Seeley’s Essentials of Anatomy & Physiology 10Th Edition By Cinnamon VanPutte – Test Bank

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Seeley’s Essentials of Anatomy & Physiology, 10e (VanPutte)

Chapter 5 Integumentary System

1) Racial variations in skin color are determined by

A) the number of melanocytes.

B) the amount and type of melanin produced.

C) the distribution and deposition of melanin.

D) All of the choices are correct.

E) Both “the number of melanocytes” and “the distribution and deposition of melanin produced”

are correct.

Answer: E

Section: 05.02 The Skin

Topic: Gross anatomy of skin; Microscopic anatomy of skin

Bloom’s: 2. Understand

Learning Outcome: 05.02C Explain how melanin, blood, carotene, and collagen affect skin

color.

HAPS Learning Outcome: E02.04A With respect to skin color: Describe the three pigments

most responsible for producing the various skin colors.; E02.04B With respect to skin color:

Name the layers of the skin that contain each of these pigments.

2) A burn is an injury to a tissue caused by

A) exposure to excess heat.

B) exposure to excess cold.

C) friction.

D) exposure to chemicals.

E) All of the choices are correct.

Answer: E

Section: 05.07 Burns

Topic: Clinical applications of the integumentary system

Bloom’s: 2. Understand

Learning Outcome: 05.07A Classify burns on the basis of the amount of skin damage produced.

HAPS Learning Outcome: E06.01 Predict factors or situations affecting the integumentary

system that could disrupt homeostasis.

1

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No reproduction or distribution without the prior written consent of McGraw-Hill Education.3) The subcutaneous tissue

A) is also called hypodermis.

B) is loose connective tissue that attaches the skin to underlying bone and muscle.

C) is important for padding and insulation.

D) contains about half of the body’s stored lipids.

E) All of the choices are correct.

Answer: E

Section: 05.03 Subcutaneous Tissue

Topic: Functions of the subcutaneous layer

Bloom’s: 2. Understand

Learning Outcome: 05.03A Describe the structure and discuss the function of the subcutaneous

tissue.

HAPS Learning Outcome: E02.03 Identify and describe the subcutaneous tissue, including the

tissue types making up subcutaneous tissue.; E03.03A With respect to the subcutaneous layer:

Describe the functions of the subcutaneous layer.; E03.03C With respect to the subcutaneous

layer: Describe the thermoregulatory role played by adipose tissue in the subcutaneous layer.

4) Fingerprints and footprints are produced by dermal projections into the epidermis called

________.

A) striae

B) cleavage lines

C) papillae

D) reticular lines

E) subcutaneous tissue

Answer: C

Section: 05.02 The Skin

Topic: Microscopic anatomy of skin

Bloom’s: 1. Remember

Learning Outcome: 05.02D Describe the structure and discuss the function of the dermis.

HAPS Learning Outcome: E02.02 Identify and describe the dermis and its layers, including the

tissue types making up each dermal layer.

2

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No reproduction or distribution without the prior written consent of McGraw-Hill Education.5) The stratum corneum of the epidermis

A) consists of continuously dividing cells.

B) can become thickened and form a structure called a callus or corn.

C) has cells that are continuously moving toward the stratum basale.

D) has cells that synthesize melanin.

E) All of the choices are correct.

Answer: B

Section: 05.02 The Skin

Topic: Microscopic anatomy of skin

Bloom’s: 2. Understand

Learning Outcome: 05.02B Describe the epidermal strata, and relate them to the process of

keratinization.

HAPS Learning Outcome: E02.01B With respect to the epidermis: Identify and describe the

layers of the epidermis, indicating which are found in thin skin and which are found in thick

skin.; E02.01D With respect to the epidermis: Describe the processes of growth and

keratinization of the epidermis.

6) Melanin

A) is a pigment produced by cells in the stratum corneum.

B) is produced by melanocytes.

C) is responsible for cyanosis.

D) is responsible for birthmarks.

E) All of the choices are correct.

Answer: B

Section: 05.02 The Skin

Topic: Microscopic anatomy of skin

Bloom’s: 1. Remember

Learning Outcome: 05.02C Explain how melanin, blood, carotene, and collagen affect skin

color.

HAPS Learning Outcome: E02.04A With respect to skin color: Describe the three pigments

most responsible for producing the various skin colors.

