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Chapter 06 - Integumentary System

Chapter 06 Integumentary System

Multiple Choice Questions 1. An organ consists of A. skin and bones. B. two or more tissues grouped together that function together. C. at least four tissues grouped together that function together. D. one variety of each of the four tissue types. E. multiple tissue layers.

Difficulty Level: Remember/Understand Learning Outcome: 06.01 Topic: Integumentary System

2. The human integumentary system includes A. skin, nails, hair follicles, and glands. B. the epidermis, dermis, and subcutaneous layer only. C. just the skin. D. skin, hooves, and horns. E. bones and muscles.

Difficulty Level: Evaluate/Create Learning Outcome: 06.01 Topic: Integumentary System

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Chapter 06 - Integumentary System

3. In the inherited disease ichythyosis, the skin is rough, brown, and very scaly because the uppermost layer cannot peel off as easily as it normally does. The part of the skin that is affected is the A. epidermis. B. basement membrane. C. dermis. D. subcutaneous layer. E. endodermis.

Difficulty Level: Apply/Analyze Learning Outcome: 06.02 Topic: Integumentary System

4. As cells are pushed from the deeper portion of the epidermis toward the surface, A. they divide continually. B. their supply of nutrients improves. C. they die. D. they become dermal cells. E. they can become cancerous.

Difficulty Level: Evaluate/Create Learning Outcome: 06.02 Topic: Integumentary System

5. The dermis is composed largely of A. fibrous connective tissue. B. dense regular connective tissue. C. stratified squamous epithelium. D. adipose tissue. E. dense irregular connective tissue.

Difficulty Level: Remember/Understand Learning Outcome: 06.02 Topic: Integumentary System

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Chapter 06 - Integumentary System

6. Nerve fibers scattered throughout the dermis are associated with A. hair, oil glands, and sweat glands. B. bone, tendons, and muscles. C. the subcutaneous layer. D. muscles, glands, and sensory receptors. E. none of the above.

Difficulty Level: Remember/Understand Learning Outcome: 06.02 Topic: Integumentary System

7. Which of the following is not correct concerning the skin? A. The dermis is usually thicker than the epidermis. B. The epidermis is composed of stratified squamous epithelium. C. The subcutaneous layer is between the dermis and the epidermis. D. The dermis contains smooth muscle and nerve tissue. E. The skin contains some immune system cells.

Difficulty Level: Evaluate/Create Learning Outcome: 06.02 Topic: Integumentary System

8. In a condition called incontinentia pigmenti, the skin has deep dark splotches, due to melanin that seeps down into the dermis. Normally, melanin is confined to the A. epidermis. B. basement membrane. C. dermis. D. subcutaneous layer. E. hair.

Difficulty Level: Apply/Analyze Learning Outcome: 06.02 Topic: Integumentary System

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Chapter 06 - Integumentary System

9. The skin appears yellowish if a person eats too much A. collagen. B. carotene. C. cyanin. D. melanin. E. chicken soup.

Difficulty Level: Evaluate/Create Learning Outcome: 06.02 Topic: Integumentary System

10. Exposure to ultraviolet light darkens skin by stimulating synthesis of A. melatonin. B. carotene. C. hemoglobin. D. cyanin. E. melanin.

Difficulty Level: Evaluate/Create Learning Outcome: 06.02 Topic: Integumentary System

11. The layer of the epidermis that includes melanocytes and a single row of columnar cells that undergo mitosis is the A. stratum corneum. B. stratum granulosum. C. stratum spinosum. D. stratum basale. E. stratum melaneum.

Difficulty Level: Remember/Understand Learning Outcome: 06.02 Topic: Integumentary System

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Chapter 06 - Integumentary System

12. What determines the color of skin? A. The number of melanocytes in the epidermis. B. The thickness of the epidermis layer. C. The amount of melanin that melanocytes produce. D. The density of hair. E. None of the above.

