili muscle), and sensory receptors (Merkel cell, Meissner's and Pacinian corpuscles, hair follicle receptor, and temperature
receptors): Describe the function of each structure.
HAPS Topic: Module E04 Anatomy & functional roles of accessory structures.
Learning Objective: 06.02.05 Differentiate between the two types of sweat glands.
Section: 06.02
Topic: General functions of skin and the subcutaneous layer

98. During aging of the integumentary system, sweat production increases as a result of
improved sweat gland activity.
FALSE

Bloom's Level: 1. Remember


HAPS Objective: E06.01 Predict factors or situations affecting the integumentary system that could disrupt homeostasis.
HAPS Topic: Module E06 Predictions related to homeostatic imbalance, including disease states & disorders.
Learning Objective: 06.04.03 Explain changes to the skin with age.
Section: 06.04
Topic: Effects of aging on the integumentary system

99. During the fetal period, sebum from the sebaceous glands mixes with the cells of the
sloughed off periderm to form the vernix caseosa.
TRUE

Bloom's Level: 1. Remember


Learning Objective: 06.04.01 Describe how integument develops from two germ layers.
Section: 06.04
Topic: Effects of aging on the integumentary system

100. Although sweat and sebaceous glands develop from the stratum basale of the epidermis,
they eventually burrow and remain in the underlying dermis.
TRUE

Bloom's Level: 1. Remember


Learning Objective: 06.04.02 Explain the developmental origins of nails, hair, and glands.
Section: 06.04
Topic: Anatomy of accessory skin structures

6-45
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of
McGraw-Hill Education.
Another random document with
no related content on Scribd:
SORROW-SINGING

ONE BRIGHT SUMMER’S NIGHT A NUMBER OF


FAERIES FLEW INTO THE ROOM

THERE was once a poor woman who lived in a little village many,
many years ago, when the world was much younger than it is now,
and when the destinies of mortals were often controlled by the
faeries. This woman, whose name was Eldina, had lost her husband,
who had fallen in a great battle while fighting the enemies of his king,
and a month after she heard of his death, Eldina became the mother
of a beautiful little son, which event was a great comfort to her.
The truth was that, seeing she was so miserable and lonely since the
death of her husband, the kind faeries had given her this little baby
to cheer her heart, and when it was born they took it under their own
special protection. It was necessary to inform Eldina of this, so one
bright summer’s night a number of faeries flew into the room where
the child was lying and stood in a circle round the cradle.
Eldina was engaged in some household work, but having faery blood
in her veins, she had a very delicate sense of hearing, and
immediately knew by the rustle of the faeries’ wings that they had
arrived. She made herself neat and clean to do honour to her
illustrious visitors, and went into the room to hear what they had to
say about the child.
The cradle was quite covered with the most lovely flowers, which the
enchantments of the faeries had caused to bloom on the brick floor
of the cottage, and in the centre of the exquisite blossoms slept the
smiling baby, on whose face shone a bright moonbeam.
“Eldina,” said the Faery Titania, who is Queen
of the Faeries, “we have come to bestow our
gifts upon your child, whom we have taken
under our special protection—is there any gift
you would like him to possess?”
“Yes, your Majesty,” cried Eldina eagerly; “the
gift of happiness.”
All the faeries looked grave at this request, and a sigh sounded
through the room, while Titania gazed sadly on the child.
“We cannot give happiness,” she said sorrowfully. “Every mortal can
only find happiness in his own actions, but we will do the best we
can—I will give the child the gift of song, which is the greatest of all
gifts.”
So saying, she touched the child’s lips with her wand, and retired,
while the Faery Laurina stepped forward with a wreath of laurel
leaves.
“I give this child the gift of fame,” she said, placing the laurel wreath
on the baby’s head; “his songs will make him famous throughout the
world.”
“From me he receives the gift of beauty,” cried another faery, whose
name was Venusina.
“From me the gift of wisdom,” said the Faery Minervetta.
“From me the gift of a kind heart,” observed a smiling fay, who had
kind blue eyes.
Then all the other faeries bestowed their gifts in turn—wealth,
honour, grandeur, cleverness, strength. Everything that human
beings most desire was given to this lucky baby, on whom the name
of Lanis was now bestowed by the universal voice of all the faeries
present.
“All these are beautiful gifts,” said Eldina, weeping, although she half
smiled through her tears, “but they do not bring happiness.”
“They bring happiness if wisely used,” cried Titania.
“Then give him the power to use them wisely,” pleaded the poor
mother.
“We cannot—we cannot,” sighed the faeries; “the power rests with
himself.”
“Will he never find happiness?” cried Eldina in despair.
“Yes, when he arrives at the Kingdom of Shadows, and enters it
through the golden gate.”
“But how will he find the golden gate?”
“By being a good man. If he misuses his gifts and becomes wicked,
he will go through the iron gate into the Kingdom of Fire.”
Then the beams of the moon grew brighter, until the whole chamber
glowed with silver light, and the faeries commenced to dance
gracefully round the cradle, singing this song, while the baby Lanis
slept peacefully, with the crown of green laurel leaves on his head:
“Great blessings on thy head will fall,
In this thy natal hour;
But ah! the greatest gift of all,
We have not in our power.

