Name: Seeleys Anatomy And Physiology 11th Edition By VanPutte - Test Bank
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Sample Questions Posted Below

Chapter 05

Integumentary System

Multiple Choice Questions
1. Which of the following functions is associated with the skin?
A. fat production
B. protection against ultraviolet radiation of the sun
C. vitamin A production
D. regulation of body pH
E. vitamin C production

Bloom’s Level: 1. Remember
HAPS Objective: E01.01 Describe the general functions of the skin.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.01A. Describe the general functions of the integumentary system.
Section: 05.01
Topic: General functions of skin and the subcutaneous layer
Topic: Integumentary System
Type: Study Guide

2. The integumentary system has many functions, one of which is
A. prevention of albinism.
B. detection of heat and touch.
C. regulation of acid-base balance.
D. production of Vitamin E.
E. protection from cancer.

3. The layer of epithelium that covers the skin is called the
A. hypodermis.
B. epidermis.
C. dermis.
D. papillary layer.
E. mesodermis.

Bloom’s Level: 1. Remember
HAPS Objective: E02.01a Identify and describe the tissue type making up the epidermis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02A. Describe the structure and function of the epidermis.
Section: 05.02
Topic: Gross anatomy of skin
Topic: Integumentary System
Type: Study Guide

4. This condition is characterized by a thicker-than-normal stratus corneum producing large silvery scales.
A. eczema
B. psoriasis
C. vitiligo
D. decubitus ulcer
E. bullae

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E03.01b Explain how each of the five layers of the epidermis, as well as stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel cells and discs, keratin, and extracellular lipids, contributes to the functions of the epidermis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02A. Describe the structure and function of the epidermis.
Section: 05.06
Topic: Integumentary System
Type: Clinical
Type: Study Guide

5. Which type of skin cancer is the most common?
A. Kaposi’s sarcoma
B. melanoma
C. psoriasis
D. basal cell carcinoma
E. squamous cell carcinoma

Bloom’s Level: 1. Remember
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02A. Describe the structure and function of the epidermis.
Section: 05.02
Topic: Integumentary System
Type: Clinical
Type: Study Guide

6. Melanoma can be detected early and treated with the application of a special rule. Which of the following is NOT a test used to determine if a mole is cancerous?
A. freckles
B. diameter
C. border
D. asymmetry
E. color

Bloom’s Level: 1. Remember
HAPS Objective: E02.01a Identify and describe the tissue type making up the epidermis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02A. Describe the structure and function of the epidermis.
Section: 05.02
Topic: Integumentary System
Type: Clinical
Type: Study Guide

7. Which type of skin cancer is the most deadly?
A. Kaposi’s sarcoma
B. basal cell carcinoma
C. melanoma
D. squamous cell carcinoma
E. psoriasis

8. Which of the following statements concerning the epidermis is true?
A. The epidermis contains numerous blood vessels.
B. The epidermis is very permeable to water-soluble molecules.
C. The epidermis is nourished by blood vessels located in the dermis.
D. The most numerous cells in the epidermis are the melanocytes.
E. The dermis is superficial to the epidermis.

Bloom’s Level: 2. Understand
HAPS Objective: E02.01a Identify and describe the tissue type making up the epidermis.
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E02.02 Identify and describe the dermis and its layers, including the tissue types making up each dermal layer.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02A. Describe the structure and function of the epidermis.
Section: 05.02
Topic: Integumentary System
Type: Study Guide

9. The epidermis
A. is composed of loose connective tissue.
B. is made up mostly of melanocytes.
C. is composed of the reticular and papillary layers.
D. is thicker than the dermis.
E. contains no blood vessels.

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b 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 E Integumentary System
Learning Outcome: 05.02A. Describe the structure and function of the epidermis.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: Study Guide

10. Which cells of the epidermis are part of the immune system?
A. keratinocytes
B. Langerhans cells
C. melanocytes
D. fibroblasts
E. Merkel cells

Bloom’s Level: 1. Remember
HAPS Objective: E02.01a Identify and describe the tissue type making up the epidermis.
HAPS Objective: E03.01b Explain how each of the five layers of the epidermis, as well as stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel cells and discs, keratin, and extracellular lipids, contributes to the functions of the epidermis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02A. Describe the structure and function of the epidermis.
Section: 05.02
Topic: Functions of skin tissue layers
Topic: Integumentary System
Type: Study Guide

11. Fingerprints and footprints are produced by projections into the epidermis called
A. cleavage lines.
B. dermal striae.
C. dermal papillae.
D. reticular lines.
E. melanocytes.

12. Parallel curving ridges of dermis that shape the overlying epidermis into fingerprints
A. improve the grip of the hands.
B. are caused by the pattern of the reticular layer of the dermis.
C. are associated with thin skin.
D. decrease friction on surfaces where they are located.
E. tend to make the surface smooth.

13. Keratinocytes
A. produce skin pigments in cell organelles called melanosomes.
B. are responsible for the reduction of water loss from the skin.
C. determine thickness of the skin.
D. are special cells of the immune system.
E. are found in both the dermal and the epidermal layers of the skin.

Bloom’s Level: 1. Remember
HAPS Objective: E02.01d Describe the processes of growth and keratinization of the epidermis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02B. Describe the epidermal strata, and relate them to the process of keratinization.
Section: 05.02
Topic: Functions of skin tissue layers
Topic: Integumentary System
Type: Study Guide

14. Keratinization
A. occurs in the dermis.
B. produces a layer of cells that resist abrasion.
C. determines skin color.
D. results in the formation of new epidermal cells.
E. does not affect permeability characteristics of the epidermis.

15. As skin cells move toward the surface of the body, they produce a protein that reduces water loss. This process is called
A. desquamation.
B. pollination.
C. keratinization.
D. germination.
E. melaninization.

16. A malfunction of the process of keratinization results in the condition known as
A. acne.
B. psoriasis.
C. jaundice.
D. cyanosis.
E. impetigo.

17. The layer of epidermis that undergoes mitosis and forms new epidermal cells is the
A. stratum lucidum.
B. stratum granulosum.
C. stratum basale.
D. stratum corneum.
E. stratum dermum.

Bloom’s Level: 2. Understand
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E03.01b Explain how each of the five layers of the epidermis, as well as stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel cells and discs, keratin, and extracellular lipids, contributes to the functions of the epidermis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02A. Describe the structure and function of the epidermis.
Learning Outcome: 05.02B. Describe the epidermal strata, and relate them to the process of keratinization.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: Study Guide

18. The stratum basale
A. contains cells that undergo meiosis to form new epidermal cells.
B. has a mixture of living and dead cells – mostly dead.
C. is easily shed when you rub your hands together.
D. contains many blood vessels that nourish the epidermis.
E. contains cells that undergo mitosis to form new epidermal cells.

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E03.01b Explain how each of the five layers of the epidermis, as well as stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel cells and discs, keratin, and extracellular lipids, contributes to the functions of the epidermis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02A. Describe the structure and function of the epidermis.
Learning Outcome: 05.02B. Describe the epidermal strata, and relate them to the process of keratinization.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: Study Guide

19. The term “stratum germinativum” is sometimes used to refer to the
A. stratum granulosum.
B. stratum basale.
C. stratum lucidum.
D. stratum spinosum.
E. stratum corneum.

20. In which layer of the epidermis are lamellar bodies formed inside keratinocytes?
A. stratum corneum
B. stratum spinosum
C. stratum granulosum
D. stratum basale
E. stratum lucidum

Bloom’s Level: 1. Remember
HAPS Objective: E02.01d Describe the processes of growth and keratinization of the epidermis.
HAPS Objective: E03.01b Explain how each of the five layers of the epidermis, as well as stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel cells and discs, keratin, and extracellular lipids, contributes to the functions of the epidermis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02B. Describe the epidermal strata, and relate them to the process of keratinization.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: Study Guide

21. In which layer of the epidermis are granules of keratohyalin formed?
A. stratum basale
B. stratum granulosum
C. stratum spinosum
D. stratum corneum
E. stratum lucidum

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E03.01b Explain how each of the five layers of the epidermis, as well as stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel cells and discs, keratin, and extracellular lipids, contributes to the functions of the epidermis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02B. Describe the epidermal strata, and relate them to the process of keratinization.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: Study Guide

22. Which layer of the epidermis is found in only a few areas of the body?
A. stratum lucidum
B. stratum spinosum
C. stratum granulosum
D. stratum corneum
E. stratum basale

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E03.01b Explain how each of the five layers of the epidermis, as well as stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel cells and discs, keratin, and extracellular lipids, contributes to the functions of the epidermis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02B. Describe the epidermal strata, and relate them to the process of keratinization.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: Study Guide

23. This layer of skin is composed of keratinocytes.
A. epidermis
B. hypodermis
C. papillary layer
D. reticular layer
E. stretch marks

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E03.01b Explain how each of the five layers of the epidermis, as well as stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel cells and discs, keratin, and extracellular lipids, contributes to the functions of the epidermis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02B. Describe the epidermal strata, and relate them to the process of keratinization.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: Study Guide

24. Excessive shedding of this layer of the epidermis of the scalp is responsible for dandruff.
A. stratum corneum
B. stratum basale
C. stratum lucidum
D. stratum granulosum
E. stratum spinosum

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E03.01b Explain how each of the five layers of the epidermis, as well as stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel cells and discs, keratin, and extracellular lipids, contributes to the functions of the epidermis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02B. Describe the epidermal strata, and relate them to the process of keratinization.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: Study Guide

25. Which of the following represents the correct order of the layers of the epidermis from the deepest to the most superficial?
A. stratum basale, stratum spinosum, stratum granulosum, stratum lucidum, and stratum corneum
B. stratum basale, stratum granulosum, stratum lucidum, stratum spinosum, and stratum corneum
C. stratum spinosum, stratum basale, stratum lucidum, stratum corneum, and stratum granulosum
D. stratum lucidum, stratum granulosum, stratum corneum, stratum basale, and stratum spinosum
E. stratum corneum, stratum lucidum, stratum granulosum, stratum spinosum, stratum basale