Difficulty Level: Remember/Understand Learning Outcome: 06.02 Topic: Integumentary System

13. The subcutaneous layer of skin consists of A. epithelial tissue. B. areolar and adipose tissue. C. epithelium and areolar tissue. D. adipose tissue and skeletal muscle tissue. E. blood and nerves.

Difficulty Level: Remember/Understand Learning Outcome: 06.02 Topic: Integumentary System

14. Blood vessels in the ___________ supply epidermal cells with nutrients. A. epidermis B. dermis C. subcutaneous layer D. hair root E. all of the above

Difficulty Level: Remember/Understand Learning Outcome: 06.02 Topic: Integumentary System

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Chapter 06 - Integumentary System

15. Skin cells play an important role in producing A. vitamin A. B. vitamin B. C. vitamin C. D. vitamin D. E. vitamin E.

Difficulty Level: Remember/Understand Learning Outcome: 06.02 Topic: Integumentary System

16. The melanocytes in very dark skin A. are more abundant than they are in light skin. B. contain single, large, pigment granules. C. contain clusters of 2 to 4 pigment granules. D. contain many small pigment granules. E. lack pigment but shrivel up and turn black.

Difficulty Level: Remember/Understand Learning Outcome: 06.02 Topic: Integumentary System

17. The functions of skin include A. synthesizing antibodies. B. producing adipose tissue. C. regulating body temperature. D. synthesizing digestive enzymes. E. transmitting electrochemical messages.

Difficulty Level: Evaluate/Create Learning Outcome: 06.02 Topic: Integumentary System

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Chapter 06 - Integumentary System

18. Epidermis is ________________, whereas dermis is ________________. A. the innermost layer of the skin; under the epidermis B. composed of largely dense connective tissue; composed of stratified squamous epithelial tissue C. the outermost layer of the skin; composed of stratified squamous epithelial tissue D. composed of stratified squamous epithelial tissue; composed of connective tissue, smooth muscle, and nerve cell processes E. none of the above.

Difficulty Level: Evaluate/Create Learning Outcome: 06.02 Topic: Integumentary System

19. The subcutaneous layer is A. made of squamous epithelium. B. part of the basement membrane. C. also called the subdermis. D. not part of the skin. E. made entirely of collagen.

Difficulty Level: Evaluate/Create Learning Outcome: 06.02 Topic: Integumentary System

20. Pigment recipient cells A. are a type of melanocyte. B. are a type of keratinocyte. C. are filled with carotene. D. are in the subcutaneous layer. E. have multiple nuclei.

Difficulty Level: Evaluate/Create Learning Outcome: 06.02 Topic: Integumentary System

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Chapter 06 - Integumentary System

21. The nerve fibers in the dermis stimulate A. blood vessels in the epidermis. B. muscles and glands in the dermis. C. melanocytes in the epidermis. D. fat cells in the subcutaneous layer. E. none of the above.

Difficulty Level: Evaluate/Create Learning Outcome: 06.02 Topic: Integumentary System

22. Two thieves steal jewelry, and then drop it as they are escaping. The police recover the jewelry, and an officer explains on the evening news that the back of a watch had beautiful fingerprints. The thieves, whose prints are not on file, believe that they can escape prosecution by using acid to remove the epidermis on their fingerpads, erasing their fingerprints. They are wrong because A. the prints arise from the subcutaneous layer, which is not destroyed. B. the prints arise from the dermis, which is not destroyed. C. the epidermis will regrow the fingerprints in a day. D. the fingerprints will not grow back in the same pattern. E. the prints arise from the epidermis, which is not destroyed.

Difficulty Level: Apply/Analyze Learning Outcome: 06.02 Topic: Integumentary System

23. The major blood vessels that supply the skin are in the A. epidermis. B. basement membrane. C. dermis. D. subcutaneous layer. E. bone.

Difficulty Level: Remember/Understand Learning Outcome: 06.02 Topic: Integumentary System

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Chapter 06 - Integumentary System

24. You step out of the shower and vigorously rub your skin with a towel. If you were able to analyze the towel, you would find skin cells. They are most likely A. subcutaneous layer cells. B. from the dermis. C. keratinized epidermal cells. D. fibroblasts. E. hair root cells.

