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What will develop when the skin is subjected to excess friction or pressure?


A) Carcinoma
B) Melanoma
C) Papillae
D) Stretch marks
E) Callus

F) C) and E)
G) A) and E)

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Keratinization


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

F) B) and C)
G) D) and E)

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Which of the following statements concerning sebaceous glands is false?


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

F) B) and E)
G) A) and E)

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The epidermis


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

F) B) and E)
G) B) and D)

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Which of the following statements concerning vitamin D is false?


A) Vitamin D begins its synthesis in the skin when the skin is exposed to ultraviolet light.
B) Vitamin D causes the kidney to excrete calcium.
C) Vitamin D is necessary for the uptake of calcium from the intestine.
D) Vitamin D is necessary for the formation of bones and teeth.
E) Vitamin D is important for calcium homeostasis.

F) A) and D)
G) A) and C)

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Thick skin


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

F) C) and E)
G) C) and D)

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Accutane (Isotretinoin) is a prescriptive drug used to treat severe acne by reducing sebum production. What would be the side effects of decreased sebum production for the integumentary system? (Check all that apply.)


A) Increased infections
B) Brittle hair
C) Oily skin
D) Increased water loss from skin
E) Cracked skin

F) D) and E)
G) B) and E)

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Sweat


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

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

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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 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?


A) After "bad" P. acnes is removed, the applications of "good" P. acnes should be able to grow and kill invasive bacteria.
B) Once removed, the invading pathogenic P. acnes cannot regrow on the skin.

C) A) and B)
D) undefined

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In which layer of the epidermis are lamellar bodies formed inside keratinocytes?


A) Stratum basale
B) Stratum spinosum
C) Stratum granulosum
D) Stratum lucidum
E) Stratum corneum

F) A) and D)
G) A) and C)

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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, 2, 3, 4
B) 1, 2, 3
C) 1, 2, 4
D) 1, 3, 4
E) 1, 2

F) D) and E)
G) A) and D)

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Select the regions that are composed of loose connective tissue. (Check all that apply.)


A) Epidermis of the skin
B) Papillary layer of dermis
C) Reticular layer of the dermis
D) Subcutaneous tissue or hypodermis

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

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When comparing the dermis with the subcutaneous tissue, the dermis


A) has more adipocytes than the subcutaneous layer.
B) is a more vascular tissue than the subcutaneous layer.
C) is divided into two layers; the subcutaneous layer is not.
D) contains melanocytes; the subcutaneous layer does not.
E) and the subcutaneous layer do not contain collagen.

F) B) and C)
G) C) and D)

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Eskimos wear a great deal of clothing and have limited exposure to ultraviolet light, but do not suffer from vitamin D deficiency. A possible explanation is


A) they do not need vitamin D.
B) their exposure to ultraviolet light in the summer will last for a year.
C) they get enough vitamin D in their diet of fish and marine mammals.
D) they do not require sunlight for vitamin D formation.
E) their bodies produce vitamin D another way.

F) A) and E)
G) A) and D)

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  -What does structure  B  represent on the diagram? A)  Hair follicle B)  Arrector pili C)  Epidermis and dermis D)  Subcutaneous tissue E)  Sebaceous gland -What does structure "B" represent on the diagram?


A) Hair follicle
B) Arrector pili
C) Epidermis and dermis
D) Subcutaneous tissue
E) Sebaceous gland

F) C) and D)
G) B) and D)

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The portion of a hair that protrudes above the surface of the skin is the ________.


A) hair bulb
B) hair root
C) hair shaft
D) hair follicle
E) dermal papilla

F) B) and D)
G) A) and E)

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The outer surface of the hair is called the ________.


A) shaft
B) cuticle
C) hair bulb
D) medulla
E) root

F) None of the above
G) B) and E)

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Which type of skin cancer is the most common?


A) Basal cell carcinoma
B) Squamous cell carcinoma
C) Melanoma
D) Kaposi sarcoma
E) Psoriasis

F) B) and E)
G) A) and B)

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The vesicles that contain melanin are ________.


A) melanosomes
B) lamellar bodies
C) keratohyaline
D) carotenoids
E) lysosomes

F) B) and E)
G) A) and B)

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


A) The baby was in the sun too long.
B) The parent has been feeding the baby orange soda.
C) The baby's diet consists of mostly sweet potatoes and carrots.
D) There is no logical explanation for this coloration change.

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

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