We give thee wealth, we give thee fame,


We give thee hate of wrong,
The splendour of an honoured name,
The mighty power of song.

These gifts are idle as the wind,


Tho’ by them thou art blest,
Unless thro’ seeking thou canst find
The gift we deem the best.”

Then all the faeries melted away in the thin moonshine, the blooming
flowers vanished through the floor, the laurel wreath disappeared
from the baby’s head, and Eldina almost thought that she had been
dreaming.
She had not been dreaming, however, as she soon found out, for, as
the years rolled by, and Lanis grew up into a tall, handsome boy, he
became the wonder of the countryside, owing to his beautiful voice
and his marvellous songs. Eldina had found a golden lyre left by the
faeries when Lanis grew old enough to play it, and with this in his
hand he was accustomed to wander about the country singing his
lovely melodies. All the country folk used to make Lanis sing to them
at their merrymakings, but when he lifted up his voice, the dancers
would cease to dance, the talkers to chatter, and they would sit with
awestruck faces listening to the wonderful stories he told them.
It was a curious thing that, in spite of what the faeries had said about
not giving him the gift of happiness, the lad’s songs were of the most
joyous description, and made the hearts of all rejoice. Eldina was
delighted at this, as she thought Lanis would now be happy, in spite
of the prophecy of the faeries, when at one merrymaking she heard
an old man say,—
“Ah, he sings fine, no doubt; but he’ll sing better when his heart is
broken.”
“What do you mean?” she asked in great dread.
“Joy-singing is beautiful,” replied the old man, “but sorrow-singing is
better; your lad knows nothing of the bitterness of life, and sings like
a delighted child. Wait till he breaks his heart, and he will be a
famous singer indeed.”
“But will he be happy?” she asked quickly, as the old man turned to
go.
“No: genius is the gift of heaven, but it always brings sorrow to its
possessor; the laurel wreath is a sign of honour, but the leaves are
bitter.”
Eldina looked steadily into the eyes of the old man, and saw that he
was a faery who had come to warn her of approaching sorrow. She
strove to detain him and learn more, but the faery had vanished, and
her hands only grasped the rags of a scarecrow which stood in the
fields.
That night she died, and Lanis, who was deeply attached to her,
wept bitterly as they buried her under the cool green turf. Before she
died, Eldina called him to her bedside, and told him all about the
faeries, bidding him wander through the world and seek the one gift
which they could not bestow. Lanis wept, and although he could not
understand what she meant, still a vague idea of her real meaning
came to him as he sat by her grave under the silent stars and sang a
farewell. There was a note in his voice which had not been there
before, and the simple people in the village awoke at midnight to
hear his sad voice float through the still air of the summer’s night.
“It is sorrow-singing,” they said to one another. “Lanis will never be
happy again.”
And they were right, for Lanis now started to wander through the
world and find out how cruel and hard it can be to those who have
sensitive souls and childlike faith. He was full of belief in human
goodness and kindness of heart, for he had received nothing else
but kindness in his country home; but now his mother was dead, the
spell was broken, and he set forth to find the gift of happiness.
Many months he wandered, singing his songs, sometimes sad,
sometimes joyful, but in all there sounded the weary note of longing
for what he was seeking.
“Where can I find happiness?” he asked an old beggar who lay by
the wayside.
“In the Kingdom of Shadows,” replied the old man, without raising his
eyes.
So Lanis pursued his weary way over mountains, plains, and seas,
always asking his one question, and always receiving the same
answer.
Once he came to a great city, and sang in the streets so beautifully
of the green country and silver moonlight, that all the tired citizens
crowded around to hear. A man who was among the crowd came up
to him as he ceased his song and touched him on the sleeve.
“Come with me,” he said eagerly, “and I will make you rich.”
“I don’t want to be rich,” replied Lanis.
“That is a foolish thing to say,” said the man, who had a crafty face;
“gold is the finest thing in the world.”
So oily was his speech that he persuaded Lanis to come with him,
and took him to a great hall to sing, where he stood at the door
himself, making the people pay broad gold pieces to hear this
wonderful poet who sang about such noble things. Lanis felt a
longing for wealth in his heart, and sang about the power of gold to
make or mar life, of the good it could do, of the evil that arose
through its misuse; and all the people in the hall, mostly fat, wealthy
merchants, chuckled with delight.
“Ah! this is a sensible fellow,” they said to each other; “he sings
about sensible things.”
“I think his song about the beautiful green woods was finer,” sighed a
poor boy who listened outside, but then no one took any notice of
such a silly observation.
When Lanis had done singing, he came out of the hall, and found the
man who had tempted him with wealth sitting before a table heaped
high with gold.
“Is all that mine?” asked Lanis in a breathless tone.
“All that yours!” echoed the man in an indignant voice; “no, indeed—
it’s my money—here is your share,” and he pushed two pieces of
gold towards Lanis out of the great heap.
“But I earned it,” said Lanis indignantly; “I earned it with my voice.”
“And did I do nothing?” cried the man angrily. “Do you think I can
give my time and services to you for nothing? I should think not. If I
hadn’t put you into this hall to sing, and charged for people to hear
you, why, you would have been singing for nothing in the streets,
instead of getting two gold pieces.”
“But you have a hundred gold pieces.”
“Of course—that’s my share.”
“I did half the work, and I ought to have half the money.”
“Not at all,” replied the man, putting the gold in his pocket; “if you
wanted half you should have said so before you sang.”
“But I trusted you,” cried Lanis.
“More fool you,” retorted the man carelessly; “but I saw you were a
fool when you sang.”
“You are doing a wicked thing.”
“It’s only business,” shrieked the man; “you ought to be pleased at
my giving a beggarly poet like you anything, instead of trying to steal
the money I’ve worked for so hard.”
Then the man ran about the city telling all the people that he had
done a great kindness to Lanis, and been shamefully treated for
doing so. All the citizens, who quite agreed with the man’s way of
doing business, fell upon Lanis, and, driving him out of the city, shut
their gates against him.
In this way, therefore, did Lanis gain his first experience of the
world’s unkindness when there is any question between right and
might. Picking up his lyre, he walked on, leaving the city wherein he
had been so cruelly deceived far behind him, and as he went he
sang sadly:
“In the school of life
Is the lesson taught,
That with harshest strife
Is our knowledge bought.