26. This stratum contains many layers of dead squamous cells.
A. stratum lucidum
B. stratum spinosum
C. stratum granulosum
D. stratum basale
E. stratum corneum

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E03.01b Explain how each of the five layers of the epidermis, as well as stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel cells and discs, keratin, and extracellular lipids, contributes to the functions of the epidermis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02B. Describe the epidermal strata, and relate them to the process of keratinization.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: Study Guide

27. The layer of the epidermis in which there is the greatest amount of mitotic activity.
A. stratum granulosum
B. stratum corneum
C. stratum lucidum
D. stratum spinosum
E. stratum basale

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E03.01b Explain how each of the five layers of the epidermis, as well as stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel cells and discs, keratin, and extracellular lipids, contributes to the functions of the epidermis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02B. Describe the epidermal strata, and relate them to the process of keratinization.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: Study Guide

28. This epidermal stratum has several layers of cells held together by desmosomes.
A. stratum granulosum
B. stratum spinosum
C. stratum lucidum
D. stratum basale
E. stratum corneum

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E03.01b Explain how each of the five layers of the epidermis, as well as stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel cells and discs, keratin, and extracellular lipids, contributes to the functions of the epidermis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02B. Describe the epidermal strata, and relate them to the process of keratinization.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: Study Guide

29. What protein is found in the nails, hair, and epidermis?
A. keratin
B. collagen
C. melanin
D. elastin
E. carotene

Bloom’s Level: 1. Remember
HAPS Objective: E02.01d Describe the processes of growth and keratinization of the epidermis.
HAPS Objective: E03.01b Explain how each of the five layers of the epidermis, as well as stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel cells and discs, keratin, and extracellular lipids, contributes to the functions of the epidermis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02B. Describe the epidermal strata, and relate them to the process of keratinization.
Learning Outcome: 05.04A. Describe the structure of a hair, and discuss the phases of hair growth.
Learning Outcome: 05.04D. Describe the parts of a nail, and explain how nails grow.
Section: 05.02
Section: 05.04
Topic: Anatomy of accessory skin structures
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: Study Guide

30. This layer is found only in thick skin.
A. stratum corneum
B. stratum granulosum
C. stratum lucidum
D. stratum basale
E. stratum spinosum

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E03.01b Explain how each of the five layers of the epidermis, as well as stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel cells and discs, keratin, and extracellular lipids, contributes to the functions of the epidermis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02C. Differentiate between thick and thin skin as to the layers present and their locations.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: Study Guide

31. Thick skin
A. has three different epidermal strata.
B. has fewer layers of cells in the stratum corneum than thin skin.
C. is found in areas subject to pressure or friction such as palms.
D. is found covering most of the body.
E. is determined by the thickness of the dermis.

Bloom’s Level: 1. Remember
HAPS Objective: E02.01c Correlate the structure of thick and thin skin in the epidermis with the locations in the body where each are found.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02C. Differentiate between thick and thin skin as to the layers present and their locations.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: Study Guide

32. Thin skin has only four epithelial strata. It lacks which of the following?
A. stratum basale
B. stratum granulosum
C. stratum spinosum
D. stratum lucidum
E. stratum corneum

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E03.01b Explain how each of the five layers of the epidermis, as well as stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel cells and discs, keratin, and extracellular lipids, contributes to the functions of the epidermis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02C. Differentiate between thick and thin skin as to the layers present and their locations.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: Study Guide

33. What will develop when the skin is subjected to excess friction or pressure?
A. papillae
B. stretch marks
C. callus
D. melanoma
E. carcinoma

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E02.01c Correlate the structure of thick and thin skin in the epidermis with the locations in the body where each are found.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02C. Differentiate between thick and thin skin as to the layers present and their locations.
Section: 05.02
Topic: Gross anatomy of skin
Topic: Integumentary System
Type: Clinical
Type: Study Guide

34. Skin color is the result of the
A. amount of fat in the hypodermis.
B. quantity of melanin in the skin.
C. number of melanocytes in the skin.
D. number of keratinocytes in the skin.
E. thickness of the stratum basale.

Bloom’s Level: 1. Remember
HAPS Objective: E02.04a Describe the three pigments most responsible for producing the various skin colors.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02D. Explain the major factors affecting skin color.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: Study Guide

35. Melanin production can be influenced by
A. genetics.
B. hormones.
C. exposure to sunlight.
D. pregnancy.
E. All of these choices are correct.

Bloom’s Level: 1. Remember
HAPS Objective: E02.04a Describe the three pigments most responsible for producing the various skin colors.
HAPS Objective: E02.04b Name the layers of the skin that contain each of the skin color pigments.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02D. Explain the major factors affecting skin color.
Section: 05.02
Topic: Functions of skin tissue layers
Topic: Integumentary System
Type: Study Guide

36. Melanin
A. is transferred to other cells by osmosis.
B. is absent in individuals known as albinos.
C. is a pigment produced by cells in the stratum corneum.
D. makes the skin lighter.
E. is increased with exposure to infrared light.

37. Which of the following statements regarding melanin is true?
A. Men produce more melanin than women.
B. In Addison’s disease, less melanin is produced.
C. During pregnancy melanin production is increased.
D. Both melanocytes and keratinocytes produce melanin.
E. Melanin is a white pigment.

Bloom’s Level: 2. Understand
HAPS Objective: E02.04a Describe the three pigments most responsible for producing the various skin colors.
HAPS Objective: E02.04b Name the layers of the skin that contain each of the skin color pigments.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02D. Explain the major factors affecting skin color.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: Study Guide

38. Light-skinned races such as Caucasians have
A. approximately the same number of melanocytes as races with darker skins.
B. more melanocytes than races with darker skins.
C. fewer melanocytes than races with darker skins.
D. more melanin in their skin.
E. a different kind of melanin in their skin.

Bloom’s Level: 1. Remember
HAPS Objective: E02.04a Describe the three pigments most responsible for producing the various skin colors.
HAPS Objective: E02.04b Name the layers of the skin that contain each of the skin color pigments.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02D. Explain the major factors affecting skin color.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: Study Guide

39. The blue color of superficial blood vessels results from
A. a lack of oxygen in the blood.
B. the light-scattering properties of collagen.
C. the superficial location of skin pigments.
D. an increase in arterial blood circulating in the area.
E. a lack of melanin in the area.

Bloom’s Level: 1. Remember
HAPS Objective: E02.04a Describe the three pigments most responsible for producing the various skin colors.
HAPS Objective: E02.04b Name the layers of the skin that contain each of the skin color pigments.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02D. Explain the major factors affecting skin color.
Section: 05.02
Topic: Gross anatomy of skin
Topic: Integumentary System
Type: Study Guide

40. The bluish tinge of skin due to a reduction of oxygen in the blood is called
A. desquamation.
B. hemolysis.
C. cyanosis.
D. carotenosis.
E. albinism.

Bloom’s Level: 1. Remember
HAPS Objective: E02.04a Describe the three pigments most responsible for producing the various skin colors.
HAPS Objective: E02.04b Name the layers of the skin that contain each of the skin color pigments.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02D. Explain the major factors affecting skin color.
Section: 05.02
Topic: Gross anatomy of skin
Topic: Integumentary System
Type: Clinical
Type: Study Guide

41. Exposure to ultraviolet light causes the skin to darken by stimulating the
A. breakdown of carotene.
B. breakdown of melanin.
C. activity of the keratinocytes.
D. activity of the enzyme tyrosinase.
E. buildup of bilirubin.

42. This condition involves the development of white patches on the skin caused by the loss of melanocytes.
A. psoriasis
B. decubitus ulcer
C. eczema
D. bullae
E. vitiligo

Bloom’s Level: 1. Remember
HAPS Objective: E02.04a Describe the three pigments most responsible for producing the various skin colors.
HAPS Objective: E02.04b Name the layers of the skin that contain each of the skin color pigments.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02D. Explain the major factors affecting skin color.
Section: 05.06
Topic: Clinical applications of the integumentary system
Topic: Integumentary System
Type: Clinical
Type: Study Guide

43. A yellow pigment derived from plants that can impart a yellow color to the skin is
A. albinism.
B. cyanosis.
C. carotene.
D. dermatitis.
E. melanosomes.

Bloom’s Level: 1. Remember
HAPS Objective: E02.04a Describe the three pigments most responsible for producing the various skin colors.
HAPS Objective: E02.04b Name the layers of the skin that contain each of the skin color pigments.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02D. Explain the major factors affecting skin color.
Section: 05.02
Topic: Gross anatomy of skin
Topic: Integumentary System
Type: Study Guide

44. A genetic disease characterized by the inability to produce melanin is
A. cyanosis.
B. melanosomes.
C. albinism.
D. carotene.
E. dermatitis.

Bloom’s Level: 1. Remember
HAPS Objective: E02.04a Describe the three pigments most responsible for producing the various skin colors.
HAPS Objective: E02.04b Name the layers of the skin that contain each of the skin color pigments.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02D. Explain the major factors affecting skin color.
Section: 05.02
Topic: Clinical applications of the integumentary system
Topic: Integumentary System
Type: Clinical
Type: Study Guide

45. The vesicles that contain melanin are
A. cyanosis.
B. carotene.
C. dermatitis.
D. albinism.
E. melanosomes.

Bloom’s Level: 1. Remember
HAPS Objective: E02.04a Describe the three pigments most responsible for producing the various skin colors.
HAPS Objective: E02.04b Name the layers of the skin that contain each of the skin color pigments.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02D. Explain the major factors affecting skin color.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: Study Guide

46. Melanin is produced only by
A. keratinocytes.
B. Langerhans cells.
C. melanocytes.
D. basal cells.
E. Merkel’s cells.

