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214 Cards in this Set

  • Front
  • Back
What are the two major tissue layers that make up the skin?
The Epidermis & The Dermis
Which is the most superficial layer of the skin?
The Epidermis
What type of tissue is the Epidermis made up of?
Epithelial tissue
Which tissue layer of the skin is made up of connective Tissue?
The Dermis
Which layer of skin is responsible for most of the structural strength?
The Dermis
Which specific tissue makes up the Epidermis?
Stratified Squamous Epithelium
Which of the two major skin layers is the thickest?
The Dermis
Which is the thinnest of the two skin layers?
The Epidermis
T or F
The Epidermis contains many blood vessels
False, It contains no blood vessels
Most cells of the epidermis are called?
Keratinocytes
what protein mixture is produced by most cells of the epidermis?
Keratin
Which protein mixture makes the epidermal cells more durable?
Keratin
What is the function of Keratin?
To make the cells more durable
What are the 4 structures of the Integumentary system?
Skin, Hair, Nails, Glands
What are the functions of the Integumentary system?
Protection, Sensation, Temperature regulation, Vitamin D production, Excretion
What is the function of the Hypodermis?
To connect skin to underlying structures.
Which cells give skin the ability to resist abrasion and reduce water loss?
Keratinocytes
Which epidermal cells contribute to skin color?
Melanocytes
T or F
Everybody has a different number of melanocytes?
False
All have the same number
What are the 4 main cell types of the Epidermis?
Keratinocytes, Melanocytes, Langerhans cells, and Merkel Cells.
Langerhans cells are part of what body system?
The immune system
which specialized epidermal cells are associated with nerve endings responsible for detecting light touch and superficial pressure
Merkel Cells
What is the function of Merkel Cells?
associated with nerve endings responsible for detecting light touch and superficial pressure.
When cells of deeper layers in the epidermis undergo mitosis and move towards the surface causing older cells to slough off its called?
Desquamate
What is Keratinization?
Cells become filled with keratin and eventually die, producing an outer layer of dead, hard cells that resist abrasion and form a barrier.
When Cells become filled with keratin and eventually die, producing an outer layer of dead, hard cells that resist abrasion and form a barrier.
Keratinization
What is a skin disease associated with keratinization?
psoriasis (when large scales of epidermal tissue sllough off)
what is the term for the regions that the many cell layers are divided into?
Strata
What are the 5 strata of the epidermis from bottom to top?
Stratum Basale, Spinosum, Granulosum, Lucidum, Corneum
Which Strata is a thin, clear zone and is found only in the palms and soles?
Stratum Lucidum
Which Cell strata is also reffered to as the Stratum Germinativum?
The Stratum Basale
What anchors the epidermis to the basement membrane?
Hemidesmosomes
What holds the cells of the epidermis together?
Desmosomes
Appx. how long does it take for the cell to reach the epidermal surface and slough off?
40-56 days
Which Epidermal strata consists of only 1 layer?
Stratum Basale
How many layers are in each strata?
basale (1)
Spinosum (8-10)
Granulosum (2-5)
Lucidum (several)
Corneum (25+)
Where can you find hard keratin and soft keratin?
Hard: Nails & External part of Hair

Soft: Skin
Where is thick skin found?
In areas subject to pressure or friction (palms,fingertips, soles)
Which epithelial strata does thick skin contain?
All 5 epithelial strata
Between thick and thin skin, which is the most flexible?
Thin skin
T or F
Thin skin contains all 5 epithelial strata.
False
It does not have Stratum Lucidum
In which skin is Hair found on?
Thin skin ONLY!
What is a Callus?
a thickened area in the stratum corneum caused by an increase in layers due to friction or pressure.
A cone shaped structure that develops over bony prominences?
A corn
What is a corn?
A cone shaped structure that develops over bony prominences.
What 3 factors determine skin color?
Pigment in the skin, blood circulating in skin, and thickness of stratum corneum.
What is the pigment primarily responsible for skin, hair, and eye color?
Melanin
What is Melanin?
The pigment primarily responsible for skin, hair, and eye color.
Which pigment provides protection against UV light?
Melanin
Which cells produce Melanin?
Melanocytes
T or F
Melanocytes are the ONLY cell to produce Melanin.
True
although all keratinocytes contain it, only melanocytes produce it.
Which AA is involved in the production of melanin?
Tyrosine
What is Albinism?
a recessive genetic trait that results from the inability to produce tyrosine.