Difficulty Level: Apply/Analyze Learning Outcome: 06.02 Topic: Integumentary System

25. In areas of the skin where the epidermis is thin, the ________ may be absent. A. stratum lucidum B. stratum granulosum C. stratum corneum D. stratum basale E. stratum cranium

Difficulty Level: Remember/Understand Learning Outcome: 06.02 Topic: Integumentary System

26. Which is the most likely explanation for the defect in dystrophic epidermolysis bullosa, in which the skin blisters with any touch? A. the skin has too many melanocytes that produce too much melanin. B. melanocytes cannot produce melanin. C. collagen fibrils that attach the epidermis to the dermis break down. D. the skin layers are reversed. E. the person has sustained a severe burn.

Difficulty Level: Apply/Analyze Learning Outcome: 06.02 Topic: Integumentary System

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Chapter 06 - Integumentary System

27. The epidermis A. retains water in deeper skin layers. B. keeps out harmful chemicals and pathogens. C. protects the skin against mechanical injury. D. loses some cells every day. E. all of the above.

Difficulty Level: Remember/Understand Learning Outcome: 06.02 Topic: Integumentary System

28. The epidermis is about ___ mm thick and the dermis is about ___ mm thick. A. 1 to 2; .07 to .12 B. .07 to 12; 1 to 2 C. 3 to 4; 5 to 6 D. .01 to .1; .1 to 1.0 E. .001 to .01; .01 to .1

Difficulty Level: Remember/Understand Learning Outcome: 06.02 Topic: Integumentary System

29. Corns are A. areas of white skin pigmentation. B. scaly scalp areas. C. keratinized conical masses on toes. D. growths emanating from the nostrils. E. tumors under the skin that resemble kernels of corn.

Difficulty Level: Remember/Understand Learning Outcome: 06.02 Topic: Integumentary System

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Chapter 06 - Integumentary System

30. Reddened skin reflects A. dilated blood vessels sending more blood to the dermis. B. eating too many carrots. C. inheriting extra melanin. D. constricted blood vessels sending more blood to the epidermis. E. none of the above

Difficulty Level: Remember/Understand Learning Outcome: 06.02 Topic: Integumentary System

31. Accessory structures of the skin originate from the A. epidermis. B. basement membrane. C. dermis. D. subcutaneous layer. E. nervous system.

Difficulty Level: Remember/Understand Learning Outcome: 06.03 Topic: Integumentary System

32. The nail plate is produced by A. lunula cells. B. stem cells. C. melanocytes. D. specialized dermal cells. E. specialized epithelial cells.

Difficulty Level: Remember/Understand Learning Outcome: 06.03 Topic: Integumentary System

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Chapter 06 - Integumentary System

33. A nail consists of a A. nail fork and nail spoon. B. nail rail and nail groove. C. nail bed and nail plate. D. nail follicle and nail papilla. E. none of the above.

Difficulty Level: Remember/Understand Learning Outcome: 06.03 Topic: Integumentary System

34. The hardness of a nail comes from A. carotene. B. collagen. C. calcium. D. keratin. E. bone.

Difficulty Level: Remember/Understand Learning Outcome: 06.03 Topic: Integumentary System

35. Shafts of hair are composed of A. living dermal cells. B. dead epidermal cells. C. living epidermal cells. D. dead dermal cells. E. living fibroblasts.

Difficulty Level: Remember/Understand Learning Outcome: 06.03 Topic: Integumentary System

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Chapter 06 - Integumentary System

36. A hair is distinguished from a hair follicle by A. never dividing. B. always dividing. C. being alive. D. being dead. E. actively secreting.

Difficulty Level: Evaluate/Create Learning Outcome: 06.03 Topic: Integumentary System

37. Eumelanin and pheomelanin are A. reddish-yellow and brownish-black pigments, respectively. B. brownish-black and reddish-yellow pigments, respectively. C. types of keratin. D. present in excess in a person with albinism. E. synthetic dyes.