47. A victim of an automobile accident goes into shock, which results in decreased blood flow. The victim’s skin will
A. have a reddish hue.
B. not change color.
C. become bright red.
D. become pale.
E. develop a yellow tint.

48. The skin discoloration most likely to result from liver disease is
A. cyanosis.
B. jaundice.
C. hematoma.
D. pallor.
E. erythema.

Bloom’s Level: 1. Remember
HAPS Objective: E02.04a Describe the three pigments most responsible for producing the various skin colors.
HAPS Objective: E02.04b Name the layers of the skin that contain each of the skin color pigments.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02D. Explain the major factors affecting skin color.
Section: 05.02
Topic: Gross anatomy of skin
Topic: Integumentary System
Type: Clinical

49. Cedric slipped and cut his finger. The cut bled, but did not penetrate to the hypodermis. The deepest layer penetrated was the
A. stratum corneum.
B. papillary layer of the dermis.
C. stratum spinosum.
D. stratum basale.
E. stratum granulosum.

50. Inflammation of the skin is called dermatitis or
A. psoriasis.
B. vitiligo.
C. bullae.
D. eczema.
E. decubitus ulcer.

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 E Integumentary System
Learning Outcome: 05.02E. Describe the structure and discuss the function of the dermis.
Section: 05.06
Topic: Clinical applications of the integumentary system
Topic: Integumentary System
Type: Clinical
Type: Study Guide

51. Stretch marks develop on the abdomen of pregnant women because of stretching and rupture of the
A. epidermis.
B. melanocytes.
C. stratum corneum.
D. hypodermis.
E. dermis.

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 E Integumentary System
Learning Outcome: 05.02E. Describe the structure and discuss the function of the dermis.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: Study Guide

52. Which of the following is an inflammatory condition of the skin?
A. dermatitis.
B. albinism.
C. melanosomes.
D. carotene.
E. cyanosis.

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 Objective: E03.02b Describe the specific function of each dermal layer and relate that function to the skins overall functions.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02E. Describe the structure and discuss the function of the dermis.
Section: 05.02
Topic: Gross anatomy of skin
Topic: Integumentary System
Type: Clinical
Type: Study Guide

53. The dermis
A. does not contain connective tissue.
B. is divided into three distinct layers.
C. functions as padding and insulation.
D. contains no blood vessels.
E. is responsible for most of the skin’s structural strength.

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 E Integumentary System
Learning Outcome: 05.02E. Describe the structure and discuss the function of the dermis.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: Study Guide

54. Vitamin C is essential for normal collagen synthesis. If a child suffered from a vitamin C deficiency, which layer of the skin would be most affected?
A. epidermis
B. stratum basale
C. stratum corneum
D. stratum granulosum
E. reticular layer of dermis

Bloom’s Level: 3. Apply
HAPS Objective: E02.02 Identify and describe the dermis and its layers, including the tissue types making up each dermal layer.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02E. Describe the structure and discuss the function of the dermis.
Section: 05.02
Topic: Clinical applications of the integumentary system
Topic: Integumentary System
Topic: Microscopic anatomy of skin

55. Rupturing the dermis may cause these to develop.
A. reticular layer
B. papillary layer
C. hypodermis
D. epidermis
E. stretch marks

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 E Integumentary System
Learning Outcome: 05.02E. Describe the structure and discuss the function of the dermis.
Section: 05.02
Topic: Gross anatomy of skin
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: Study Guide

56. This is the dermal layer closest to the epidermis.
A. epidermis
B. reticular layer
C. papillary layer
D. stretch marks
E. hypodermis

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 E Integumentary System
Learning Outcome: 05.02E. Describe the structure and discuss the function of the dermis.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: Study Guide

57. This is the main fibrous layer of the dermis.
A. hypodermis
B. stretch marks
C. reticular layer
D. papillary layer
E. epidermis

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 E Integumentary System
Learning Outcome: 05.02E. Describe the structure and discuss the function of the dermis.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: Study Guide

58. When comparing the dermis with the hypodermis, the dermis
A. is a more vascular tissue than the hypodermis.
B. and the hypodermis do not contain collagen.
C. contains melanocytes; the hypodermis does not.
D. is divided into two layers; the hypodermis is not.
E. has more fat cells than the hypodermis.

Bloom’s Level: 2. Understand
HAPS Objective: E02.02 Identify and describe the dermis and its layers, including the tissue types making up each dermal layer.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02E. Describe the structure and discuss the function of the dermis.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: Study Guide

59. If you accidentally cut your arm and see connective tissue and fat, which layer(s) was/were cut?
A. stratum corneum
B. stratum basale
C. dermis
D. hypodermis
E. all of these layers

Bloom’s Level: 2. Understand
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E02.02 Identify and describe the dermis and its layers, including the tissue types making up each dermal layer.
HAPS Objective: E02.03 Identify and describe the subcutaneous tissue, including the tissue types making up subcutaneous tissue.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02A. Describe the structure and function of the epidermis.
Learning Outcome: 05.02C. Differentiate between thick and thin skin as to the layers present and their locations.
Learning Outcome: 05.02E. Describe the structure and discuss the function of the dermis.
Learning Outcome: 05.03A. Describe the structure and functions of the subcutaneous tissue underlying the skin.
Section: 05.03
Topic: Integumentary System
Topic: Microscopic anatomy of skin

60. A subcutaneous injection delivers medication into the
A. joint.
B. dermis.
C. hypodermis.
D. muscle.
E. epidermis.

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 Objective: E02.03 Identify and describe the subcutaneous tissue, including the tissue types making up subcutaneous tissue.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.03A. Describe the structure and functions of the subcutaneous tissue underlying the skin.
Section: 05.03
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: Study Guide

61. Adipose tissue in the hypodermis
A. provides protection against infection.
B. serves as a storage site for fat, which can be used for energy.
C. connects the dermis with the epidermis.
D. is absent in infants.
E. helps to lower body temperature.

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 E Integumentary System
Learning Outcome: 05.03A. Describe the structure and functions of the subcutaneous tissue underlying the skin.
Section: 05.03
Topic: Functions of the subcutaneous layer
Topic: Integumentary System
Type: Study Guide

62. Which of the following statements concerning the hypodermis is false?
A. The hypodermis attaches the skin to underlying bone and muscle.
B. Hypodermis is composed of dense connective tissue with collagen and elastin fibers.
C. Hypodermis is referred to as subcutaneous tissue.
D. The main cell types of the hypodermis are fibroblasts, fat cells, and macrophages.
E. The hypodermis is a site of fat storage.

Bloom’s Level: 2. Understand
HAPS Objective: E02.03 Identify and describe the subcutaneous tissue, including the tissue types making up subcutaneous tissue.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.03A. Describe the structure and functions of the subcutaneous tissue underlying the skin.
Section: 05.03
Topic: Integumentary System
Topic: Microscopic anatomy of skin

63. This is the site of fat storage in the skin.
A. epidermis
B. papillary layer
C. reticular layer
D. hypodermis
E. stretch marks

64. Delicate unpigmented hairs that cover the fetus in early development are called
A. terminal hairs.
B. secondary hairs.
C. primary hairs.
D. vellus hairs.
E. lanugo hairs.

65. At birth the hairs of the scalp, eyelids, and eyebrows are replaced by coarser pigmented hairs called
A. lanugo hairs.
B. primary hairs.
C. pubic hairs.
D. vellus hairs.
E. terminal hairs.

66. Which of the following statements is true?
A. Hair in the axillary region is vellus hair after puberty.
B. At puberty, much of the vellus hair is replaced with terminal hair.
C. Both vellus and terminal hairs are pigmented.
D. In males, the hairs of the beard are vellus hairs.
E. The majority of hair on the chest is vellus hair.

Bloom’s Level: 2. Understand
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.04A. Describe the structure of a hair, and discuss the phases of hair growth.
Section: 05.04
Topic: Anatomy of accessory skin structures
Topic: Integumentary System

67. The portion of a hair that protrudes above the surface of the skin is the
A. hair root.
B. hair follicle.
C. hair shaft.
D. hair bulb.
E. dermal papilla.

Bloom’s Level: 1. Remember
HAPS Objective: E04.01c Describe the anatomy of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.04A. Describe the structure of a hair, and discuss the phases of hair growth.
Section: 05.04
Topic: Anatomy of accessory skin structures
Topic: Integumentary System
Type: Study Guide

68. Which of the following statements is true?
A. The hair follicle has a hypodermal root sheath.
B. Both the hair root and hair shaft contain living cells.
C. The matrix forms the hair surface.
D. The hair follicle is not associated with sebaceous glands.
E. Undamaged hair follicles can help regenerate damaged epithelium.

69. The length of hair is determined by the
A. size of the hair bulb.
B. age of the person.
C. length of the resting stage.
D. angle of the hair root.
E. rate of hair growth.

Bloom’s Level: 1. Remember
HAPS Objective: E04.02 Describe the growth cycles of hair follicles and the growth of hairs.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.04A. Describe the structure of a hair, and discuss the phases of hair growth.
Section: 05.04
Topic: Anatomy of accessory skin structures
Topic: Integumentary System
Type: Study Guide

70. Baldness
A. occurs only in men.
B. is more common in men than in women.
C. is not genetic.
D. is related to estrogen levels.
E. is related to levels of growth hormone.

Bloom’s Level: 1. Remember
HAPS Objective: E04.01a Identify the structure of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Objective: E04.01c Describe the anatomy of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Objective: E04.01d Describe the function of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors.
HAPS Objective: E04.02 Describe the growth cycles of hair follicles and the growth of hairs.
HAPS Objective: E04.03 Explain the physiological importance of the presence or absence of sebaceous glands, sweat glands, and hair in the skin of the palms and fingers.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.04A. Describe the structure of a hair, and discuss the phases of hair growth.
Section: 05.04
Topic: Anatomy of accessory skin structures
Topic: Integumentary System
Type: Study Guide

71. All of the following statements concerning hair are true except one. Identify the exception.
A. In pattern baldness, those hair follicles present begin to produce vellus hair.
B. Hair growth occurs in cycles, with growth and resting stages.
C. Some loss of hair is normal and indicates old hairs are being pushed out by new hairs.
D. Genetic factors and testosterone cause pattern baldness.
E. The growth rate of all types of hair is the same.