3

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No reproduction or distribution without the prior written consent of McGraw-Hill Education.7) Paul is on the newest diet craze. After a couple of weeks of eating only carrots and carrot-

based products, he begins to notice that his skin has a decidedly yellowish tint. This is because

A) excess carotene from his diet has accumulated in the lipids of the stratum corneum.

B) liver damage has occurred, and bile pigments are building up.

C) excess melanin from his diet has accumulated in the lipids of the dermis.

D) he has recently been exposed to a lot of ultraviolet light.

E) his change in diet has nothing to due with the yellowish tint. It is just a natural change due to

aging.

Answer: A

Section: 05.02 The Skin

Topic: Microscopic anatomy of skin

Bloom’s: 4. Analyze

Learning Outcome: 05.02C Explain how melanin, blood, carotene, and collagen affect skin

color.

HAPS Learning Outcome: E02.04A With respect to skin color: Describe the three pigments

most responsible for producing the various skin colors.; E02.04B With respect to skin color:

Name the layers of the skin that contain each of these pigments.

8) Redness of the skin can result from all of the following except

A) the inflammatory response.

B) anger or blushing.

C) exposure to heat.

D) mildly cool temperatures.

E) All of the choices are correct.

Answer: D

Section: 05.02 The Skin

Topic: Gross anatomy of skin

Bloom’s: 2. Understand

Learning Outcome: 05.02C Explain how melanin, blood, carotene, and collagen affect skin

color.

HAPS Learning Outcome: E02.04A With respect to skin color: Describe the three pigments

most responsible for producing the various skin colors.; E02.04B With respect to skin color:

Name the layers of the skin that contain each of these pigments.

4

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No reproduction or distribution without the prior written consent of McGraw-Hill Education.9) One type of experimental contraceptive device is a skin patch that contains a chemical

absorbed through the skin. Which of the following substances would most likely be the type of

chemical involved?

A) A protein

B) Substances dissolved in water

C) A steroid

D) A carbohydrate

E) A protein associated with a carbohydrate

Answer: C

Section: 05.02 The Skin

Topic: Gross anatomy of skin

Bloom’s: 3. Apply

Learning Outcome: 05.02A Describe the structure and function of the epidermis.

HAPS Learning Outcome: E02.01A With respect to the epidermis: Identify and describe the

tissue type making up the epidermis.

10) A hair is formed or made by cells within the

A) hair shaft.

B) hair root.

C) arrector pili.

D) cuticle.

E) hair bulb.

Answer: E

Section: 05.04 Accessory Skin Structures

Topic: Anatomy of accessory skin structures

Bloom’s: 1. Remember

Learning Outcome: 05.04A Describe the structure of a hair, and discuss the phases of hair

growth.

HAPS Learning Outcome: E04.01C With respect to the following sweat glands (eccrine and

apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors

(Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptors, and temperature

receptors): Describe the anatomy of each structure.

5

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No reproduction or distribution without the prior written consent of McGraw-Hill Education.11) Hair color

A) is determined by the varying amounts and types of melanin.

B) can fade with age.

C) is produced by the melanocytes in the hair bulb.

D) All of the choices are correct.

E) None of the choices are correct.

Answer: D

Section: 05.04 Accessory Skin Structures

Topic: Anatomy of accessory skin structures

Bloom’s: 2. Understand

Learning Outcome: 05.04A Describe the structure of a hair, and discuss the phases of hair

growth.

HAPS Learning Outcome: E04.01C With respect to the following sweat glands (eccrine and

apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors

(Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptors, and temperature

receptors): Describe the anatomy of each structure.

12) Which of the following statements about glands of the skin is true?

A) Sebaceous glands produce an oily white substance rich in lipids.

B) Sebum is important in cooling the body.

C) Eccrine sweat glands become active at puberty because of the influence of sex hormones.

D) Eccrine sweat glands produce a thick secretion rich in organic substances.

E) All of the choices are correct.

Answer: A

Section: 05.04 Accessory Skin Structures

Topic: Functions of accessory skin structures

Bloom’s: 2. Understand

Learning Outcome: 05.04A Describe the structure of a hair, and discuss the phases of hair

growth.

