Collagen lends to the skin.

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Integumentary System Exam Questions Questions

Question 1 of 5

Collagen lends to the skin.

Correct Answer: B

Rationale: Collagen is a protein abundant in the dermis, particularly the reticular layer, where it forms a network of fibers that give the skin its structure and tensile strength. This structural support helps skin resist stretching and tearing, maintaining its shape and integrity. Elasticity is primarily provided by elastin, another dermal protein, not collagen. Color comes from melanin, produced by melanocytes in the epidermis, not collagen. UV protection is also a function of melanin, not collagen, which has no pigment or light-absorbing properties. Collagen's role as the skin's scaffolding is well-documented in dermatology, making structure the most accurate description of its contribution.

Question 2 of 5

Squamous cell carcinomas are the second most common of the skin cancers and are capable of metastasizing if not treated. This cancer affects which cells?

Correct Answer: C

Rationale: Squamous cell carcinoma (SCC) originates from keratinocytes, the predominant cells of the epidermis, specifically in the stratum spinosum, where they begin to differentiate. Basal cell carcinoma affects basal cells of the stratum basale, not SCC. Melanocytes in the basale produce melanin, linked to melanoma, not SCC. Langerhans cells are immune cells, not cancerous in SCC, and the stratum lucidum lacks them. SCC arises from spinosum keratinocytes due to UV-induced DNA damage, enabling it to invade deeper layers and metastasize if untreated, making this the correct cell type.

Question 3 of 5

Freckles are simply:

Correct Answer: C

Rationale: Freckles are small, pigmented spots on the skin, primarily caused by localized clusters of melanin, the pigment produced by melanocytes. Unlike widespread tanning, freckles form when UV exposure stimulates melanocytes in specific areas, often in fair-skinned individuals with less baseline melanin. This results in benign, concentrated patches, typically on sun-exposed areas like the face and arms. Vitamin E overdose is unrelated, as it's an antioxidant vitamin, not a pigment, and excess doesn't alter skin color. Abundant carotene, a yellow-orange pigment from diet, can tint skin (carotenemia), but it's diffuse, not spotty like freckles, and unrelated to UV. Cancer implies malignancy, but freckles are harmless, though increased freckling can signal UV damage risk. Genetically influenced, freckles reflect melanocyte activity, not disease, distinguishing them as simple melanin accumulations, a natural response to sunlight rather than a pathological or dietary condition.

Question 4 of 5

Which of the following structures is not an accessory component of the skin?

Correct Answer: B

Rationale: Accessory components of the skin are structures derived from the epidermis, enhancing its function. Nails, formed from keratinized epidermal cells at the nail matrix, protect fingertips. Hair, also epidermal, grows from follicles, aiding sensation and insulation. Mammary glands, modified sweat glands of epidermal origin, produce milk and are considered integumentary appendages. Subcutaneous tissue (hypodermis), however, is not an accessory structure; it's a connective tissue layer beneath the dermis, composed of adipose and areolar tissue, anchoring skin to underlying structures and storing fat. While integral to the integumentary system, it's mesoderm-derived, not an epidermal appendage like nails, hair, or glands. Anatomical definitions classify accessory structures as epidermis-derived, excluding the hypodermis, which supports rather than extends skin function, clarifying its distinct role.

Question 5 of 5

When a medicine is delivered via a patch attached to the skin, it is said to be delivered:

Correct Answer: A

Rationale: Transdermal delivery involves a medicine being applied via a patch on the skin, allowing it to penetrate through the skin layers into the bloodstream for systemic effects, such as nicotine or pain relief patches. Subcutaneous delivery requires an injection beneath the skin into the hypodermis, not a patch. Topical application refers to medicines like creams that act locally on the skin surface, not systemically. Intramuscular delivery involves injection into muscle tissue, far deeper than skin application. The term 'transdermal' specifically denotes crossing the skin barrier for absorption into circulation, distinguishing it from other methods and aligning with the use of adhesive patches in pharmacology.

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