What is the recessive genetic trait that results from the inability to produce Tyrosine?
Albinism
A yellow pigment found in plants/vegetables?
Carotene
Which pigment is used as a source of vitamin A after ingested?
Carotene
What is carotene?
a yellow pigment found in plants/vegetables that is used as a source of Vitamin A.
Where does the excess amounts of carotene accumulate?
Stratum Corneum, Adipose cells, and hypodermis.
What is Cyanosis?
the appearance of a bluish color of skin due to a lack of oxygen in the blood.
What does bluish skin color suggest?
Cyanosis, the lack of oxygen in the blood.
What gives structural strength to the skin?
The Dermis
Connective Tissue containing Fibroblasts, adipocytes, and macrophages
The Dermis
Which skin layer contains nerves, hair follicles, smooth muscle, glands, and lymphatic vessels?
The Dermis
What are the 2 layers of the Dermis?
The Papillary (superficial) and Reticular (Deep) layers
what Dermal structure is responsible for our fingerprints?
The dermal papillae.
Which of the 2 dermal layers make up most of the Dermis?
The Reticular Layer (4/5)
What are cleavage lines?
elastin and collagen fibers oriented in same direction.
What are stretch marks?
scar tissue due to overstretching of the skin that causes the dermis to rupture
What are other names for the Hypodermis?
Subcutaneous tissue/ Superficial Fascia
About how much of the body's Fat is contained in the Hypodermis?
about 50%
What are the functions of the Fat stored in the Hypodermis?
Energy, Insulation, and Padding
Hair, Glands, and Nails make up what type of skin structures?
The Accesory skin structures.
The part of the hair above the surface is called?
The Hair Shaft
The part of the hair below the surface is called?
The Hair Root
What are the 3 concentric layers of the Hair?
The Medulla, The Cortex, and The Cuticle
what is the Central Axis of Hair?
The Medulla
What forms the bulk of hair?
The Cortex
What forms the Hair Surface?
Cuticle
What is the term for the Base of the Hair root?
The hair bulb.
What parts make up the Hair follicle?
Dermal root Sheath, External Epithelial root sheath, and internal epithelial root sheath.
Hair is produced by the?
Matrix
What is the term for the dermal projection into the hair bulb?
Hair Papilla
What is the function of the hair papilla?
contains blood vessels that provide nourishment to the cells of the matrix
What are the 2 stages of hair growth?
Growth Stage and Rest Stage
what happens during the growth stage?
matrix adds cells at base of hair root and hair elongates. about 0.3mm/day
What happens during the rest stage?
the hair follicle shortens and holds hair in place.
about how many hairs are lost during "regular hair loss"
about 100/day
which smooth muscle is associated with hair follicles?
arrector pili
which muscles are responsible for goosebumps?
arrector pili
What are the major glands of the skin?
Sebaceous glands, and sweat glands.
glands located in the dermis that produce sebum?
Sebaceous glands
an oily white substance rich in lipids produced by Sebaceous glands?
Sebum
what is Sebum?
an oily white substance rich in lipids produced by sebaceous glands.
what are sebaceous glands classified under?
Holocrine glands
What are the 2 types of sweat glands?
Eccrine and Apocrine glands
What is the most common type of sweat gland?
Eccrine Gland
simple, coiled, tubular glands that open directly onto the surface of the skin through sweat pores?
Eccrine Glands
which sweat gland produces isotonic fluid made up of NaCl+H20?
Eccrine Glands
Which sweat glands are found in the Axillae and Genitalia?
Apocrine Sweat glands
Which Sweat glands become active at puberty as a result of sex hormones?
Apocrine Sweat glands
Which sweat glands are responsible for Body Odor?
Apocrine Sweat glands
Why do apocrine sweat glands produce body odor?
because they release an odorless substance that is quickly metabolized by bacteria
what are two other types of skin glands?
ceruminous glands & Mammary glands.
Modified Eccrine glands in ear canal?
Ceruminous glands
What forms Cerumen?
the combined secretions of ceruminous glands and sebaceous glands
T or F
The mammary glands are a type of Eccrine sweat glands?
False
They are a modified type of apocrine sweat glands.
what two parts make up a nail?
The proximal nail root, and the distal nail body.
Which Strata makes up the nail?
Stratum Corneum
The stratum Corneum of the nail grows onto the nail body as what?
the Cuticle or eponychium
at what rate do nails grow?
appx. .5-1.2mm/day
What are the 5 skin functions?