HAPS Learning Outcome: E04.01D With respect to the following sweat glands (eccrine and

apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors

(Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptors, and temperature

receptors): Describe the function of each structure.

6

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No reproduction or distribution without the prior written consent of McGraw-Hill Education.13) The nail grows from the

A) nail body.

B) nail matrix.

C) eponychium.

D) lunula.

E) stratum corneum.

Answer: B

Section: 05.04 Accessory Skin Structures

Topic: Anatomy of accessory skin structures

Bloom’s: 1. Remember

Learning Outcome: 05.04C Describe the parts of a nail, and explain how nails grow.

HAPS Learning Outcome: E04.01C With respect to the following sweat glands (eccrine and

apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors

(Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptors, and temperature

receptors): Describe the anatomy of each structure.

14) The lunula is part of the

A) nail body.

B) eponychium.

C) nail matrix.

D) stratum corneum.

E) nail root.

Answer: C

Section: 05.04 Accessory Skin Structures

Topic: Anatomy of accessory skin structures

Bloom’s: 1. Remember

Learning Outcome: 05.04C Describe the parts of a nail, and explain how nails grow.

HAPS Learning Outcome: E04.01C With respect to the following sweat glands (eccrine and

apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors

(Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptors, and temperature

receptors): Describe the anatomy of each structure.

7

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No reproduction or distribution without the prior written consent of McGraw-Hill Education.15) Which of the following statements is FALSE?

A) Nails grow continually and do not have a resting stage.

B) The nail consists of layers of living cells from the stratum corneum.

C) The cells of a nail are filled with a special hard type of keratin.

D) The nail matrix and nail bed have a stratum basale.

E) The production of cells within the nail matrix results in the growth of the nail.

Answer: B

Section: 05.04 Accessory Skin Structures

Topic: Anatomy of accessory skin structures

Bloom’s: 2. Understand

Learning Outcome: 05.04C Describe the parts of a nail, and explain how nails grow.

HAPS Learning Outcome: E04.01C With respect to the following sweat glands (eccrine and

apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors

(Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptors, and temperature

receptors): Describe the anatomy of each structure.

16) When exposed to the cold, the ears and nose may appear red. This is because

A) blood vessels in the nose and ears have constricted to conserve heat.

B) cyanosis occurs when blood flow slows down.

C) the nose and ears have a thicker, more keratinized stratum corneum than the rest of the face.

D) cold causes an inflammatory reaction in the nose and ears.

E) blood vessels dilate to prevent tissue damage from the cold.

Answer: E

Section: 05.02 The Skin; 05.05 Physiology of the Integumentary System

Topic: Functions of skin tissue layers; Gross anatomy of skin

Bloom’s: 4. Analyze

Learning Outcome: 05.02D Describe the structure and discuss the function of the dermis.;

05.05A Discuss the specific functions of skin, hair, glands, and nails.

HAPS Learning Outcome: E01.01 Describe the general functions of the skin.; E02.04A With

respect to skin color: Describe the three pigments most responsible for producing the various

skin colors.; E02.04B With respect to skin color: Name the layers of the skin that contain each of

these pigments.

8

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No reproduction or distribution without the prior written consent of McGraw-Hill Education.17) Vitamin D

A) stimulates calcium and phosphate uptake in the small intestine.

B) is formed from a precursor molecule that is made when skin is exposed to ultraviolet light.

C) is formed from a precursor molecule that is modified in the liver and kidneys.

D) may be required in the diet if a person is exposed to very little ultraviolet light.

E) All of the choices are correct.

Answer: E

Section: 05.02 The Skin

Topic: General functions of skin and the subcutaneous layer

Bloom’s: 2. Understand

Learning Outcome: 05.05A Discuss the specific functions of skin, hair, glands, and nails.

HAPS Learning Outcome: E01.01 Describe the general functions of the skin.

18) Which of the following functions of the integumentary system is NOT correctly matched

with an example?

A) Sensation—Pain, heat, cold, and pressure receptors in the skin.

B) Temperature regulation—Radiation and convection of heat from blood flowing in the dermis.

C) Excretion—Hydrogen ions are moved from the skin into the urine.

D) Vitamin D production—Active vitamin D is produced from a precursor molecule.

E) All of the choices are correct.

