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The reason the hypodermis acts as a shock absorber is that ________.


A) the major part of its makeup is adipose, which serves as an effective shock absorber
B) the cells that make up the hypodermis secrete a protective mucus
C) it is located just below the epidermis and protects the dermis from shock
D) it has no delicate nerve endings and can therefore absorb more shock

E) B) and D)
F) All of the above

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Despite its apparent durability, the dermis is subject to tearing. How might a person know that the dermis has been previously stretched and/or torn?


A) The stretching causes the tension lines to disappear.
B) The appearance of visible, silvery-white scars is an indication of stretching of the dermis.
C) There is an episode of acute pain due to the large number of tactile corpuscles.
D) The blood vessels in the dermis rupture and the blood passes through the tissue, causing permanent "black-a nd-blue marks."

E) C) and D)
F) None of the above

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Melanocytes and keratinocytes work together in protecting the skin from UV damage when keratinocytes ________.


A) provide the melanocyte with nutrients necessary for melanin synthesis
B) accumulate the melanin granules on their superficial portion, forming a UV-blocking pigment layer
C) maintain the appropriate temperature so the product of the melanocyte will not denature
D) maintain the appropriate pH in order for the melanocyte to synthesize melanin granules

E) B) and C)
F) A) and D)

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The only place you will find stratumthe ________ is in the skin that covers the palms, fingertips, and soles offeet.

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lucidum ________ is ...

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We are told that every surface we touch is teeming with bacteria, and bacteria are found in the pools we swim in, the water we wash with, and on the hands of friends. Why are we not inundated with bacterial infections on our skin?

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The low pH of the skin secretions, other...

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The major regions of a hair shaft include all of the following except ________.


A) medulla
B) cuticle
C) external root sheath
D) cortex

E) B) and C)
F) A) and D)

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A surgeon opens her patient by cutting the integument parallel to the cleavage lines of the dermis (tension lines) . This will result in ________.


A) greater chance of infection
B) faster healing of the skin and less scaring
C) slowed healing and grater scaring
D) less chance for infection

E) All of the above
F) None of the above

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A needle would pierce the epidermal layers of the forearm in which order?


A) basale, spinosum, granulosum, lucidum, corneum
B) granulosum, basale, spinosum, corneum
C) basale, spinosum, granulosum, corneum
D) corneum, granulosum, spinosum, basale

E) All of the above
F) A) and B)

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Which statement correctly expl ains why hair appears the way it does?


A) Perfectly round hair shafts result in wavy hair.
B) Gray hair is the result of hormonal action altering the chemical composition of melanin.
C) Air bubbles in the hair shaft cause straight hair.
D) Kinky hair has flat, ribbonlike hair shafts.

E) None of the above
F) A) and C)

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Melanoma is a form of skin cancer that arises from melanocytes. Melanoma is most common in Caucasians between 40 and 70 years of age. Explain why Caucasians would have a greater incidence of melanoma.

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Melanoma has its beginnings in melanocyt...

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The dermis has two major layers. Which layer constitutes 80% of the dermis and is responsible for the tension lines in the skin?


A) the reticular layer
B) the hypodermal layer
C) the subcutaneous layer
D) the papillary layer

E) All of the above
F) B) and C)

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A light skinned person may appear pink when they become over heated. The best explanation for this is ________.


A) blood flow has increased to the sweat glands in order to increased their metabolic activity
B) the melanocytes are responding to the heat of the sun and change the appearance of the skin with increased production
C) the heart is pumping faster because the person was probably exercising
D) the blood vessels of the dermis have undergone vasodilation, bringing a greater volume of blood to the skin

E) A) and B)
F) A) and C)

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Cells of the stratum spinosum have many interlocking desmosomes that will remain between the cells as they migrate to the stratum corneum. These cell junctions serve the body by________.


A) stopping water loss and preventing dehydration
B) allowing secretions like sweat or sebum to pass through
C) preventing ultraviolet light from penetrating the deeper layers of the epidermis
D) preventing mechanical stress or trauma from damaging the epidermis

E) None of the above
F) All of the above

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Select the most correct statement concerning skin cancer.


A) Basal cell carcinomas are the least common but most malignant.
B) Most tumors that arise on the skin are malignant.
C) Squamous cell carcinomas arise from the stratum corneum.
D) Melanomas are rare but must be removed quickly to prevent them from metastasizing.

E) A) and B)
F) All of the above

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What complications might be anticipated from the loss of large areas of skin surfaces?

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Large losses of skin, as with ...

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In addition to the synthesis of vitamin D, keratinocytes are able to carry out some other biologically important functions. Name at least two of these other functions.

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Keratinocyte enzymes can neutr...

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The skin protects, but how does it protect us and from what? Describe how the epidermal dendritic cells and melanocytes protect us. Describe what these cells protect us from.

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The epidermal dendritic cells act as ant...

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Changes in the color of skin are often an indication of a homeostatic imbalance. Which of the following changes would suggest that a patient is suffering from Addison's disease?


A) The skin takes on a bronze or metallic appearance.
B) The skin appears to have an abnormal, yellowish tint.
C) Black-a nd-blue marks become evident for no apparent cause.
D) It is impossible to suggest Addison's disease from an inspection of a person's skin.

E) None of the above
F) All of the above

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Why are the apocrine sweat glands fairly unimportant in thermal regulation?

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They are largely confined to t...

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Which glands produce ear wax?


A) eccrine glands
B) apocrine glands
C) ceruminous glands
D) merocrine glands

E) C) and D)
F) All of the above

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