Langerhans cells are commonly found in the

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Questions on the Integumentary System Questions

Question 1 of 5

Langerhans cells are commonly found in the

Correct Answer: A

Rationale: Langerhans cells are immune cells (dendritic cells) primarily located in the stratum spinosum of the epidermis, where they play a key role in detecting pathogens and initiating immune responses. The stratum spinosum, with its multiple layers of spiky keratinocytes, provides an ideal environment for these cells to patrol for invaders. The stratum corneum, being composed of dead, keratinized cells, lacks living cells like Langerhans. The stratum granulosum is a thin layer focused on keratin production, not immune function, and the stratum basale, while active in cell division, hosts fewer Langerhans cells compared to the spinosum. Research on skin histology confirms that Langerhans cells are most abundant in the stratum spinosum, aligning with their role in immune surveillance.

Question 2 of 5

An individual has spent too much time sun bathing. Not only is his skin painful to touch, but small blisters have appeared in the affected area. This indicates that he has damaged which layers of his skin?

Correct Answer: D

Rationale: Severe sunburn with pain and blisters indicates damage beyond the epidermis into the dermis. The epidermis, especially the stratum basale, gets UV damage first, causing redness and pain, but blisters form when fluid accumulates between the epidermis and dermis due to deeper injury, affecting dermal blood vessels and nerves. The hypodermis, a fatty layer, isn't typically involved in sunburn unless damage is extreme. Epidermis-only damage wouldn't produce blisters, and hypodermis-only is implausible. The epidermis and dermis combination matches the symptoms of a second-degree burn from sun exposure.

Question 3 of 5

The fibers important for strength in the dermis are:

Correct Answer: B

Rationale: The dermis owes its strength primarily to collagen, a robust protein forming a dense network of fibers. Collagen, the most abundant protein in the body, provides tensile strength, resisting stretching and tearing, which is crucial for the skin's durability as a protective barrier. Elastic fibers, also in the dermis, contribute flexibility, allowing the skin to return to shape after stretching, but they are less abundant and weaker than collagen. Together, they enhance dermal integrity, but strength is collagen's dominant contribution, as seen in its thick bundles in the reticular dermis. The 'both' option acknowledges their combined roles, but the question emphasizes strength, not elasticity, tilting the focus to collagen. 'None of these' dismisses both, which is inaccurate given collagen's established role. In conditions like Ehlers-Danlos syndrome, collagen defects weaken skin, underscoring its importance. Thus, collagen stands out as the primary fiber for dermal strength, aligning with anatomical and biomechanical evidence.

Question 4 of 5

Skin colour is determined by which pigment?

Correct Answer: A

Rationale: Skin color primarily results from melanin, produced by melanocytes in the epidermis's stratum basale. Melanin's variants eumelanin (dark) and pheomelanin (light) absorb UV light, determining skin tone from pale to dark, with higher levels in sun-adapted populations. Carotene, a yellow-orange pigment from diet, accumulates in the stratum corneum and hypodermis, subtly tinting lighter skin but not dominating color. Haemoglobin, in dermal blood vessels, adds pink or red hues, especially in fair skin, varying with oxygenation blue in cyanosis, red when flushed. While all three contribute, melanin is the primary determinant, as its concentration and distribution dictate the skin's base color, overshadowing carotene's minor role and haemoglobin's vascular effect. Dermatological research emphasizes melanin's evolutionary and protective significance, with carotene and haemoglobin as secondary modifiers, making it the key pigment in skin coloration.

Question 5 of 5

The dermis contains which of the following?

Correct Answer: A

Rationale: The dermis contains blood vessels, among other structures, making it a complex layer. Its papillary region has capillaries nourishing the epidermis, while the reticular layer hosts larger vessels for circulation and thermoregulation. Sweat glands, originating in the epidermis, extend into the dermis, releasing sweat through ducts. Sensory nerve endings, like Meissner's and Pacinian corpuscles, detect touch and pressure, abundant in the dermis. Sebaceous glands, also epidermal-derived, reside in the dermis, secreting sebum into hair follicles. All listed elements vessels, glands, and nerves are present, but the question seeks one correct answer, often emphasizing blood vessels for their prominence in dermal function. Their role in nutrient delivery and heat exchange underscores the dermis's vascularity, a feature visible in histological sections and critical to skin physiology, distinguishing it from the avascular epidermis.

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