Answer: C

Section: 05.02 The Skin

Topic: General functions of skin and the subcutaneous layer

Bloom’s: 2. Understand

Learning Outcome: 05.05A Discuss the specific functions of skin, hair, glands, and nails.

HAPS Learning Outcome: E01.01 Describe the general functions of the skin.

19) Which of the following is NOT a characteristic of aging of the integumentary system?

A) Loss of elastic fibers in the skin

B) Increase in activity of sweat and sebaceous glands

C) Decreased number of melanocytes

D) Loss of pigment in hair

E) Skin becomes thinner and more transparent.

Answer: B

Section: 05.09 Effects of Aging on the Integumentary System

Topic: Effects of aging on the integumentary system

Bloom’s: 2. Understand

Learning Outcome: 05.09A List the changes the integumentary system undergoes with age.

HAPS Learning Outcome: E06.01 Predict factors or situations affecting the integumentary

system that could disrupt homeostasis.

9

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No reproduction or distribution without the prior written consent of McGraw-Hill Education.20) Which of the following conditions is NOT correctly paired with its symptoms?

A) Vitamin A deficiency—Excess keratin deposits in skin leading to sand paper-like texture.

B) Iron-deficiency anemia—Nails become flat or concave (spoon-like)

C) Psoriasis—Circular scaly lesions

D) Cyanosis—Bluish color of skin resulting from decreased blood oxygen content

E) Acne—Inflammation of hair follicles and sebaceous glands

Answer: C

Section: 05.06 Integumentary System as a Diagnostic Aid

Topic: Clinical applications of the integumentary system

Bloom’s: 2. Understand

Learning Outcome: 05.06A Explain how the integumentary system can be used as a diagnostic

aid.

HAPS Learning Outcome: E06.01 Predict factors or situations affecting the integumentary

system that could disrupt homeostasis.

21) Which of the following statements is FALSE about the integumentary system?

A) The condition of the skin, hair, and nails is affected by nutritional status.

B) Intact skin plays an important role in preventing water loss, because its lipids act as a barrier

to osmosis.

C) Keratin in the epidermis absorbs ultraviolet light and protects the underlying structures from

its damaging effects.

D) Hair acts as a heat insulator and protective barrier.

E) Vitamin D stimulates the uptake of calcium and phosphate in the intestine.

Answer: C

Section: 05.05 Physiology of the Integumentary System

Topic: General functions of skin and the subcutaneous layer

Bloom’s: 2. Understand

Learning Outcome: 05.05A Discuss the specific functions of skin, hair, glands, and nails.

HAPS Learning Outcome: E01.01 Describe the general functions of the skin.

22) Third-degree burns

A) are also called partial-thickness burns.

B) cause immediate pain.

C) involve only the epidermis.

D) result in excessive fluid loss.

E) All of the choices are correct.

Answer: D

Section: 05.07 Burns

Topic: Clinical applications of the integumentary system

Bloom’s: 2. Understand

Learning Outcome: 05.07A Classify burns on the basis of the amount of skin damage produced.

HAPS Learning Outcome: E06.01 Predict factors or situations affecting the integumentary

system that could disrupt homeostasis.

10

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No reproduction or distribution without the prior written consent of McGraw-Hill Education.23) Chef Brandi suffered a burn on her arm when a kettle of spaghetti sauce exploded. The

doctor, using a forceps, pulls on a hair within the area that is burned. The hair easily pulls out.

What degree of burn did the patient have?

A) First-degree burn

B) Second-degree burn

C) Third-degree burn

Answer: C

Section: 05.07 Burns

Topic: Clinical applications of the integumentary system

Bloom’s: 4. Analyze

Learning Outcome: 05.07A Classify burns on the basis of the amount of skin damage produced.

HAPS Learning Outcome: E06.01 Predict factors or situations affecting the integumentary

system that could disrupt homeostasis.

24) Malignant melanoma

A) is the least dangerous form of skin cancer.

B) usually arises from melanocytes in a preexisting mole.

C) rarely metastasizes.

D) is the most common type of skin cancer.

E) is the least dangerous form of skin cancer and usually arises from melanocytes in a

preexisting mole.

Answer: B

Section: 05.08 Skin Cancer

Topic: Clinical applications of the integumentary system

Bloom’s: 2. Understand

Learning Outcome: 05.08A Name and define the types of skin cancer.