Difficulty Level: Evaluate/Create Learning Outcome: 06.03 Topic: Integumentary System

38. After a severe burn, new skin may grow outwards from the hair follicles. New growth begins here because A. the hair follicles are very resistant to fire and heat. B. a person has many hair follicles. C. a hair follicle contains stem cells in the bulge region. D. the skin's stem cells migrate to the hair follicles. E. hair is essential for functioning of the immune system and survival.

Difficulty Level: Apply/Analyze Learning Outcome: 06.03 Topic: Integumentary System

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Chapter 06 - Integumentary System

39. Gray hair is A. caused by a pigment, pseudomelanin. B. a mixture of red and brown hairs. C. a mixture of pigmented and unpigmented hairs. D. a form of albinism. E. full of abnormal keratin.

Difficulty Level: Remember/Understand Learning Outcome: 06.03 Topic: Integumentary System

40. The arrector pili muscle is attached to A. the nail bed. B. a sebaceous gland. C. the hypodermis. D. a hair follicle. E. skin on the nose.

Difficulty Level: Remember/Understand Learning Outcome: 06.03 Topic: Integumentary System

41. Sebaceous glands secrete A. fat globules that mix with cellular debris, forming sebum. B. glycogen granules that accumulate around hair follicles. C. sweat in the armpits. D. mucus. E. none of the above.

Difficulty Level: Apply/Analyze Learning Outcome: 06.03 Topic: Integumentary System

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Chapter 06 - Integumentary System

42. Eccrine sweat glands A. are most common in the armpits and groin. B. respond primarily to elevated body temperature. C. respond primarily to emotional stress. D. usually are associated with hair follicles. E. are found only in horses.

Difficulty Level: Remember/Understand Learning Outcome: 06.03 Topic: Integumentary System

43. Apocrine sweat glands are most abundant on or in the A. forehead. B. axilla. C. neck. D. palms of the hands. E. buttocks.

Difficulty Level: Remember/Understand Learning Outcome: 06.03 Topic: Integumentary System

44. Eccrine sweat glands differ from sebaceous glands A. in type of secretion. B. in their location. C. in whether or not they are associated with hair follicles. D. in the stimulus that triggers their secretion. E. all of the above.

Difficulty Level: Remember/Understand Learning Outcome: 06.03 Topic: Integumentary System

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Chapter 06 - Integumentary System

45. Milk and ear wax A. are not secretions. B. are secreted from modified sweat glands. C. are secreted from modified sebaceous glands. D. are in the blood. E. are synthetic substances.

Difficulty Level: Remember/Understand Learning Outcome: 06.03 Topic: Integumentary System

46. Body heat is lost primarily by A. conduction. B. convection. C. evaporation. D. radiation. E. flatulation.

Difficulty Level: Remember/Understand Learning Outcome: 06.04 Topic: Integumentary System

47. Which of the following is a normal response to excessive loss of body heat in a cold environment? A. Dermal blood vessels constrict. B. Sweat glands become active. C. Smooth muscles relax. D. Dermal blood vessels dilate. E. Hairs are retracted into their follicles.

Difficulty Level: Apply/Analyze Learning Outcome: 06.04 Topic: Integumentary System

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Chapter 06 - Integumentary System

48. Sweat cools the body by A. convection. B. conduction. C. evaporation. D. radiation. E. hydration.

Difficulty Level: Remember/Understand Learning Outcome: 06.04 Topic: Integumentary System

49. A warm surface loses heat to the air molecules continuously circulating over it by A. radiation. B. evaporation. C. conduction. D. convection. E. hydration.

Difficulty Level: Remember/Understand Learning Outcome: 06.04 Topic: Integumentary System

50. A person exercising vigorously on a hot, humid day may develop A. fatigue and dizziness. B. heat exhaustion. C. headache, muscle cramps, and nausea. D. dizziness. E. all of the above

Difficulty Level: Remember/Understand Learning Outcome: 06.04 Topic: Integumentary System

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Chapter 06 - Integumentary System

51. Hypothermia is A. associated with exercising vigorously in the heat. B. accompanied by fever. C. a lowered body temperature. D. a form of skin cancer. E. a form of hair loss.