We are bought and sold


In our joy and grief;
I have lost my gold,
I have lost belief.

Ah, by cruel Fate


We are onward led;
I have learned to hate,
And my faith is dead.”

Lanis certainly should not have sung so bitterly when such a


beautiful world bloomed around him; after all, being deceived by one
man does not mean that every one else is as cruel; but then Lanis
was very sensitive, and the unjust way in which he had been treated
made him very sad, so that all his songs now spoke but of the
sorrows of life and the sadness of despair.
As he wandered on for many months in this dismal mood, he met
with many adventures, but, alas! nothing which could give him back
his former childlike belief in human kindness, and he was very
anxious to get to the Kingdom of Shadows and find once more his
lost happiness.
Once he came to a great city which was the capital of a very rich
kingdom, and here found the citizens in a state of great dismay, for
their King, whom every one loved, had gone out of his mind. No one
could cure him of his madness, so it had been proclaimed that
whomsoever should do so would become the husband of the lovely
Princess Iris, who was the King’s daughter. Lanis saw the Princess,
and she was so beautiful that he at once fell deeply in love with her,
and, forgetting all his former experience of ingratitude, he thought
that if he cured her father, she would grow to love him, and he would
thus discover his happiness without looking any more for the
Kingdom of Shadows.
With this idea he went to the royal palace of
the King, and there told the Lord High
Chamberlain that he would cure the mad
monarch by the power of song. The Lord High
Chamberlain did not believe much in what
Lanis said, still he was anxious that every
means should be tried to cure the King, so let
Lanis go into the dark room where he was
sitting.
The King was a noble-looking old man, who
looked very sad and sorrowful, but Lanis saw
at once that he was not really mad, but sad
and despondent, owing to the treachery and unkindness he had
found upon every hand. His dearest friends had betrayed him, his
subjects were rebellious, and the poor King so despaired of ever
making his people wise and noble that he had thus fallen into this
deeply sorrowful state which the Lord High Chamberlain mistook for
madness.
Lanis ordered the curtains of the great window to be drawn aside,
and, when the bright sunlight streamed in through the painted glass,
he sat down in the centre of all the gorgeous colours, and, taking his
lyre, began to sing of noble deeds in order to rouse the despairing
King from his lethargy:
“The world is fair
With beauty rare,
Then why despair,
Oh monarch great?
He is not wise
Who never tries
Sublime to rise
O’er adverse Fate.