Bloom’s Level: 2. Understand
HAPS Objective: E04.01a Identify the structure of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Objective: E04.01b Describe the location of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors) in the body.
HAPS Objective: E04.01c Describe the anatomy of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Objective: E04.02 Describe the growth cycles of hair follicles and the growth of hairs.
HAPS Objective: E04.03 Explain the physiological importance of the presence or absence of sebaceous glands, sweat glands, and hair in the skin of the palms and fingers.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.04A. Describe the structure of a hair, and discuss the phases of hair growth.
Section: 05.04
Topic: Anatomy of accessory skin structures
Topic: Integumentary System

72. The outer surface of the hair is called the
A. medulla.
B. shaft.
C. hair bulb.
D. cuticle.
E. root.

73. The central axis of the hair is the
A. shaft.
B. cuticle.
C. root.
D. medulla.
E. hair bulb.

74. An expanded knob at the base of the hair root is the
A. medulla.
B. cuticle.
C. hair bulb.
D. root.
E. shaft.

75. The portion of the hair below the surface of the skin is the
A. medulla.
B. shaft.
C. cuticle.
D. root.
E. hair bulb.

76. That portion of the hair that extends above the surface of the skin is the
A. cuticle.
B. hair bulb.
C. root.
D. medulla.
E. shaft.

77. Which of the following hair colors is the result of a decrease in melanin?
A. red
B. white
C. brown
D. auburn
E. black

Bloom’s Level: 1. Remember
HAPS Objective: E02.04a Describe the three pigments most responsible for producing the various skin colors.
HAPS Objective: E04.01a Identify the structure of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Objective: E04.02 Describe the growth cycles of hair follicles and the growth of hairs.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.04A. Describe the structure of a hair, and discuss the phases of hair growth.
Section: 05.04
Topic: Anatomy of accessory skin structures
Topic: Integumentary System
Type: Study Guide

78. Lead poisoning can be detected by doing an analysis of
A. sweat.
B. skin folds.
C. hair.
D. skin.
E. nails.

Bloom’s Level: 1. Remember
HAPS Objective: E04.01a Identify the structure of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Objective: E04.01b Describe the location of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors) in the body.
HAPS Objective: E04.01c Describe the anatomy of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Objective: E04.01d Describe the function of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors.
HAPS Objective: E04.02 Describe the growth cycles of hair follicles and the growth of hairs.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.04A. Describe the structure of a hair, and discuss the phases of hair growth.
Section: 05.04
Topic: Clinical applications of the integumentary system
Topic: Integumentary System
Type: Clinical
Type: Study Guide

79. Bob was completely bald on the top of his head by the time he was 35 years of age. Bob noticed he produced abundant sweat on his head when he exercised. He also noticed that his scalp was no longer oily. Which of the following changes account for the observations?
(1) He has fewer functional hair follicles now.
(2) He has fewer functional sebaceous glands now.
(3) He has fewer merocrine sweat glands now.
(4) He has fewer apocrine sweat glands now.
A. 1, 3, 4
B. 1, 2, 3, 4
C. 1, 2
D. 1, 2, 4
E. 1, 2, 3

Bloom’s Level: 3. Apply
HAPS Objective: E04.01b Describe the location of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors) in the body.
HAPS Objective: E04.01d Describe the function of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors.
HAPS Objective: E04.02 Describe the growth cycles of hair follicles and the growth of hairs.
HAPS Objective: E04.03 Explain the physiological importance of the presence or absence of sebaceous glands, sweat glands, and hair in the skin of the palms and fingers.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.04A. Describe the structure of a hair, and discuss the phases of hair growth.
Learning Outcome: 05.04C. Name the glands of the skin, and describe the secretions they produce.
Section: 05.04
Topic: Functions of accessory skin structures
Topic: Integumentary System

80. When the arrector pili muscles contract
A. the body is able to lose heat.
B. no change is noted on the skin surface.
C. the hair on your arms and legs begins to curl.
D. the sweat glands empty their contents onto the surface of the skin.
E. “goose bumps” form on the skin.

Bloom’s Level: 1. Remember
HAPS Objective: E04.01a Identify the structure of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Objective: E04.01b Describe the location of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors) in the body.
HAPS Objective: E04.01c Describe the anatomy of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Objective: E04.01d Describe the function of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.04B. Explain the function of the arrector pili muscle.
Section: 05.04
Topic: Anatomy of accessory skin structures
Topic: Gross anatomy of skin
Topic: Integumentary System
Type: Study Guide

81. Which of the following statements is false?
A. Sebaceous secretions are lipid soluble.
B. Secretions from sebaceous glands oil the hair and skin.
C. Secretions from sebaceous glands provide protection against bacteria.
D. Most sebaceous glands are connected by a duct to the upper portion of the hair follicle.
E. Sebaceous glands are an example of apocrine glands.

Bloom’s Level: 3. Apply
HAPS Objective: E04.01a Identify the structure of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Objective: E04.01b Describe the location of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors) in the body.
HAPS Objective: E04.01c Describe the anatomy of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Objective: E04.01d Describe the function of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors.
HAPS Objective: E04.03 Explain the physiological importance of the presence or absence of sebaceous glands, sweat glands, and hair in the skin of the palms and fingers.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.04C. Name the glands of the skin, and describe the secretions they produce.
Section: 05.04
Topic: Anatomy of accessory skin structures
Topic: Integumentary System

82. The activity of apocrine sweat glands
A. gives the skin a healthy glow.
B. produces sweat on the palm of the hand.
C. leads to body odor.
D. produces cerumen.
E. produces an oily secretion.

Bloom’s Level: 1. Remember
HAPS Objective: E04.01b Describe the location of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors) in the body.
HAPS Objective: E04.01d Describe the function of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors.
HAPS Objective: E04.03 Explain the physiological importance of the presence or absence of sebaceous glands, sweat glands, and hair in the skin of the palms and fingers.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.04C. Name the glands of the skin, and describe the secretions they produce.
Section: 05.04
Topic: Anatomy of accessory skin structures
Topic: Integumentary System
Type: Study Guide

83. Eccrine sweat glands
A. are not involved in the homeostasis of body temperature.
B. produce a secretion that oils the hair and skin.
C. serve as “anchors” for the arrector pili muscles.
D. produce a secretion that protects the body from growth of bacteria.
E. aid in cooling the body.

Bloom’s Level: 1. Remember
HAPS Objective: E04.01d Describe the function of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors.
HAPS Objective: E04.03 Explain the physiological importance of the presence or absence of sebaceous glands, sweat glands, and hair in the skin of the palms and fingers.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.04C. Name the glands of the skin, and describe the secretions they produce.
Section: 05.04
Topic: Functions of accessory skin structures
Topic: Integumentary System
Type: Study Guide

84. Sweat
A. reaches the body only through the hair follicles.
B. is not associated with emotions.
C. contains only water.
D. is produced by a merocrine or apocrine gland.
E. is a hypertonic fluid.

85. Skin glands do not include
A. sweat glands.
B. sebaceous glands.
C. mammary glands.
D. salivary glands.
E. ceruminous glands.

Bloom’s Level: 1. Remember
HAPS Objective: E04.01b Describe the location of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors) in the body.
HAPS Objective: E04.03 Explain the physiological importance of the presence or absence of sebaceous glands, sweat glands, and hair in the skin of the palms and fingers.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.04C. Name the glands of the skin, and describe the secretions they produce.
Section: 05.04
Topic: Anatomy of accessory skin structures
Topic: Integumentary System
Type: Study Guide

86. Body odor results from secretions from the ______ sweat glands.
A. eccrine
B. apocrine
C. sebaceous
D. merocrine
E. ceruminous

87. Nails
A. are part of the dermis.
B. are soft keratin.
C. protect the ends of digits.
D. alternate between growing and resting stages.
E. grow from their free edges.

88. The nail root and the nail body attach to the
A. nail groove.
B. hyponychium.
C. nail bed.
D. lunula.
E. hypodermis.

89. The epidermal layer that is present in the nail bed and the nail matrix is the
A. stratum basale.
B. stratum corneum.
C. stratum lucidum.
D. stratum lunula.
E. stratum spinosum.

Bloom’s Level: 1. Remember
HAPS Objective: E03.01b Explain how each of the five layers of the epidermis, as well as stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel cells and discs, keratin, and extracellular lipids, contributes to the functions of the epidermis.
HAPS Objective: E04.01a Identify the structure of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Objective: E04.01c Describe the anatomy of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02A. Describe the structure and function of the epidermis.
Learning Outcome: 05.04D. Describe the parts of a nail, and explain how nails grow.
Section: 05.04
Topic: Anatomy of accessory skin structures
Topic: Integumentary System
Type: Study Guide

90. Nail cells are produced by the
A. nail groove.
B. nail body.
C. cuticle.
D. lunula.
E. nail matrix.

91. The nail proper is composed of the
A. stratum corneum.
B. stratum lucidum.
C. stratum germinativum.
D. stratum spinosum.
E. All of these choices are correct.

Bloom’s Level: 1. Remember
HAPS Objective: E03.01b Explain how each of the five layers of the epidermis, as well as stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel cells and discs, keratin, and extracellular lipids, contributes to the functions of the epidermis.
HAPS Objective: E04.01a Identify the structure of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Objective: E04.01c Describe the anatomy of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.04D. Describe the parts of a nail, and explain how nails grow.
Section: 05.04
Topic: Anatomy of accessory skin structures
Topic: Integumentary System
Type: Study Guide

92. The stratum corneum beneath the free edge of the nail is the
A. nail root.
B. eponychium.
C. hyponychium.
D. nail fold.
E. nail body.