Difficulty Level: Remember/Understand Learning Outcome: 06.04 Topic: Integumentary System

52. Individuals at elevated risk for hypothermia include A. homeless people exposed to the outdoors. B. the very old. C. very thin people. D. the very young. E. all of the above

Difficulty Level: Remember/Understand Learning Outcome: 06.04 Topic: Integumentary System

53. The skin dissipates excess body heat by A. dilating dermal blood vessels. B. activating eccrine sweat glands. C. radiation D. conduction E. all of the above

Difficulty Level: Remember/Understand Learning Outcome: 06.04 Topic: Integumentary System

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Chapter 06 - Integumentary System

54. Inflammation makes skin A. red, swollen and painful to touch. B. cool and clammy. C. secrete abundant antibodies. D. peel off. E. all of the above.

Difficulty Level: Remember/Understand Learning Outcome: 06.05 Topic: Integumentary System

55. Inflammation is A. a type of infection. B. a result of exposure to very low temperatures. C. a normal response to stress or injury. D. an abnormal response to injury or stress. E. none of the above.

Difficulty Level: Evaluate/Create Learning Outcome: 06.05 Topic: Integumentary System

56. Which of the following happens first after a scab forms? A. phagocytic cells remove dead material. B. the scab sloughs off C. fibroblasts from the wound edge form new collagenous fibers. D. blood vessels send out new branches under the scab. E. nearby wandering cells secrete keratin.

Difficulty Level: Remember/Understand Learning Outcome: 06.05 Topic: Integumentary System

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Chapter 06 - Integumentary System

57. The granulations that appear during the healing of a large, open wound are composed mainly of A. blood clots. B. phagocytic cells. C. fibroblasts surrounding blood vessels. D. scar tissue. E. dead keratinocytes.

Difficulty Level: Remember/Understand Learning Outcome: 06.05 Topic: Integumentary System

58. A burn affecting only the epidermis is a A. superficial partial-thickness burn. B. deep partial-thickness burn. C. second degree burn. D. third degree burn. E. fourth degree burn.

Difficulty Level: Remember/Understand Learning Outcome: 06.05 Topic: Integumentary System

59. An autograft covers an injured area of skin with A. skin from a person other than the patient. B. a skin substitute, such as an artificial membrane. C. skin from a skin bank. D. skin from an uninjured region of the patient's body. E. handwriting.

Difficulty Level: Remember/Understand Learning Outcome: 06.05 Topic: Integumentary System

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Chapter 06 - Integumentary System

60. A woman undergoes coronary bypass surgery, in which a blood vessel from her leg is moved to her heart, where it supplements the blood supply following a heart attack. This procedure is a(n) A. xenograft. B. autograft. C. allograft. D. dermograft. E. fibrograft.

Difficulty Level: Apply/Analyze Learning Outcome: 06.05 Topic: Integumentary System

61. A man donates part of his liver to his daughter, who suffers from cystic fibrosis. This procedure is a(n) A. xenograft B. autograft C. allograft D. dermograft E. fibrograft.

Difficulty Level: Apply/Analyze Learning Outcome: 06.05 Topic: Integumentary System

62. A man who has a heart valve from a pig has a(n) A. xenograft. B. autograft. C. allograft. D. dermograft. E. fibrograft.

Difficulty Level: Apply/Analyze Learning Outcome: 06.05 Topic: Integumentary System

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Chapter 06 - Integumentary System

63. In treating a burn patient, the "rule of nines" is used to estimate the A. depth of the burn. B. surface area of the burn. C. time needed for healing. D. type of scar that will form. E. degree and source of the burn.