Protection, Sensation, Temperature Regulation, Vitamin D Production, and Excretion
What role does melanin play in protection?
Protects DNA from UV radiation
How does skin help in temperature regulation?
The sweat causes evaporative cooling.
Which Vitamin produced by the skin aids in calcium absorption?
Vitamin D
What are the functions of Vit. D?
Stimulates uptake of Ca++ from intestines
promotes Ca++ release from bones
Reduces Ca++ loos from kidneys
Which hormone promotes Ca release from bones; reduces Ca loss from kidneys & stimulates uptake of Ca from intestines?
Calcitriol
What is Calcium useful for in the body?
For Bone (growth and repair), clotting, nerve and muscle function
describe the process of Vit. D production by UV exposure?
7-dehydrocholesterol-> UV light> converted to cholecalciferol--> released into bloodstream and modified in the liver and kidneys to form Vit D.
How does the skin help in excretion?
by removing waste products from the body through sweat.
1st Degree burn affects which layer?
Epidermis
2nd Degree burn affects which layer?
Dermis
3rd degree burn affects which layer?
Subcutaneous tissue/muscle
What are the new classification for 1st, 2nd, and 3rd degree burns?
1st and 2nd : Partial Thickness

3rd: Full (complete) Thickness
What is the function of fibrinogen?
formation of blood clots
What is the difference between serum and plasma?
serum is plasma without the clotting factors
Ions found in plasma?
Na+ ; K+ ; P+
Nutrients present in plasma?
glucose, amino acids, fats, cholesterol, vitamins
What are some waste products of plasma?
Urea, Bilirubin, Lactic Acid, and Gases.
What are Erythrocytes?
RBC's
What are the functions of Erythrocytes?
To transport O2 and CO2
what percentage of formed elements do RBCs account for?
95%
The process of blood cell production is called?
Hematopoiesis
All formed elements are derived from a single population of cells called?
Stem Cells
Proerythroblasts create which mature cell?
RBCs
Myeloblasts create which mature cell?
Basophils, Eosinophils, and Neutrophils
lymphoblasts create which mature cell?
lymphocytes
Monoblasts create which mature cell?
monocytes
Megakaryoblasts create which mature cell?
Platelets
What are leukocytes?
WBCs
Who has a higher concentration of RBCs and Why?
Males, b/c generally have more muscle mass
What is the purpose of RBCs being biconcave?
it increases the cells surface area. which allows gas exchange to occur faster
98.5% of Oxygen on RBCs is attached to what?
hemoglobin
What happens to the 1.5% of oxygen that is not attached to hemoglobin?
it is dissolved in the plasma
What is the main component of RBCs
Hemoglobin, (occupies about 1/3 total cell volume)
the rupturing of RBC followed by hemoglobin being released is called?
hemolysis
what is hemolysis?
the rupturing of RBCs followed by hemoglobin being released.
Oxyhemoglobin transports what?
Oxygen (Bright Red)
Deoxyhemoglobin is what color?
Blue because no Oxygen
What is the composition of hemoglobin?
4 globin molecules and 4 heme molecules.
how many iron atoms does each heme contain?
1 iron atom
what are the 3 types of hemoglobin produced?
Embryonic, Fetal, and Adult
Which type(s) of hemoglobin have a higher affinity of Oxygen?
Embryonic and Fetal
what is erythropoiesis?
the process by which RBCs are made.
What is a term for an immature RBC?
reticulocytes
How does Erythropoietin hormone stimulate RBC production?
Low oxygen lvl--> kidney releases erythropoietin--> Increased erythropoietin stimulates RBC production-->increased blood oxygen level
What is the function of WBCs?
Protect the body against microorganisms and remove dead cells and debris
How do WBCs move?
using Ameboid movements
What is Diapedesis?
when cells move between (through) capillary endothelial cells?
through which method do WBC's leave circulation and enter the tissue?
Diapedesis
What is Chemotaxis?
when WBCs are attracted to foreign materials or dead cells
What is Pus made up of?
Dead WBC and bacteria
What are the 5 types of WBCs?
Neutrophils, lymphocytes, monocytes, eosinophils, basophils
Which type of WBC becomes a macrophage once it reaches the tissue?
Monocytes
Which WBC is involved with Antibody production?
Lymphocytes.
Which WBC are the most common?
Neutrophils
Which WBC's are involved with allergic reactions?
Basophils and Eosinophils
How do platelets help seal wounds?
by creating platelet plugs.