Bloom’s Level: 1. Remember
HAPS Objective: E03.01b Explain how each of the five layers of the epidermis, as well as stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel cells and discs, keratin, and extracellular lipids, contributes to the functions of the epidermis.
HAPS Objective: E04.01a Identify the structure of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Objective: E04.01c Describe the anatomy of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.04D. Describe the parts of a nail, and explain how nails grow.
Section: 05.04
Topic: Anatomy of accessory skin structures
Topic: Integumentary System
Type: Study Guide

93. The skin that covers the lateral and proximal edges of the nail is the
A. hyponychium.
B. nail root.
C. nail fold.
D. eponychium.
E. nail body.

94. The proximal portion of the nail is the
A. nail root.
B. hyponychium.
C. nail body.
D. nail fold.
E. eponychium.

95. The distal portion of the nail is the
A. nail body.
B. eponychium.
C. nail fold.
D. hyponychium.
E. nail root.

96. What is synonymous with the cuticle?
A. nail fold
B. eponychium
C. nail body
D. hyponychium
E. nail root

97. One type of experimental contraceptive device is a skin patch that contains a chemical absorbed through the skin. Which of the following substances might be the type of chemical involved?
A. proteins
B. carbohydrates
C. lipid-soluble substances
D. amino acids
E. water-soluble substances

Bloom’s Level: 3. Apply
HAPS Objective: E03.01c Explain why the histology of the epidermis is well suited for its functions.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.05A. Relate the protective functions of the skin, hair, glands, and nails.
Section: 05.05
Topic: Functions of skin tissue layers
Topic: Integumentary System
Type: Study Guide

98. Impetigo is caused by the bacterium
A. Luteus.
B. Herpes.
C. Propionibacterium.
D. Staphylococcus.
E. Streptococcus.

Bloom’s Level: 1. Remember
HAPS Objective: E06.01 Predict factors or situations affecting the integumentary system that could disrupt homeostasis.
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 E Integumentary System
Learning Outcome: Clinical Impact
Section: 05.07
Topic: Clinical applications of the integumentary system
Topic: Integumentary System
Type: Clinical
Type: Study Guide

99. Ringworm is an infection of the skin, hair, and nails caused by a
A. parasite.
B. virus.
C. inflammation.
D. bacterium.
E. fungus.

Bloom’s Level: 1. Remember
HAPS Objective: E06.01 Predict factors or situations affecting the integumentary system that could disrupt homeostasis.
HAPS Topic: Module E Integumentary System
Learning Outcome: Clinical Impact
Section: 05.07
Topic: Clinical applications of the integumentary system
Topic: Integumentary System
Type: Clinical
Type: Study Guide

100. Another name for a bedsore is
A. psoriasis.
B. vitiligo.
C. decubitus ulcer.
D. eczema.
E. bullae.

101. Intact skin provides protection because
A. the skin enhances water loss from the body.
B. macrophages roam in the epidermis.
C. its secretions keep the skin slightly alkaline.
D. the skin contains components of the excretory system.
E. it forms a physical barrier against the entry of microbes.

Bloom’s Level: 1. Remember
HAPS Objective: E01.01 Describe the general functions of the skin.
HAPS Objective: E03.01c Explain why the histology of the epidermis is well suited for its functions.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.05A. Relate the protective functions of the skin, hair, glands, and nails.
Section: 05.05
Topic: General functions of skin and the subcutaneous layer
Topic: Integumentary System
Type: Study Guide

102. By covering the whole body surface, the skin acts as a protective barrier and plays a role in
A. respiration.
B. circulation.
C. digestion.
D. excretion.
E. immunity.

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 E Integumentary System
Learning Outcome: 05.05A. Relate the protective functions of the skin, hair, glands, and nails.
Section: 05.05
Topic: General functions of skin and the subcutaneous layer
Topic: Integumentary System
Type: Study Guide

103. An abrasion of the skin results in which of the following?
A. fluid retention by the kidney
B. increased melanin production
C. portal of entry for microorganisms
D. loss of cell regeneration ability
E. irreversible damage to the epidermis

Bloom’s Level: 2. Understand
HAPS Objective: E05.01 Provide specific examples to demonstrate how the integumentary system responds to maintain homeostasis in the body.
HAPS Objective: E06.01 Predict factors or situations affecting the integumentary system that could disrupt homeostasis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.05A. Relate the protective functions of the skin, hair, glands, and nails.
Section: 05.05
Topic: General functions of skin and the subcutaneous layer
Topic: Integumentary System

104. Due to the contraction of smooth muscle in the walls of the dermal blood vessels,
A. body heat is conserved.
B. more blood enters into the heart.
C. more blood flows to the skin.
D. body temperature tends to drop in that area.
E. the blood vessels become dilated.

Bloom’s Level: 2. Understand
HAPS Objective: E05.01 Provide specific examples to demonstrate how the integumentary system responds to maintain homeostasis in the body.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.05A. Relate the protective functions of the skin, hair, glands, and nails.
Learning Outcome: 05.05B. Explain how the skin acts as a sense organ.
Learning Outcome: 05.05C. Discuss the importance of the skin in temperature regulation.
Section: 05.05
Topic: General functions of skin and the subcutaneous layer
Topic: Integumentary System

105. An increase in body temperature causes
A. sweating.
B. an increase in melanin production.
C. an increase in keratinization of the skin.
D. arterioles in the dermis to constrict.
E. arrector pili muscles to contract.

Bloom’s Level: 1. Remember
HAPS Objective: E04.01d Describe the function of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors.
HAPS Objective: E05.01 Provide specific examples to demonstrate how the integumentary system responds to maintain homeostasis in the body.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.05A. Relate the protective functions of the skin, hair, glands, and nails.
Learning Outcome: 05.05C. Discuss the importance of the skin in temperature regulation.
Section: 05.05
Topic: Functions of skin tissue layers
Topic: Integumentary System
Type: Study Guide

106. Which of the following will help cool the body?
A. decreased blood flow to the skin
B. absorption of excess sweat
C. evaporation of sweat from the skin’s surface
D. absorption of ultraviolet light rays by the skin
E. contraction of the arrector pili muscles

Bloom’s Level: 3. Apply
HAPS Objective: E03.01c Explain why the histology of the epidermis is well suited for its functions.
HAPS Objective: E04.01d Describe the function of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors.
HAPS Objective: E05.01 Provide specific examples to demonstrate how the integumentary system responds to maintain homeostasis in the body.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.05A. Relate the protective functions of the skin, hair, glands, and nails.
Learning Outcome: 05.05C. Discuss the importance of the skin in temperature regulation.
Section: 05.05
Topic: Functions of skin tissue layers
Topic: Integumentary System

107. On coming inside from the cold, students notice that their cheeks are red. This results from
A. dilation of the blood vessels in the dermis of the cheeks.
B. constriction of the blood vessels in the epidermis of the cheeks.
C. increased permeability of superficial vessels.
D. constriction of the sweat glands in the cheeks.
E. damage to the epidermis by the cold.

Bloom’s Level: 2. Understand
HAPS Objective: E02.02 Identify and describe the dermis and its layers, including the tissue types making up each dermal layer.
HAPS Objective: E05.01 Provide specific examples to demonstrate how the integumentary system responds to maintain homeostasis in the body.
HAPS Objective: E05.02 Explain how the integumentary system relates to other body systems to maintain homeostasis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.05C. Discuss the importance of the skin in temperature regulation.
Section: 05.05
Topic: General functions of skin and the subcutaneous layer
Topic: Integumentary System

108. By reducing body temperature during hot weather, skin helps to maintain
A. blood pH.
B. body temperature homeostasis.
C. brain activity.
D. body structure.
E. blood volume.

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 E Integumentary System
Learning Outcome: 05.05B. Explain how the skin acts as a sense organ.
Learning Outcome: 05.05C. Discuss the importance of the skin in temperature regulation.
Section: 05.05
Topic: General functions of skin and the subcutaneous layer
Topic: Integumentary System
Type: Study Guide

109. Which vitamin begins its synthesis in the skin exposed to ultraviolet light?
A. vitamin C
B. vitamin E
C. vitamin B
D. vitamin D
E. vitamin A

Bloom’s Level: 1. Remember
HAPS Objective: E03.01a Describe the functions of the epidermis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.05D. Describe the involvement of the skin in vitamin D production and in excretion.
Section: 05.05
Topic: General functions of skin and the subcutaneous layer
Topic: Integumentary System
Type: Study Guide

110. Which of the following statements concerning vitamin D is false?
A. Vitamin D is necessary for the formation of bones and teeth.
B. Vitamin D causes the kidney to excrete calcium.
C. Vitamin D is important for calcium homeostasis.
D. Vitamin D is necessary for the uptake of calcium from the intestine.
E. Vitamin D begins its synthesis in the skin when the skin is exposed to ultraviolet light.

Bloom’s Level: 2. Understand
HAPS Objective: E03.01a Describe the functions of the epidermis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.05D. Describe the involvement of the skin in vitamin D production and in excretion.
Section: 05.05
Topic: General functions of skin and the subcutaneous layer
Topic: Integumentary System

111. Eskimos wear a great deal of clothing and have limited exposure to U.V. light, but do not suffer from vitamin D deficiency. A possible explanation is,
A. their exposure to U.V. light in the summer will last for a year.
B. they do not need vitamin D.
C. their bodies produce vitamin D another way.
D. they get enough vitamin D in their diet of fish and marine mammals.
E. they do not require sunlight for vitamin D formation.

Bloom’s Level: 3. Apply
HAPS Objective: E03.01a Describe the functions of the epidermis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.05D. Describe the involvement of the skin in vitamin D production and in excretion.
Section: 05.05
Topic: General functions of skin and the subcutaneous layer
Topic: Integumentary System

112.

Barney sat on a hot camp stove while on a camping trip. The burn was painful and blistered. He has what type of burn?