Difficulty Level: Remember/Understand Learning Outcome: 06.05 Topic: Integumentary System

64. As a person ages, the skin typically becomes A. thicker. B. more opaque. C. more elastic. D. a different color. E. none of the above

Difficulty Level: Evaluate/Create Learning Outcome: 06.06 Topic: Integumentary System

65. Elderly persons may become less able to maintain stable body temperatures because A. they sweat excessively. B. their sebaceous glands become overactive. C. the number of sweat glands diminishes. D. the skin becomes too oily. E. they lose weight.

Difficulty Level: Remember/Understand Learning Outcome: 06.06 Topic: Integumentary System

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Chapter 06 - Integumentary System

66. Skin wrinkles with age because A. collagen degrades in the subcutaneous layer as the epidermis shrinks. B. fat is lost from the subcutaneous layer and the dermis shrinks. C. the number of sweat glands diminishes. D. epidermal cells undergo a burst of cell division. E. people use less make up.

Difficulty Level: Remember/Understand Learning Outcome: 06.06 Topic: Integumentary System

67. Examining skin under a light microscope is difficult because the preparation A. explodes the outermost cells. B. compresses the innermost cells. C. removes important proteins from the cells. D. is impossible with a large body part. E. all of the above.

Boxed Reading: Vignette Difficulty Level: Remember/Understand Topic: Integumentary System

68. The advantage of cryo-electron tomography is that it A. enables cells to divide continually. B. is cheaper than other methods. C. can be used with a virtual reality helmet. D. preserves intercellular junctions. E. preserves mitochondria.

Boxed Reading: Vignette Difficulty Level: Evaluate/Create Topic: Integumentary System

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Chapter 06 - Integumentary System

69. The flexible proteins that link the cell membranes of squamous epithelial cells in skin are A. cadherins. B. collagens. C. carotenes. D. keratins. E. elastin.

Boxed Reading: Vignette Difficulty Level: Apply/Analyze Topic: Integumentary System

70. Cutaneous melanomas are associated with A. short exposure to high-intensity sunlight. B. prolonged exposure to low-intensity sunlight. C. occasional exposure to X-rays. D. exposure to background radiation. E. lack of sun exposure.

Boxed Reading: Clinical Application 6.1 Difficulty Level: Remember/Understand Topic: Integumentary System

71. Skin cancer is most likely to develop from A. pigmented epithelial cells. B. pigmented melanocytes. C. nonpigmented epithelial cells. D. nonpigmented melanocytes. E. surface keratinocytes.

Boxed Reading: Clinical Application 6.1 Difficulty Level: Remember/Understand Topic: Integumentary System

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Chapter 06 - Integumentary System

72. Cutaneous carcinomas are usually caused by exposure to A. X-rays. B. gamma radiation. C. ultraviolet light. D. mutagenic chemicals. E. microwaves.

Boxed Reading: Clinical Application 6.1 Difficulty Level: Remember/Understand Topic: Integumentary System

73. We enjoy sunbathing because it stimulates keratinocytes to release A. beta endorphin. B. collagens. C. carotenes. D. keratins. E. elastin.

Boxed Reading: Clinical Application 6.1 Difficulty Level: Remember/Understand Topic: Integumentary System

74. Which person is at highest risk of developing a cutaneous carcinoma? A. a light-complexioned man age 52 who goes to the beach on summer weekends and does not use sunblock because he likes to be tan. B. an eighty-year-old who spends most of her time indoors. C. a twenty-two-year-old college student who is outdoors often and uses sunblock. D. a black woman who spends most of her time in her office. E. a young woman who enjoys going to the beach but always covers up.

Boxed Reading: Clinical Application 6.1 Difficulty Level: Apply/Analyze Topic: Integumentary System

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Chapter 06 - Integumentary System

75. Exposure to ultraviolet radiation greatly increases the risk of developing A. heart disease. B. diabetes. C. skin cancer. D. glaucoma. E. acne.

Boxed Reading: Clinical Application 6.1 Difficulty Level: Remember/Understand Topic: Integumentary System

76. A future treatment for baldness may potentially be A. stem cells from the bulge region of the abdomen. B. high protein shakes. C. scalp transplants. D. stem cells from the bulge region at the base of hair follicles. E. a head transplant.