The summer flowers


Re-bloom in bowers,
Tho’ winter’s hours
May kill with frost.
Beneath the sun
As quick years run;
All thou hast done
Is never lost.”

The King lifted up his head as he heard these comforting words, and
looked at the noble face of the minstrel, for the silvery song bade him
not despair, although no good appeared to come of all his work; and
Lanis, seeing a ray of hope beam in the King’s eyes, went on singing
joyfully:
“Put on thy crown,
And boldly frown
Thy sadness down,
Tho’ keen the smart.

Thy burden take


Of office great,
And rule the State
With dauntless heart.

A coward he
Who thus would flee
Despairingly,
In time of need.
Tho’ evils lurk
In darkness murk,
Resume thy work—
Thou wilt succeed.”

Then the King, whose face now was shining with hope and strong
resolve, put on his royal crown, took his golden sceptre in his hand,
and went forth to take his seat upon the throne to do justice to his
subjects.
“Thou art a wise youth,” said he to Lanis, “and thy words are noble. It
is foolish to desert one’s post when there is work to be done, and I
will not forget thy rebuke. Now, thou wilt stay with me and marry my
daughter.”
Lanis was only too glad to do so, for he now
loved the Princess with all his might, but,
seeing her leave the great feast which the
King had given in honour of his recovery, he
followed her secretly, and found her weeping.
“Why do you weep, beautiful Princess?” he
asked.
“Because I have to marry you,” said Iris sadly,
“and I love another.”
Lanis felt a pang at his heart as she said this,
and on turning round saw a handsome young man holding the
beautiful Princess in his arms.
“Do you love one another?” asked Lanis, with tears in his eyes.
“Yes; it would be death for us to part,” they both replied.
Then Lanis saw that once more he had failed to find happiness, but
still it was in his power to bestow it upon others, so he took the
Princess and her lover to the old King, and obtained his consent to
their marriage. The lovers thanked him heartily, and after Lanis saw
them married, he once more started away to wander through the
world. The King offered him gold and jewels to stay, but Lanis
refused.
“Gold and jewels are good things,” he said sadly; “but happiness is
better, therefore I go to find it.”
“And where will you find it?” asked the King.
“In the Kingdom of Shadows,” answered Lanis, and he departed,
singing his sorrow-song:
“Ah me, what treasure
To taste the pleasure
Of love’s caress.
Oh, idle lover,
Wilt thou discover
Heart’s happiness.

Nay! folly this is;


I gain no kisses
From sweet Princess.
Of him she’s fonder,
So forth I wander
In sad distress.”

It would take a long time to tell how many adventures Lanis met with
in his wanderings through the world. The years rolled by, and he
travelled onward, never pausing, always hoping to find happiness,
but, alas! no one could tell him where to look for the Kingdom of
Shadows, and he seemed farther off his object than when he set
forth. He freed many princesses from the durance of cruel
magicians, but though they all thanked him for his kindness, they
loved some one else, and he found no one in the world who cared at
all about him. He was honoured far and wide for his gift of song, and
did much good in all lands, but no one loved him for himself, and
although he was the cause of happiness to others, he never felt
happiness in his own heart.
At last, after many years of weary travel, when he had grown a
white-haired old man, with bent form and sad heart, he found himself
on the shore of a great sea, beyond which he knew lay the most
wonderful countries. A boat was rocking on the waves near the
shore, so Lanis determined to sail over this mysterious ocean, and
thought that perhaps far away in the darkness he might find the
Kingdom of Shadows, for which he had sought so long and ardently.
He knew that if he once sailed over this ocean, he would never be
able to return to earth again, so he sang a last farewell to the
beautiful world wherein he had done so much good, and then
stepped into the boat.
It was a fairy boat, and moved rapidly onward over the waves
without sails or oars. The mists gathered thickly round him and hid
the green shore from his view, so sitting in the boat he saw nothing
but the grey sky above, the grey mists around, and beneath him the
cruel black waters. He was not afraid, however, for he knew he had
done no harm, and, seizing his harp, sang his last sorrow-song:
“Grey mist around me,
Grey sky above me;
Sorrow hath crowned me—
No one will love me.