HAPS Learning Outcome: E06.01 Predict factors or situations affecting the integumentary

system that could disrupt homeostasis.

25) Which of the following statements is true concerning skin cancer?

A) Basal cell carcinoma produces an open ulcer.

B) Squamous cell carcinoma often arises from a preexisting mole.

C) Squamous cell carcinoma arises from cells within the stratum basale.

D) Malignant melanoma poses little danger of metastasis.

E) All of the choices are correct.

Answer: A

Section: 05.08 Skin Cancer

Topic: Clinical applications of the integumentary system

Bloom’s: 2. Understand

Learning Outcome: 05.08A Name and define the types of skin cancer.

HAPS Learning Outcome: E06.01 Predict factors or situations affecting the integumentary

system that could disrupt homeostasis.

26) To be safe and effective, sunscreen preparations should block

11

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No reproduction or distribution without the prior written consent of McGraw-Hill Education.A) UVA only.

B) UVB only.

C) both UVA and UVB.

D) all forms of radiation other than UVA or UVB.

Answer: C

Section: 05.08 Skin Cancer

Topic: Clinical applications of the integumentary system; Integumentary System

Bloom’s: 1. Remember

Learning Outcome: 05.08A Name and define the types of skin cancer.

27) Given that viruses are not affected by antibiotics, which of the following types of skin

infection might be successfully treated with an antibiotic?

A) Cold sores

B) Chicken pox

C) Acne

D) Warts

E) All of the choices are correct.

Answer: C

Section: 05.06 Integumentary System as a Diagnostic Aid

Topic: Clinical applications of the integumentary system

Bloom’s: 3. Apply

Learning Outcome: 05.06A Explain how the integumentary system can be used as a diagnostic

aid.

HAPS Learning Outcome: E06.02 Predict the types of problems that would occur in the body if

the integumentary system could not maintain homeostasis.

28) The shaft is a structural component found associated with

A) hair (or hair follicle).

B) nails (or nail bed).

C) glands.

D) sensory receptors.

Answer: A

Section: 05.04 Accessory Skin Structures

Topic: Anatomy of accessory skin structures

Bloom’s: 2. Understand

Learning Outcome: 05.04A Describe the structure of a hair, and discuss the phases of hair

growth.

HAPS Learning Outcome: E04.01C With respect to the following sweat glands (eccrine and

apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors

(Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptors, and temperature

receptors): Describe the anatomy of each structure.

29) The type of glands that open on surface of skin and have a watery secretion are

A) eccrine sweat glands.

12

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No reproduction or distribution without the prior written consent of McGraw-Hill Education.B) apocrine sweat glands.

C) sebaceous glands.

D) both eccrine and apocrine sweat glands.

E) All of the choices are correct.

Answer: A

Section: 05.04 Accessory Skin Structures

Topic: Functions of accessory skin structures

Bloom’s: 2. Understand

Learning Outcome: 05.04B Name the glands of the skin, and describe the secretions they

produce.

HAPS Learning Outcome: E04.01D With respect to the following sweat glands (eccrine and

apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors

(Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptors, and temperature

receptors): Describe the function of each structure.

30) The type of glands that open into a hair follicle and have a thick organic secretion are

A) eccrine sweat glands.

B) apocrine sweat glands.

C) sebaceous glands.

D) both eccrine and apocrine sweat glands.

E) All of the choices are correct.

Answer: B

Section: 05.04 Accessory Skin Structures

Topic: Functions of accessory skin structures

Bloom’s: 2. Understand

Learning Outcome: 05.04B Name the glands of the skin, and describe the secretions they

produce.

HAPS Learning Outcome: E04.01D With respect to the following sweat glands (eccrine and

apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors

(Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptors, and temperature

receptors): Describe the function of each structure.

13

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No reproduction or distribution without the prior written consent of McGraw-Hill Education.31) The type of glands that open into a hair follicle and produce sebum are

A) eccrine sweat glands.

B) apocrine sweat glands.

C) sebaceous glands.

D) both eccrine and apocrine sweat glands.

E) All of the choices are correct.

Answer: C

Section: 05.04 Accessory Skin Structures

Topic: Functions of accessory skin structures

Bloom’s: 2. Understand

Learning Outcome: 05.04B Name the glands of the skin, and describe the secretions they

produce.