A. second degree
B. fourth degree
C. first degree
D. fifth degree
E. third degree

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E02.02 Identify and describe the dermis and its layers, including the tissue types making up each dermal layer.
HAPS Objective: E06.01 Predict factors or situations affecting the integumentary system that could disrupt homeostasis.
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 E Integumentary System
Learning Outcome: 05.02A. Describe the structure and function of the epidermis.
Learning Outcome: 05.02E. Describe the structure and discuss the function of the dermis.
Learning Outcome: 05.06 A. Classify burns on the basis of the amount of skin damage produced.
Section: 05.06
Topic: Clinical applications of the integumentary system
Topic: Integumentary System
Topic: Repair and regeneration of the integumentary system

113. Which of the following is NOT a type of burn?
A. partial-thickness burn
B. third-degree burn
C. full-thickness burn
D. second-degree burn
E. primary burn

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E02.02 Identify and describe the dermis and its layers, including the tissue types making up each dermal layer.
HAPS Objective: E02.03 Identify and describe the subcutaneous tissue, including the tissue types making up subcutaneous tissue.
HAPS Objective: E06.01 Predict factors or situations affecting the integumentary system that could disrupt homeostasis.
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 E Integumentary System
Learning Outcome: 05.06 A. Classify burns on the basis of the amount of skin damage produced.
Section: 05.06
Topic: Clinical applications of the integumentary system
Topic: Integumentary System
Topic: Repair and regeneration of the integumentary system
Type: Study Guide

114. The amount of body area involved with a burn is determined by the
A. cause of the burn.
B. amount of pain.
C. color of the skin.
D. rule of nines.
E. ABCDE rule.

Bloom’s Level: 1. Remember
HAPS Objective: E06.01 Predict factors or situations affecting the integumentary system that could disrupt homeostasis.
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 E Integumentary System
Learning Outcome: 05.06 A. Classify burns on the basis of the amount of skin damage produced.
Section: 05.06
Topic: Clinical applications of the integumentary system
Topic: Integumentary System
Topic: Repair and regeneration of the integumentary system
Type: Study Guide

115. Which of the following is NOT a complication of a major burn?
A. local edema
B. venous thrombosis
C. increased immunity
D. decreased heart pumping ability
E. shock

Bloom’s Level: 3. Apply
HAPS Objective: E05.01 Provide specific examples to demonstrate how the integumentary system responds to maintain homeostasis in the body.
HAPS Objective: E05.02 Explain how the integumentary system relates to other body systems to maintain homeostasis.
HAPS Objective: E06.01 Predict factors or situations affecting the integumentary system that could disrupt homeostasis.
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 E Integumentary System
Learning Outcome: 05.06 A. Classify burns on the basis of the amount of skin damage produced.
Section: 05.06
Topic: Clinical applications of the integumentary system
Topic: Integumentary System
Topic: Repair and regeneration of the integumentary system
Type: Clinical
Type: Study Guide

116. Which of the following is NOT a complication of a major burn?
A. electrolyte imbalance
B. weight loss
C. fever
D. hypermetabolic state
E. decreased protein demand

117. What type of burn appears white or black with no immediate pain?
A. second-degree
B. third-degree
C. fourth-degree
D. first-degree
E. partial-thickness

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E02.02 Identify and describe the dermis and its layers, including the tissue types making up each dermal layer.
HAPS Objective: E02.03 Identify and describe the subcutaneous tissue, including the tissue types making up subcutaneous tissue.
HAPS Objective: E06.01 Predict factors or situations affecting the integumentary system that could disrupt homeostasis.
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 E Integumentary System
Learning Outcome: 5.06 A. Classify burns on the basis of the amount of skin damage produced.
Section: 05.06
Topic: Clinical applications of the integumentary system
Topic: Integumentary System
Topic: Repair and regeneration of the integumentary system
Type: Study Guide

118. What type of burn involves damage to the epidermis, dermis, and subcutaneous tissue?
A. Full thickness
B. Partial thickness
C. Second degree
D. Total dermal thickness
E. First degree

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E02.02 Identify and describe the dermis and its layers, including the tissue types making up each dermal layer.
HAPS Objective: E02.03 Identify and describe the subcutaneous tissue, including the tissue types making up subcutaneous tissue.
HAPS Objective: E06.01 Predict factors or situations affecting the integumentary system that could disrupt homeostasis.
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 E Integumentary System
Learning Outcome: 05.06 A. Classify burns on the basis of the amount of skin damage produced.
Section: 05.06
Topic: Clinical applications of the integumentary system
Topic: Integumentary System
Topic: Repair and regeneration of the integumentary system

119. A slight sunburn is an example of a ______ burn.
A. third-degree
B. fourth-degree
C. partial-thickness
D. first-degree
E. second-degree

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E06.01 Predict factors or situations affecting the integumentary system that could disrupt homeostasis.
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 E Integumentary System
Learning Outcome: 05.06 A. Classify burns on the basis of the amount of skin damage produced.
Section: 05.06
Topic: Clinical applications of the integumentary system
Topic: Integumentary System
Topic: Repair and regeneration of the integumentary system
Type: Study Guide

120. Which of the following skin changes is usually associated with aging?
A. There is an increase in the number of elastic fibers in the skin.
B. Skin becomes thicker.
C. The amount of collagen in the dermis increases.
D. Loss of subcutaneous tissue contributes to sagging of the skin.
E. Localized increase in sebaceous glands leads to dry skin.

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 Objective: E02.03 Identify and describe the subcutaneous tissue, including the tissue types making up subcutaneous tissue.
HAPS Topic: Module E Integumentary System
Learning Outcome: 5.07 A. List the changes the integumentary system undergoes with age.
Section: 05.07
Topic: Effects of aging on the integumentary system
Topic: Integumentary System
Type: Study Guide

121. With aging, individuals tend to feel colder and usually need the thermostat in their home set higher in the winter to feel warm enough. This is probably because the elderly
A. exhibit a decrease in melanin production.
B. no longer experience hot flashes at night.
C. have less blood flowing to the skin.
D. have an increase in desquamation.
E. experience a decrease in the thickness of their subcutaneous fat layer.

Bloom’s Level: 2. Understand
HAPS Objective: E01.02 Describe the general functions of the subcutaneous layer (also known as the hypodermis or superficial fascia).
HAPS Objective: E02.03 Identify and describe the subcutaneous tissue, including the tissue types making up subcutaneous tissue.
HAPS Topic: Module E Integumentary System
Learning Outcome: 5.07 A. List the changes the integumentary system undergoes with age.
Section: 05.07
Topic: Effects of aging on the integumentary system
Topic: Integumentary System
Type: Study Guide

122.

Acne is caused by

A. testosterone.
B. sebum.
C. abnormal keratinization of hair follicles.
D. Propionibacterium.
E. All of these are factors.

Bloom’s Level: 1. Remember
HAPS Objective: E02.01d Describe the processes of growth and keratinization of the epidermis.
HAPS Objective: E06.01 Predict factors or situations affecting the integumentary system that could disrupt homeostasis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 5.07 A. List the changes the integumentary system undergoes with age.
Section: 05.07
Topic: Effects of aging on the integumentary system
Topic: Integumentary System
Type: Study Guide

HAPS Topic: Module E Integumentary System
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin

123.

What does structure “A” represent on the diagram?

A. hair follicle
B. arrector pili
C.

epidermis and dermis

D. hypodermis
E. sebaceous gland

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E02.02 Identify and describe the dermis and its layers, including the tissue types making up each dermal layer.
HAPS Objective: E02.03 Identify and describe the subcutaneous tissue, including the tissue types making up subcutaneous tissue.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02A. Describe the structure and function of the epidermis.
Learning Outcome: 05.02E. Describe the structure and discuss the function of the dermis.
Learning Outcome: 05.03A. Describe the structure and functions of the subcutaneous tissue underlying the skin.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin

124.

What does structure “B” represent on the diagram?

A. hair follicle
B. sebaceous gland
C.

epidermis and dermis

D. hypodermis
E. arrector pili

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E02.02 Identify and describe the dermis and its layers, including the tissue types making up each dermal layer.
HAPS Objective: E02.03 Identify and describe the subcutaneous tissue, including the tissue types making up subcutaneous tissue.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02A. Describe the structure and function of the epidermis.
Learning Outcome: 05.02E. Describe the structure and discuss the function of the dermis.
Learning Outcome: 05.03A. Describe the structure and functions of the subcutaneous tissue underlying the skin.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin

125.

What does structure “C” represent on the diagram?

A. hypodermis
B.

epidermis and dermis

C. sebaceous gland
D. hair follicle
E. arrector pili

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E02.02 Identify and describe the dermis and its layers, including the tissue types making up each dermal layer.
HAPS Objective: E02.03 Identify and describe the subcutaneous tissue, including the tissue types making up subcutaneous tissue.
Learning Outcome: 05.02A. Describe the structure and function of the epidermis.
Learning Outcome: 05.02E. Describe the structure and discuss the function of the dermis.
Learning Outcome: 05.03A. Describe the structure and functions of the subcutaneous tissue underlying the skin.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin

126.

What does structure “D” represent on the diagram?

A. arrector pili
B. sebaceous gland
C. hypodermis
D. hair follicle
E.

epidermis and dermis

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E02.02 Identify and describe the dermis and its layers, including the tissue types making up each dermal layer.
HAPS Objective: E02.03 Identify and describe the subcutaneous tissue, including the tissue types making up subcutaneous tissue.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02A. Describe the structure and function of the epidermis.
Learning Outcome: 05.02E. Describe the structure and discuss the function of the dermis.
Learning Outcome: 05.03A. Describe the structure and functions of the subcutaneous tissue underlying the skin.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin

127.

What does structure “E” represent on the diagram?