Brave spirit, quail not;


All will be bright yet.
At thy fate rail not;
God will make right yet.

Still do thy duty,


Tho’ all deceive thee,
Splendour and beauty
Now will receive thee.”

As he sang the last words, the strings of his lyre snapped with a loud
crash, and, leaping out of his nerveless hands, it fell into the grey
waves of the sea. Lanis did not grieve, for he now knew he was done
with his sorrow-singing for evermore, and as the boat sailed onward
he saw a red glow to the left.
“That is the gate of iron,” he whispered to himself, “it leads to the
Kingdom of Fire. Ah! I would never find any happiness there.”
The waves were foaming angrily round the little boat, and the red
glare from the open portals of the iron gate looked like an angry
sunset, but still Lanis felt no fear. After a time the red glare died
away, and now on every side of him was a soft golden light, while the
waves beneath the boat were of a delicate blue, and the sky above
of the same soft tint. Lanis looked around, and saw a soft green
shore, to which his boat drifted gently, and he sprang out on to the
yellow sand of the beach. As he did so, his travel-worn clothes fell off
him, and he found himself arrayed in a long white robe.
A tall man, also in a white robe, approached, and, smiling gently on
Lanis, gave him a golden harp.
“Is this my old harp?” asked Lanis, taking it.
“No; it is better than the old harp.”
“Is it for sorrow-singing?”
“Nay; it is for songs of joy.”
“And is this Faeryland?”
“Nay; it is a nobler place than Faeryland.”
“Is it The Kingdom of Shadows?”
“So we called it on earth, but now we know it as the Kingdom of
Eternal Light.”
Lanis looked at the tall man as he said this, and saw it was the old
king he had helped—now no longer old and frail, but in the prime of
life.
“You are the King!” he cried gladly.
“Yes, I was the King. You pointed out my duty to me, and I did it;
otherwise I never would have reached here.”
“And the Princess?”
“Is quite happy,” replied the King. “She rules my realm with her
husband, and both are wise.”
“Have you found happiness?” asked Lanis.
“Yes!—and so will you, when you strike your harp,” answered the
King.
Lanis struck the golden strings of his harp, and immediately all his
weariness and sorrow passed away, and he felt glad and joyful. At
the sound of the music, he changed from an old man into a noble-
looking youth—the same Lanis who had sung to the King.
“Ah, I have indeed found happiness,” he cried; “but still, I feel I want
something more.”
“I know what you want,” said the King. “Look!”
And Lanis, looking up, saw his mother, with a calm expression of joy
upon her face, coming towards him, with outstretched arms. All the
white-robed spirits around struck their golden harps and sang the
most beautiful songs that were ever heard, while mother and son
embraced, and far off the palace of the great King shone like a bright
star.
Lanis also struck his harp, and, with the earthly monarch and his
mother, went singing onward through the lovely fields, to kneel
before the King, who had thus drawn him onward, through sorrow
and sadness, to find his happiness at length in the land which we
mortals call the Kingdom of Shadows but which wise men know as
the Kingdom of Eternal Light.
THE GOLDEN GOBLIN
I.

RING MAGIC.