HAPS Learning Outcome: E04.01D With respect to the following sweat glands (eccrine and

apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors

(Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptors, and temperature

receptors): Describe the function of each structure.

32) The type of glands that lubricate skin and hair and protect against some bacteria are

A) eccrine sweat glands.

B) apocrine sweat glands.

C) sebaceous glands.

D) both eccrine and apocrine sweat glands.

E) All of the choices are correct.

Answer: C

Section: 05.04 Accessory Skin Structures

Topic: Functions of accessory skin structures

Bloom’s: 2. Understand

Learning Outcome: 05.04B Name the glands of the skin, and describe the secretions they

produce.

HAPS Learning Outcome: E04.01D With respect to the following sweat glands (eccrine and

apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors

(Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptors, and temperature

receptors): Describe the function of each structure.

14

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No reproduction or distribution without the prior written consent of McGraw-Hill Education.33) Which type of glands help to cool the body?

A) Eccrine sweat glands

B) Apocrine sweat glands

C) Sebaceous glands

D) Both eccrine and apocrine sweat glands

E) All of the choices are correct.

Answer: A

Section: 05.04 Accessory Skin Structures

Topic: Functions of accessory skin structures

Bloom’s: 2. Understand

Learning Outcome: 05.04B Name the glands of the skin, and describe the secretions they

produce.

HAPS Learning Outcome: E04.01D With respect to the following sweat glands (eccrine and

apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors

(Merkel cell, Meissners and Pacinian corpuscles, hair follicle receptors, and temperature

receptors): Describe the function of each structure.

34) Cyanosis is caused by

A) altered blood flow to the skin (overall or in small areas).

B) increased number of active melanocytes.

C) collection of abnormal pigment (not melanin) in the skin.

D) decreased oxygen content of blood.

E) increased production of melanin by normal number of melanocytes.

Answer: D

Section: 05.06 Integumentary System as a Diagnostic Aid

Topic: Clinical applications of the integumentary system

Bloom’s: 2. Understand

Learning Outcome: 05.06A Explain how the integumentary system can be used as a diagnostic

aid.

HAPS Learning Outcome: E05.02 Explain how the integumentary system relates to other body

systems to maintain homeostasis.

15

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No reproduction or distribution without the prior written consent of McGraw-Hill Education.35) Jaundice is caused by

A) altered blood flow to the skin (overall or in small areas).

B) increased number of active melanocytes.

C) collection of abnormal bile pigment in the skin.

D) decreased oxygen content of blood.

E) increased production of melanin by normal number of melanocytes.

Answer: C

Section: 05.06 Integumentary System as a Diagnostic Aid

Topic: Clinical applications of the integumentary system

Bloom’s: 2. Understand

Learning Outcome: 05.06A Explain how the integumentary system can be used as a diagnostic

aid.

HAPS Learning Outcome: E05.02 Explain how the integumentary system relates to other body

systems to maintain homeostasis.

36) Which one of the following is NOT a function of the integumentary system?

A) Protection against abrasion and UV light

B) Regulation of body temperature by controlling blood flow

C) Excretion of small amounts of waste products

D) Vitamin A production with exposure to UV light

E) Detection of heat, cold, pressure, and pain sensations

Answer: D

Section: 05.01 Functions of the Integumentary System

Topic: General functions of skin and the subcutaneous layer

Bloom’s: 2. Understand

Learning Outcome: 05.01A Describe the general functions of the integumentary system.

HAPS Learning Outcome: E01.01 Describe the general functions of the skin.; E01.02 Describe

the general functions of the subcutaneous layer (also known as the hypodermis or superficial

fascia).

16

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No reproduction or distribution without the prior written consent of McGraw-Hill Education.37) The ________ is the layer of the skin made of epithelial tissue, and the ________ is

composed of dense connective tissue.

A) epidermis; dermis

B) epidermis; subcutaneous tissue

C) dermis; epidermis

D) dermis; subcutaneous tissue

E) subcutaneous tissue; dermis

Answer: A

Section: 05.02 The Skin

Topic: Microscopic anatomy of skin

Bloom’s: 2. Understand

Learning Outcome: 05.02A Describe the structure and function of the epidermis.; 05.02C

Describe the structure and discuss the function of the dermis.