A. arrector pili
B. hypodermis
C. sebaceous gland
D.

epidermis and dermis

E. hair follicle

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E02.02 Identify and describe the dermis and its layers, including the tissue types making up each dermal layer.
HAPS Objective: E02.03 Identify and describe the subcutaneous tissue, including the tissue types making up subcutaneous tissue.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02A. Describe the structure and function of the epidermis.
Learning Outcome: 05.02E. Describe the structure and discuss the function of the dermis.
Learning Outcome: 05.03A. Describe the structure and functions of the subcutaneous tissue underlying the skin.
Learning Outcome: 05.04A. Describe the structure of a hair, and discuss the phases of hair growth.
Section: 05.02
Section: 05.04
Topic: Integumentary System
Topic: Microscopic anatomy of skin

Bloom’s Level: 1. Remember
HAPS Topic: Module E Integumentary System
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin

128.

The figure illustrates keratinization in the epidermis. What layer of the epidermis is “A”?

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

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E02.01d Describe the processes of growth and keratinization of the epidermis.
HAPS Objective: E03.01b Explain how each of the five layers of the epidermis, as well as stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel cells and discs, keratin, and extracellular lipids, contributes to the functions of the epidermis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02B. Describe the epidermal strata, and relate them to the process of keratinization.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin

129.

The figure illustrates keratinization in the epidermis. What layer of the epidermis is “B”?

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

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E02.01d Describe the processes of growth and keratinization of the epidermis.
HAPS Objective: E03.01b Explain how each of the five layers of the epidermis, as well as stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel cells and discs, keratin, and extracellular lipids, contributes to the functions of the epidermis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02B. Describe the epidermal strata, and relate them to the process of keratinization.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin

130.

The figure illustrates keratinization in the epidermis. What layer of the epidermis is “C”?

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

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E02.01d Describe the processes of growth and keratinization of the epidermis.
HAPS Objective: E03.01b Explain how each of the five layers of the epidermis, as well as stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel cells and discs, keratin, and extracellular lipids, contributes to the functions of the epidermis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02B. Describe the epidermal strata, and relate them to the process of keratinization.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin

131.

The figure illustrates keratinization in the epidermis. What layer of the epidermis is “D”?

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

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E02.01d Describe the processes of growth and keratinization of the epidermis.
HAPS Objective: E03.01b Explain how each of the five layers of the epidermis, as well as stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel cells and discs, keratin, and extracellular lipids, contributes to the functions of the epidermis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02B. Describe the epidermal strata, and relate them to the process of keratinization.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin

132.

The figure illustrates keratinization in the epidermis. What layer of the epidermis is “E”?

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

Bloom’s Level: 1. Remember
HAPS Objective: E02.01b Identify and describe the layers of the epidermis, indicating which are found in thin skin and which are found in thick skin.
HAPS Objective: E02.01d Describe the processes of growth and keratinization of the epidermis.
HAPS Objective: E03.01b Explain how each of the five layers of the epidermis, as well as stem cells of stratum basale, keratinocytes, melanocytes, Langerhans cells, Merkel cells and discs, keratin, and extracellular lipids, contributes to the functions of the epidermis.
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.02B. Describe the epidermal strata, and relate them to the process of keratinization.
Section: 05.02
Topic: Integumentary System
Topic: Microscopic anatomy of skin

Bloom’s Level: 1. Remember
HAPS Topic: Module E Integumentary System
Section: 05.04
Topic: Integumentary System
Topic: Microscopic anatomy of skin

133.

The diagram illustrates glands of the skin. What does “A” represent?

A. sebaceous gland
B. eccrine sweat gland
C. sweat pore
D.

hair follicle

duct of eccrine sweat gland

F. apocrine sweat gland

Bloom’s Level: 1. Remember
HAPS Objective: E04.01a Identify the structure of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Objective: E04.01b Describe the location of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors) in the body.
HAPS Objective: E04.01c Describe the anatomy of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.04C. Name the glands of the skin, and describe the secretions they produce.
Section: 05.04
Topic: Anatomy of accessory skin structures
Topic: Integumentary System

134.

The diagram illustrates glands of the skin. What does “B” represent?

A. sweat pore
B.

hair follicle

C. eccrine sweat gland
D. sebaceous gland
E. apocrine sweat gland
F.

duct of eccrine sweat gland

Bloom’s Level: 1. Remember
HAPS Objective: E04.01a Identify the structure of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Objective: E04.01b Describe the location of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors) in the body.
HAPS Objective: E04.01c Describe the anatomy of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.04C. Name the glands of the skin, and describe the secretions they produce.
Section: 05.04
Topic: Anatomy of accessory skin structures
Topic: Integumentary System

135.

The diagram illustrates glands of the skin. What does “C” represent?

duct of eccrine sweat gland

B. sebaceous gland
C. sweat pore
D. apocrine sweat gland
E.

hair follicle

F. eccrine sweat gland

Bloom’s Level: 1. Remember
HAPS Objective: E04.01a Identify the structure of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Objective: E04.01b Describe the location of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors) in the body.
HAPS Objective: E04.01c Describe the anatomy of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.04C. Name the glands of the skin, and describe the secretions they produce.
Section: 05.04
Topic: Anatomy of accessory skin structures
Topic: Integumentary System

136.

The diagram illustrates glands of the skin. What does “D” represent?

A. sweat pore
B.

hair follicle

C. sebaceous gland
D.

duct of eccrine sweat gland

E. eccrine sweat gland
F. apocrine sweat gland

Bloom’s Level: 1. Remember
HAPS Objective: E04.01a Identify the structure of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Objective: E04.01b Describe the location of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors) in the body.
HAPS Objective: E04.01c Describe the anatomy of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.04C. Name the glands of the skin, and describe the secretions they produce.
Section: 05.04
Topic: Anatomy of accessory skin structures
Topic: Integumentary System

137.

The diagram illustrates glands of the skin. What does “E” represent?

hair follicle

duct of eccrine sweat gland

C. apocrine sweat gland
D. sweat pore
E. eccrine sweat gland
F. sebaceous gland

Bloom’s Level: 1. Remember
HAPS Objective: E04.01a Identify the structure of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Objective: E04.01b Describe the location of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors) in the body.
HAPS Objective: E04.01c Describe the anatomy of sweat glands (eccrine and apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors (Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptor, and temperature receptors).
HAPS Topic: Module E Integumentary System
Learning Outcome: 05.04C. Name the glands of the skin, and describe the secretions they produce.
Section: 05.04
Topic: Anatomy of accessory skin structures
Topic: Integumentary System

Check All That Apply Questions
138.

Identify the functions of the integumentary system.

_____

Blood cell production

__X__

Resistance to infection

__X__

Sensation of environmental stimuli

__X__

Thermoregulation

_____

Vitamin E synthesis

HAPS Topic: Module E Integumentary System
Learning Outcome: 5.01 A Describe the general functions of the integumentary system.
Section: 05.01
Topic: Integumentary System
Type: LearnSmart

Multiple Choice Questions
139.

Melanin is found in which cells?

Both melanocytes and keratinocytes

Only melanocytes

Both melanocytes and Langerhans cells

Only keratinocytes

HAPS Topic: Module E Integumentary System
Learning Outcome: 5.02 D. Explain the major factors affecting skin color.
Section: 05.02
Topic: Functions of skin tissue layers
Topic: Gross anatomy of skin
Topic: Integumentary System
Type: LearnSmart
Type: Study Guide

140.

Describe the movement of melanin in the skin.

Melanin is transferred from melanocytes to keratinocytes.

Melanin is transferred from melanocytes to Merkel cells.

Melanocytes carry melanin with them as they migrate toward the skin surface.

Melanin is transferred from keratinocytes to melanocytes.

HAPS Topic: Module E Integumentary System
Learning Outcome: 5.02 D. Explain the major factors affecting skin color.
Topic: Functions of skin tissue layers
Topic: Gross anatomy of skin
Topic: Integumentary System
Type: LearnSmart
Type: Study Guide

141.

The vesicles that contain melanin are called ______.

keratinocytes

Golgi apparatus

melanosomes

melanocytes

142.

Describe the effect of exposure to UV rays on the skin.

Improved skin tone

Increased vitamin B production

Increased melanin synthesis

Decreased cancer risk

HAPS Topic: Module E Integumentary System
Learning Outcome: 5.02 D. Explain the major factors affecting skin color.
Section: 05.02
Topic: Clinical applications of the integumentary system
Topic: Gross anatomy of skin
Topic: Integumentary System
Type: LearnSmart

143.

When the skin develops a reddish color due to a temporary increase in blood flow, the condition is called:

jaundice

albinism

cyanosis

erythema

HAPS Topic: Module E Integumentary System
Learning Outcome: 5.02 D. Explain the major factors affecting skin color.
Topic: Clinical applications of the integumentary system
Topic: Gross anatomy of skin
Topic: Integumentary System
Type: LearnSmart
Type: Study Guide

144.

A parent of an baby visits her pediatrician because her baby is turning orange. Fortunately, the baby’s lab tests indicate no abnormality. What could be causing the orange coloration?

The mother has been feeding the baby orange soda.

The baby’s diet consists of mostly sweet potatoes and carrots.

There is no logical explanation for this coloration change.

The baby was in the sun too long.

Check All That Apply Questions
145.

Indicate the statements that describe erythema.

__X__

It can be caused by emotions such as anger.

_____

It occurs during pregnancy when estrogen and melanocyte-stimulating hormone levels have increased.

__X__

It may occur in response to exposure to the cold.

__X__

It results from an inflammatory response.

__X__

It can be caused by emotions such as embarrassment.

146.

Indicate the factors that do NOT directly determine the amount and rate of melanin production in an individual.

_____

Exposure to light

_____

Genetic factors

_____

Hormones levels

_____

Ingestion of dark, leafy vegetables

__X__

Physical fitness

HAPS Topic: Module E Integumentary System
Learning Outcome: 5.02 D. Explain the major factors affecting skin color.
Section: 05.02
Topic: Integumentary System
Type: LearnSmart

Worksheet Questions
147.

The primary determinant for skin color is the amount of melanin, not the number of melanocytes.