Boxed Reading: Clinical Application 6.2 Difficulty Level: Apply/Analyze Topic: Integumentary System

77. Acne is a disorder of the A. sweat glands. B. hair follicles. C. sebaceous glands. D. apocrine glands. E. dermis.

Boxed Reading: Clinical Application 6.3 Difficulty Level: Remember/Understand Topic: Integumentary System

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Chapter 06 - Integumentary System

78. Fever is A. a result of inflammation. B. due to exposure to heat. C. a special case of hyperthermia in which body temperature rises in response to an elevated set point, typically in response to infection. D. a special case of hypothermia in which body temperature falls to protect the core from infection. E. none of the above.

Boxed Reading: Clinical Application 6.4 Difficulty Level: Evaluate/Create Topic: Integumentary System

True / False Questions 79. The skin is one of the larger organs of the body. TRUE

Difficulty Level: Remember/Understand Learning Outcome: 06.01 Topic: Integumentary System

80. The tough layer of waterproof material that makes up the outermost part of the epidermis is the stratum lucidum. FALSE

Difficulty Level: Evaluate/Create Learning Outcome: 06.02 Topic: Integumentary System

81. In healthy skin, the production of epidermal cells is closely balanced with the loss of skin cells. TRUE

Difficulty Level: Remember/Understand Learning Outcome: 06.02 Topic: Integumentary System

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Chapter 06 - Integumentary System

82. Melanocytes can transfer granules of melanin into nearby epithelial cells. TRUE

Difficulty Level: Remember/Understand Learning Outcome: 06.02 Topic: Integumentary System

83. Blood with excess oxygen causes cyanosis. FALSE

Difficulty Level: Evaluate/Create Learning Outcome: 06.02 Topic: Integumentary System

84. The major blood vessels that supply the skin lie between the dermis and the epidermis. FALSE

Difficulty Level: Remember/Understand Learning Outcome: 06.02 Topic: Integumentary System

85. The outermost layer of the epidermis is the stratum basale and the innermost layer is the stratum corneum. FALSE

Difficulty Level: Remember/Understand Learning Outcome: 06.02 Topic: Integumentary System

86. Melanocytes synthesize melanin, which protects underlying cells from the effects of ultraviolet light. TRUE

Difficulty Level: Remember/Understand Learning Outcome: 06.02 Topic: Integumentary System

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Chapter 06 - Integumentary System

87. The dermis is very flat compared to the epidermis, which has ridges projecting inward and elevations called papillae. FALSE

Difficulty Level: Evaluate/Create Learning Outcome: 06.02 Topic: Integumentary System

88. Sunlight, ultraviolet light, and X rays all darken skin because they increase blood flow to the dermis. FALSE

Difficulty Level: Remember/Understand Learning Outcome: 06.02 Topic: Integumentary System

89. Three physiological factors that affect the color of skin are: volume of blood in dermal vessels, carotene in the subcutaneous layer, and various diseases. TRUE

Difficulty Level: Remember/Understand Learning Outcome: 06.02 Topic: Integumentary System

90. Epidermal cells that move up through the strata become very keratinized as they die due to a lack of blood supply. TRUE

Difficulty Level: Remember/Understand Learning Outcome: 06.02 Topic: Integumentary System

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Chapter 06 - Integumentary System

91. Melanin production is greater in the skin of people who live outdoors all the time than in people who do not. TRUE

Difficulty Level: Remember/Understand Learning Outcome: 06.02 Topic: Integumentary System

92. The amount of keratin protein produced during keratinization determines hair color. FALSE

Difficulty Level: Evaluate/Create Learning Outcome: 06.03 Topic: Integumentary System

93. Sebaceous glands secrete sebum, which kills bacteria on the skin. FALSE

Difficulty Level: Remember/Understand Learning Outcome: 06.03 Topic: Integumentary System

94. After a shower, a young woman typically loses what looks like many hundreds of hairs. She should be concerned, because the average number of hairs lost per day is 20 to 100. TRUE

Difficulty Level: Apply/Analyze Learning Outcome: 06.03 Topic: Integumentary System