HAPS Learning Outcome: E02.01A With respect to the epidermis: Identify and describe the

tissue type making up the epidermis.; E02.02 Identify and describe the dermis and its layers,

including the tissue types making up each dermal layer.

17

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No reproduction or distribution without the prior written consent of McGraw-Hill Education.Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.

38) In the figure, the letter F best represents the

A) epidermis.

B) dermis.

C) subcutaneous tissue.

D) arrector pili muscle.

E) hair follicle.

Answer: B

Section: 05.02 The Skin

Topic: Microscopic anatomy of skin

Bloom’s: 1. Remember

Learning Outcome: 05.02D Describe the structure and discuss the function of the dermis.

HAPS Learning Outcome: E02.02 Identify and describe the dermis and its layers, including the

tissue types making up each dermal layer.

18

Copyright © 2019 McGraw-Hill Education. All rights reserved.

No reproduction or distribution without the prior written consent of McGraw-Hill Education.39) In the figure, the letter A best represents

A) a sweat gland.

B) a sebaceous gland.

C) the subcutaneous tissue.

D) an arrector pili muscle.

E) a hair follicle.

Answer: B

Section: 05.04 Accessory Skin Structures

Topic: Anatomy of accessory skin structures

Bloom’s: 1. Remember

Learning Outcome: 05.04B Name the glands of the skin, and describe the secretions they

produce.

HAPS Learning Outcome: E04.01C With respect to the following sweat glands (eccrine and

apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors

(Merkel cell, Meissners)

40) Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or

display.

In the figure, the letter B best represents the

A) cortex.

B) cuticle.

C) papilla.

D) arrector pili muscle.

E) medulla.

Answer: E

Section: 05.04 Accessory Skin Structures

Topic: Anatomy of accessory skin structures

Bloom’s: 1. Remember

Learning Outcome: 05.04A Describe the structure of a hair, and discuss the phases of hair

growth.

HAPS Learning Outcome: E04.01C With respect to the following sweat glands (eccrine and

apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors

(Merkel cell, Meissners)

19

Copyright © 2019 McGraw-Hill Education. All rights reserved.

No reproduction or distribution without the prior written consent of McGraw-Hill Education.Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.

41) In the figure, the letter A best represents the

A) nail bed.

B) nail root.

C) nail matrix.

D) free edge.

E) eponychium.

Answer: E

Section: 05.04 Accessory Skin Structures

Topic: Anatomy of accessory skin structures

Bloom’s: 1. Remember

Learning Outcome: 05.04C Describe the parts of a nail, and explain how nails grow.

HAPS Learning Outcome: E04.01C With respect to the following sweat glands (eccrine and

apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors

(Merkel cell, Meissners)

42) The site of nail growth is at the structure labeled with the

A) letter A

B) letter B

C) letter C

D) letter D

E) letter E

Answer: C

Section: 05.04 Accessory Skin Structures

Topic: Functions of accessory skin structures

Bloom’s: 2. Understand

Learning Outcome: 05.04C Describe the parts of a nail, and explain how nails grow.

HAPS Learning Outcome: E04.01D With respect to the following sweat glands (eccrine and

apocrine), sebaceous glands, nails, hair (follicle and arrector pili muscle), and sensory receptors

(Merkel cell, Meissners)

20

Copyright © 2019 McGraw-Hill Education. All rights reserved.

No reproduction or distribution without the prior written consent of McGraw-Hill Education.43) When a cancer is said to have metastasized, it means that

A) it has stopped growing.

B) it has spread to other areas of the body.

C) it has been destroyed by the body’s defenses.

D) it has broken through the epidermis and formed a freckle on the skin.

E) it has changed color and shrunk in size.

Answer: B

Section: 05.08 Skin Cancer

Topic: Clinical applications of the integumentary system

Bloom’s: 2. Understand

Learning Outcome: 05.08A Name and define the types of skin cancer.

44) Which of the following helps in preventing the spread and growth of some types of skin

cancer to other areas of the body?

A) Gap junctions

B) Basement membranes

C) An avascular (with out blood vessels) epidermis

D) Gap junctions and basement membranes are correct.

E) Both “basement membranes ” and “an avascular (with out blood vessels) epidermis” are

correct.