Cell Fragments pinched off from megakaryoctes in red bone marrow.
Platelets
What are Platelets?
Cell fragments pinched off from Megakaryoctes in red bone marrow.
What 2 ways do platelets prevent blood loss?
1)Platelet Plugs

2) Promoting formation of clots
What is Hemostasis?
The stoppage of bleeding that prevents excessive blood loss.
The immediate but temporary constriction of a blood vessel that results when smooth muscle within the wall of the vessel contracts?
Vascular Spasm
What is a Vascular Spasm?
the immediate but temporary constriction of a blood vessel as a result of smooth muscle contracting.
What is an accumulation of platelets that can seal small breaks in blood vessels?
Platelet Plug
What is a Platelet Plug?
An accumulation of platelets that can seal small breaks in blood vessels.
How do platelets Adhere?
von Willebrand factor connects collagen and platelets. once platelet connects with collagen, it is activated and ADP, thromboxanes, and other chemicals activate other platelets. as they are activated the platelets change shape and express fibrinogen receptors that form a bridge resulting in platelet plug.
What allows platelets to adhere to collagen?
von Willebrand factor
What is the Platelet release reaction?
after platelets become activated, they release ADP, Thromboxanes, and other chemicals.
What is platelet aggregation?
When aggregated platelets bind Fibrinogen and the Fibrinogen connects the platelets forming a platelet plug.
What are the 3 steps of Platelet plug formation?
Platelet adhesion
Platelet release reaction
Platelet aggregation
What are the 3 patthways for Coagulation?
Extrinsic
Intrinsic
Common
Describe the Extrinsic pathway.
Tissue is damaged. release thromboplastin (or tissue factor). With Ca2+ factor X activated.
Describe the Intrinsic pathway.
factor 12 comes in contact with exposed collagen, activating factor 11. Factor 11 with Ca2+ factor X activated
What is a blood clot?
a network of threadlike fibrin fibers that traps RBCs, platelets, and fluids.
What prevents coagulation factors from initiating clot formation?
Anticoagulants.
What do Anticoagulants do?
prevent coagulation factors from initiating clot formation.
Why does Coagulation occur?
When coagulation factor concentration reaches a certain level (i.e. at site of injury)
What are 3 Anticoagulants?
Antithrombin
Heparin
Prostacyclin
Where is Antithrombin produced?
the Liver
Where is Heparin Produced?
Basophils and endothelial cells
What two anticoagulants are produced in endothelial cells?
Heparin and Prostacyclin
What is the purpose of Clot Retraction?
Enhance healing
Describe the process of clot retraction?
Fibrin threads of clott attach to blood vessel walls. platelet processes attach to fibrin threads. Actin/Myosin in platelets contract, pull edges of wound together.serum squeezed out from clot.
What process dissolves the clot?
fibrinolysis
What is plasminogen?
an enzyme that hydrolyzes fibrin.
Fibrinolysis involves the activity of which enzyme?
plasminogen.
What causes plasminogen to turn into Plasmin?
Tissue Plasminogen Activator (tPA)
what is the function of tPA? (Tissue Plasminogen Activator)?
causes plasminogen to turn into Plasmin
What is the difference between a transfusion and an infusion?
A transfusion is the transfer of blood from one individual to another, an infusion is the introduction of a fluid other than blood, into the blood.
what is a transfusion?
transfer of blood from one individual to another.
what is an infusion?
when fluid that is not blood is introduced into the blood.
What are the functions of blood?
Transport, Regulation, Maintenance, Protection, and Clot Formation
What does blood transport?
gases, nutrients, waste products, Processed molecules, regulatory molecules (hormones)
What does Blood Regulate?
pH and Osmosis (normal pH 7.35-7.45)
How does blood aid in protection?
Through antibodies it protects against foreign substances
How much % of blood is Plasma and how much is formed elements?
Blood is 55% Plasma and 45% formed elements
What 3 substances make up the formed elements
RBCs, WBCs, and Platelets
What is the composition of Plasma?
91% Water and 9% other
What are the 3 plasma proteins?
Albumins, Globulins, and Fibrinogen
Which is the Largest and most common of the Plasma Proteins?
Albumins
T or F
Plasma is the liquid part of the blood?
True
What is Colloid?
Liquid containing suspended substances that don't settle out of solution.
A liquid containing suspended substances that don't settle out of solution.
Colloid
What are the 3 layers of tissue of the Heart Wall?
Epicardium, Myocardium, & Endocardium