HAPS Topic: Module E Integumentary System
Learning Outcome: 5.02 D. Explain the major factors affecting skin color.
Section: 05.02
Topic: Gross anatomy of skin
Topic: Integumentary System
Type: LearnSmart

Check All That Apply Questions
148.

Select the regions that are composed of loose connective tissue.

_____

Epidermis of the skin

__X__

Papillary layer of dermis

_____

Reticular layer of the dermis

__X__

Subcutaneous tissue or hypodermis

HAPS Topic: Module E Integumentary System
Learning Outcome: 5.03 A. Describe the structure and functions of the subcutaneous tissue underlying the skin.
Section: 05.03
Topic: Integumentary System
Topic: Microscopic anatomy of skin
Type: LearnSmart

True / False Questions
149.

True or False: The subcutaneous tissue is part of the skin or the integumentary system.

FALSE

Multiple Choice Questions
150.

Subcutaneous tissue contains of all of the following EXCEPT:

collagen and elastin fibers

macrophages

stratified squamous epithelial tissue

fibroblasts and adipocytes

loose connective tissue

Check All That Apply Questions
151.

Indicate the statements that apply to the arrector pili.

__X__

They consist of smooth muscle cells

__X__

They are associated with hair follicles

__X__

They extend from the dermal root sheath to the papillary layer of the dermis

_____

They extend from the root sheath to the basement membrane of the epidermis

HAPS Topic: Module E Integumentary System
Learning Outcome: 5.04 B. Explain the function of the arrector pili muscle.
Section: 05.04
Topic: Anatomy of accessory skin structures
Topic: Integumentary System
Type: LearnSmart

Multiple Choice Questions
152.

The contraction of the arrector pili:

pulls the follicle into a more perpendicular position in relation to the skin surface

pulls the follicle into a more oblique angle in relation to the skin surface

153.

Name the layer from which fingernails and toenails are derived.

Hypodermis

Epidermis

Dermis

HAPS Topic: Module E Integumentary System
Learning Outcome: 5.04 D. Describe the parts of a nail and explain how nails grow.
Section: 05.04
Topic: Anatomy of accessory skin structures
Topic: Integumentary System
Type: LearnSmart
Type: Study Guide

154.

Fingernails are comprised of:

collagen deposited by the lunula and the matrix

proteins secreted by the nail groove from the matrix

epithelial and collagen fibers produced in the dermis

thin, dead scaly cells

155.

Which region of the nail contains the stratum basale layer?

the cuticle

the hyponychium

the free edge

the matrix

156.

Touch receptors of the skin are located in all of these areas, except:

in the dermis

within the hair of the dermis and epidermis

in the epidermis

in the dermal papillae

around the base of the hair follicle

HAPS Topic: Module E Integumentary System
Learning Outcome: 5.05 B. Explain how the skin acts as a sense organ.
Section: 05.05
Topic: Anatomy of accessory skin structures
Topic: Integumentary System
Type: LearnSmart
Type: Study Guide

Check All That Apply Questions
157.

The dermis contains receptors that detect:

__X__

changes in pressure

_____

pH differences

__X__

pain

__X__

touch

__X__

variations in temperature

HAPS Topic: Module E Integumentary System
Learning Outcome: 5.05 B. Explain how the skin acts as a sense organ.
Topic: Anatomy of accessory skin structures
Topic: Integumentary System
Type: LearnSmart

Multiple Choice Questions
158.

A burn classified as partial thickness could be _____.

epidermal or dermal

first or second degree

second or third degree

thin or deep

HAPS Topic: Module E Integumentary System
Learning Outcome: 5.06 A. Classify burns on the basis of the amount of skin damage produced.
Section: 05.06
Topic: Clinical applications of the integumentary system
Topic: Integumentary System
Type: LearnSmart

Check All That Apply Questions
159.

Indicate the statements that correctly describe partial thickness burns.

__X__

They are subdivided into first- and second-degree burns

__X__

They may involve only the epidermis

_____

They are also called third degree burns

_____

They involve the complete destruction of the epidermis and dermis

HAPS Topic: Module E Integumentary System
Learning Outcome: 5.04 A. Describe the structure of a hair and discuss the phases of hair growth.
Section: 05.04
Topic: Clinical applications of the integumentary system
Topic: Integumentary System
Type: LearnSmart

Multiple Choice Questions
160.

The effects of aging on the skin include all of the following except:

loss of fat from the subcutaneous tissue

thinner epidermis

increases in sebaceous gland activity

reduction in collagen and elastin

HAPS Topic: Module E Integumentary System
Learning Outcome: 5.07 A. List the changes the integumentary system undergoes with age.
Section: 05.07
Topic: Effects of aging on the integumentary system
Topic: Integumentary System
Type: LearnSmart
Type: Study Guide

161.

Which of the following is the most common form of skin cancer?

Small cell carcinoma

Squamous cell carcinoma

Basal cell carcinoma

Melanoma

HAPS Topic: Module E Integumentary System
Learning Outcome: 5.07 A. List the changes the integumentary system undergoes with age.
Learning Outcome: Clinical Impact
Section: 05.07
Topic: Clinical applications of the integumentary system
Topic: Integumentary System
Type: LearnSmart
Type: Study Guide

162.

Which of the following people would have the greatest risk of getting skin cancer?

A 31-year old dark-skinned male

A 23-year old female with blond hair and hazel eyes

A 55-year old male with brown hair and brown eyes

A 68-year old male with blond hair and blue eyes

Check All That Apply Questions
163. One function of the integumentary system is to act as a barrier to bacteria, however there are many microbes that already live on or in our bodies without causing infections. Some treatments for acne include specific oral antibiotics, such as erythromycin and tetracycline, to reduce the amount of Propionibacterium acnes on the skin and in the follicles. Knowing there are both ‘good’ and ‘bad’ bacterial forms of P. acnes, which of the following statements about using antibiotics is true? Check all that apply.
__X__

Some “good” bacteria are reduced.

__X__

Some “bad” bacteria are reduced.

_____

Only “bad” bacteria are reduced.

__X__

Some new bacterial infections can begin.

__X__

Some new bacterial infections can be prevented.

_____

Only old infections can be controlled.

__X__

Some “good” bacteria can become resistant and therefore lead to more infections.

__X__

Some “bad” bacteria can become resistant and therefore lead to more infections.

HAPS Topic: Module E Integumentary System
Learning Outcome: 5.04 C. Name the glands of the skin and describe the secretions they produce.
Learning Outcome: Clinical Impact
Learning Outcome: Microbes in Your Body
Section: 05.04
Topic: Anatomy of accessory skin structures
Topic: Clinical applications of the integumentary system
Topic: Integumentary System
Type: Clinical

True / False Questions
164.

The acne-associated bacterium Propionibacterium acnes are found in sebum-rich of the skin, such as the arms, palms, and axillary regions.

FALSE

HAPS Topic: Module E Integumentary System
Learning Outcome: 5.04 C. Name the glands of the skin and describe the secretions they produce.
Learning Outcome: Clinical Impact
Learning Outcome: Microbes in Your Body
Topic: Anatomy of accessory skin structures
Topic: Clinical applications of the integumentary system
Topic: Integumentary System

Multiple Choice Questions
165.

A recent study demonstrated that there are three unique strains of Propionibacterium acnes; two strains are more prevalent in people with acne; however, one of which appears not to be pathogenic to humans and is more prevalent in people with ‘clear’ skin. Additionally, the strain of P. acnes found in healthy skin kills the of invading bacteria, including the pathogenic P. acnes. Which of the following statements about the targeted removal of ‘bad’ P. acnes and addition of ‘good’ P. acnes is INCORRECT?

Once removed, the invading pathogenic P. acnes can not regrow on the skin.

After “bad” P. acnes is removed, the applications of “good” P. acnes should be able to grow and kill invasive bacteria.

True / False Questions
166. Scientists, studying skin microbes, have identified three unique strains of the bacterium P. acnes., all of which are found on the skin. These bacteria break down fats, resulting an a low skin pH. This low pH is alkaline in nature and makes the environment unfavorable to invading bacteria.

FALSE

Check All That Apply Questions
167. Which four factors are believed to be responsible for acne? Check the four that apply.
_____

Overproduction of sweat by eccrine glands

__X__

Bacteria, including Propionibacterium acnes

__X__

Hormone levels

_____

Viruses, including Herpes virus

_____

Sugary and fried food

__X__

Overproduction of sebum by sebaceous glands

__X__

Abnormal production of cells

168.

Accutane (Isotretinoin) is a prescriptive drug used for treatment of severe acne by reducing the production of sebum. However this drug tends to have significant side effects including increased intracranial pressure, depression, clinical hepatitis and acute pancreatitis. Based on what you have learned about sebum, what would be the side effects of decreased sebum production for the integumentary system? Check all that apply.

__X__

Increased infections

__X__

Brittle hair

_____

Oily skin

__X__

Increased water loss from skin

__X__

Cracked skin

Multiple Choice Questions
169.

Some drugs for treating acne include peroxides that increases ‘peeling’ or shedding of skin. This drugs’ side effects include drying of the skin, redness, rashes, bleaching and possible loss of hair in areas in contact. Do peroxides have an effect on the sebum-production?

Yes, the effect is on the dermis and the sebaceous glands are located there.

No, the effect is on the dermis and the sebaceous glands are located there.

No, the effect is on the epidermis and the sebaceous glands are located there.

Yes, the effect is on the epidermis and the sebaceous glands are located there.

HAPS Topic: Module E Integumentary System
Learning Outcome: 5.02 E. Describe the structure and functions of the dermis.
Learning Outcome: 5.04 C. Name the glands of the skin and describe the secretions they produce.
Learning Outcome: Clinical Impact
Learning Outcome: Microbes in Your Body
Section: 05.02
Section: 05.04
Topic: Anatomy of accessory skin structures
Topic: Clinical applications of the integumentary system
Topic: Integumentary System

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