KELCH was a handsome young man who lived in a little village


which was near a great black forest, and he thought himself the most
miserable being in the world. It was very curious that he should do
so, for he was young, good-looking, and healthy, but he did not value
any of these gifts, because he was in love with Filina, the prettiest
girl in the whole country, and her father wanted her to marry a very
rich man called Hocky, for whom she did not in the least care.
Now Filina was also in love with Kelch, and hated the idea of
marrying ugly old Hocky, but, as he was rich and Kelch poor, her
father would not let her wed as she wished. Kelch had a little cottage
near the wood, which had been left to him by his mother, and earned
his livelihood by cutting firewood, which, to be sure, was not a very
aristocratic occupation. Still, in those days people did not care much
for rank, and pretty Filina loved Kelch tenderly in spite of his humble
calling. She nearly wept her eyes out when her father said she was
to become the bride of Hocky. He was an avaricious old dwarf who
only cared for gold, and wanted to marry Filina, not for her beauty,
but because he knew she would some day be left money when her
father died. When Kelch heard of the proposed marriage, he went to
Filina’s father and told of his love, but the cruel parent laughed at his
request.
“You marry my daughter!” he said mockingly. “What an idea!—you
can give her no money.”
“But I can give her love,” said Kelch sturdily, “and that is much better
than money.”
“I don’t think so,” retorted Filina’s father. “Any one can make love, but
few can make money, so go back to your wood-cutting, and don’t
come to me with such silly requests.”
“Is there no chance for me?” cried Kelch in despair.
“Yes—one,” answered the old man mockingly. “Become as rich as
Hocky, and you shall marry my daughter.”
Poor Kelch went away with tears in his eyes, because old Hocky was
known to be very wealthy, and how could an unknown youth hope to
become rich when he had no one to help him? It was no good feeling
sad, however, for sorrow would not help him to win Filina, so Kelch
determined to go to the castle of the Wicked Baron who lived in the
centre of the forest, and ask him to make him a present of some
gold.
The Wicked Baron was a famous miser, and his castle was said to
be full of gold, so, in spite of his bad character, Kelch thought he
would not refuse to give him a little out of his plenty. So early one
morning, after saying good-bye to Filina, he went into the forest to
search for the Wicked Baron’s castle, and ask its owner to give him
some gold.
Kelch wandered deeper and deeper into the forest, which became
wilder and more savage as he advanced, but still he did not come
across the looked-for castle. Night was coming on, and the wood
was full of sombre shadows, while behind the trees flushed the fierce
red light of the setting sun. It was a faery forest, and all the ground
was covered with soft grass, and strange flowers which only
bloomed at night-time; while overhead the nightingales sang most
deliciously in the trees, and at intervals the wise owls hooted in the
most unexpected manner.
As it was now quite dark, Kelch thought he would sleep under a
great oak tree until the morning, and then once more set out upon
his travels; so he ate some food he had brought with him, drank from
a stream which sparkled by, and after saying his prayers,—for he
was a good lad,—rested his head upon his knapsack and went fast
asleep.
In the middle of the night, however, he woke suddenly under the
influence of enchantment, for the whole of the forest was flooded
with the silver moonlight, and on every side the faeries were holding
their revels. Having drank of the waters of the brook, Kelch had
come under the charm of faery power, and, to his surprise, was able
to understand the talk of two elves who sat chattering to one another
on the broad white cup of a lily.
“Who is this youth lying asleep?” asked the first elf, never thinking for
a moment Kelch was awake, and only kept his eyes closed in order
to hear what they had to say.
“He is called Kelch,” said the other elf, “and loves Filina, who is to
marry old Hocky. He is now searching for the castle of the Wicked
Baron, to ask for gold.”
“He’ll never find it,” observed the first faery, “unless he asks the Owl
who lives in the oak tree under which he sleeps.”
“Then I will ask the Owl,” cried Kelch, sitting up, whereupon both
faeries flew away in great alarm, much to his regret, as he wanted to
make inquiries about the Owl.
He looked up at the tree, but could see nothing save the branches
interlaced against the clear sky, and now and then a gleam of
moonlight on the rough bark of the trunk. As Kelch had often heard
that song was the only way to invoke faeries, he thought he would try
the same means with the owl. So, springing to his feet, he began to
sing, making up the words as he went along:
“Fairy Owl,
Clever fowl,
Please tell me
Where to see
The castle old,
Where Baron bold
Hoards up his gold.”

The words were not very good, but they told exactly what he wanted
to know, and the Owl put her head out of a hole in the tree with a
wild hoot, her eyes glowing red like burning coals.
“Go away, boy,” croaked the Owl angrily, “and do not disturb me in
my grief. The Baron is dead, and I am in mourning for him.”
“The Baron dead!” cried Kelch in dismay. “Oh dear! then I won’t be
able to get any gold. I don’t know, though—he can’t have taken his
gold with him, so it must be there still. Owl!—Owl!—where’s the
castle?”
The Owl hooted crossly, and then replied:
“Follow the brook
To open ground,
Then upward look,
And all around.
Jump water cold,
Then you will see
The castle old
Frown o’er the lea.”

The Owl drew back her head into the hole, and Kelch, taking her
advice, followed the windings of the brook through the forest. There

You might also like