95. The arrector pili muscle is composed of striated muscle tissue. FALSE

Difficulty Level: Remember/Understand Learning Outcome: 06.03 Topic: Integumentary System

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Chapter 06 - Integumentary System

96. The secretion of the sebaceous glands is called sebum. TRUE

Difficulty Level: Remember/Understand Learning Outcome: 06.03 Topic: Integumentary System

97. When body temperature drops below normal, dermal blood vessels dilate. FALSE

Difficulty Level: Remember/Understand Learning Outcome: 06.04 Topic: Integumentary System

98. If the temperature of the body drops below the normal range, the skin responds by constricting epidermal blood vessels, activating sweat glands, and inactivating muscles. FALSE

Difficulty Level: Evaluate/Create Learning Outcome: 06.04 Topic: Integumentary System

99. Dermal blood vessels constrict to a greater extent at 97.2 degrees Fahrenheit than at 98.4 degrees Fahrenheit. TRUE

Difficulty Level: Apply/Analyze Learning Outcome: 06.04 Topic: Integumentary System

100. A burn that affects the epidermis only is called a deep partial-thickness burn. FALSE

Difficulty Level: Remember/Understand Learning Outcome: 06.05 Topic: Integumentary System

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Chapter 06 - Integumentary System

101. Healing of a deep partial-thickness burn involves production of new cells from the stratum basale, or germinativum. FALSE

Difficulty Level: Remember/Understand Learning Outcome: 06.05 Topic: Integumentary System

102. A burn that destroys the epidermis, dermis, and accessory organs is a full-thickness burn. The skin becomes dry and leathery. TRUE

Difficulty Level: Remember/Understand Learning Outcome: 06.05 Topic: Integumentary System

103. Skin cancers originating from epithelial cells are melanomas and those arising from melanocytes are carcinomas. FALSE

Boxed Reading: Clinical Application 6.1 Difficulty Level: Remember/Understand Topic: Integumentary System

104. Carcinomas are rarer than melanomas and occur primarily in people who work indoors but occasionally experience blistering sunburns during weekend activity. FALSE

Boxed Reading: Clinical Application 6.1 Difficulty Level: Remember/Understand Topic: Integumentary System

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Chapter 06 - Integumentary System

105. Because melanomas develop from melanocytes, they are always dark. FALSE

Boxed Reading: Clinical Application 6.1 Difficulty Level: Remember/Understand Topic: Integumentary System

106. Melanomas appear most often in the skin of the trunk, especially in the back, or in the skin of the limbs. TRUE

Boxed Reading: Clinical Application 6.1 Difficulty Level: Remember/Understand Topic: Integumentary System

107. Typically, a melanoma spreads through the skin horizontally but can grow downward into the dermis and can even invade deeper tissues. TRUE

Boxed Reading: Clinical Application 6.1 Difficulty Level: Remember/Understand Topic: Integumentary System

Fill in the Blank Questions 108. The deepest cells of the epidermis make up the stratum _____. basale

Difficulty Level: Remember/Understand Learning Outcome: 06.02 Topic: Integumentary System

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Chapter 06 - Integumentary System

109. As epidermal cells are pushed toward the surface, strands of protein called __________ accumulate in their cytoplasm. keratin

Difficulty Level: Remember/Understand Learning Outcome: 06.02 Topic: Integumentary System

110. Melanin protects underlying cells against the effects of ______ light. ultraviolet

Difficulty Level: Remember/Understand Learning Outcome: 06.02 Topic: Integumentary System

111. The ______ glands of the skin function as scent glands. apocrine

Difficulty Level: Remember/Understand Learning Outcome: 06.03 Topic: Integumentary System

112. Dark hair contains an abundance of the pigment ____________. melanin

Difficulty Level: Remember/Understand Learning Outcome: 06.03 Topic: Integumentary System

113. Body temperature normally remains close to ______ degrees C. 37

Difficulty Level: Remember/Understand Learning Outcome: 06.04 Topic: Integumentary System

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