Answer: E

Section: 05.08 Skin Cancer

Topic: Clinical applications of the integumentary system

Bloom’s: 4. Analyze

Learning Outcome: 05.08A Name and define the types of skin cancer.

HAPS Learning Outcome: E05.01 Provide specific examples to demonstrate how the

integumentary system responds to maintain homeostasis in the body.

21

Copyright © 2019 McGraw-Hill Education. All rights reserved.

No reproduction or distribution without the prior written consent of McGraw-Hill Education.45) Sandra has been working very long hours the past three months and has had very little time

to relax. She works as a medical transcriptionist and spends most of her time at her desk. The

results of her recent annual physical indicated that her calcium levels were on the lower end of

the acceptable values. Her physician suggests that she adjust her diet to include more calcium-

rich foods and to spend some time relaxing outdoors. Why would her physician suggest she

spend time outdoors to improve her calcium levels?

A) Relaxing outdoors would provide fresh air, which helps with calcium absorption.

B) If Sandra is outdoors, she is less likely to eat snack foods that are not calcium-rich.

C) Sun exposure enables the production of calcium in the body.

D) Sun exposure enables the production of vitamin D in the body, which is necessary for calcium

absorption at the small intestine.

Answer: D

Section: 05.01 Functions of the Integumentary System

Topic: General functions of skin and the subcutaneous layer

Bloom’s: 3. Apply

Learning Outcome: 05.01A Describe the general functions of the integumentary system.

HAPS Learning Outcome: E01.01 Describe the general functions of the skin.

46) Which statement best contrasts the characteristics of the stratum basale cells with the stratum

corneum cells?

A) Stratum corneum cells are usually cuboidal or columnar cells; whereas, stratum basale cells

are usually squamous cells.

B) Stratum corneum cells are living cells, but stratum basale cells are dead.

C) Stratum corneum cells are dead cells, but stratum basale cells are living cells.

D) Stratum corneum cells are all dead keratinocytes, but stratum basale cells are all melanocytes.

E) None of the choices are correct.

Answer: C

Section: 05.02 The Skin

Topic: Microscopic anatomy of skin

Bloom’s: 2. Understand

Learning Outcome: 05.02B Describe the epidermal strata, and relate them to the process of

keratinization.

HAPS Learning Outcome: E02.01D With respect to the epidermis: Describe the processes of

growth and keratinization of the epidermis.

22

Copyright © 2019 McGraw-Hill Education. All rights reserved.

No reproduction or distribution without the prior written consent of McGraw-Hill Education.47) Most babies have more adipose tissue in the subcutaneous tissue compared to adults. Which

of the following statements gives a valid explanation for the difference?

A) Babies have more adipose tissue because they do not exercise enough.

B) Babies lose body heat more easily than adults, due to their size, and the extra adipose tissue

helps regulate body temperature by providing insulation.

C) As we age, adipose tissue steadily decreases.

D) All of the choices are correct.

Answer: B

Section: 05.03 Subcutaneous Tissue

Topic: Functions of the subcutaneous layer

Bloom’s: 3. Apply

Learning Outcome: 05.03A Describe the structure and discuss the function of the subcutaneous

tissue.

HAPS Learning Outcome: E03.03da With respect to the subcutaneous layer: Describe the

function so the subcutaneous layer.

48) Sharon and Jennifer are sisters and grew up in the same household. Jennifer enjoyed

spending her days outside while Sharon enjoyed staying inside most days. Which statement best

describes how this difference in sun exposure affecting skin aging between the two sisters?

A) Jennifer’s skin is more likely to age at a slower pace, because sun exposure increases collagen

production.

B) Jennifer’s skin is more likely to age at a faster pace, because sun exposure decreases collagen

and elastic fibers in the skin.

C) Sharon’s skin is more likely to age at a faster pace, because her body produces less vitamin.

D) Sharon’s skin is more likely to age a slower pace, because her melanocytes will become

inactive.

Answer: B

Section: 05.09 Effects of Aging on the Integumentary System

Topic: Effects of aging on the integumentary system

Bloom’s: 3. Apply

Learning Outcome: 05.09A List the changes the integumentary system undergoes with age.

23

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No reproduction or distribution without the prior written consent of McGraw-Hill Education.