ATI RN
Integumentary System Exam Questions Questions
Question 1 of 5
Melanin in the skin serves to:
Correct Answer: A
Rationale: Melanin, produced by melanocytes in the stratum germinativum, is a pigment critical to skin function. Its primary role is to absorb and dissipate ultraviolet (UV) light, shielding underlying cells from DNA damage that can lead to mutations or skin cancer. Darker skin, with more melanin, offers greater UV protection, an adaptation seen in populations near the equator. Melanin does not prevent infections, a role more aligned with the skin's physical barrier and immune cells. It has a minor, indirect effect on temperature regulation by absorbing heat, but this is not its main purpose sweat glands and blood vessels handle that. Water loss is restricted by keratin, not melanin. Evolutionarily, melanin's UV-protective function is paramount, reducing sunburn and cancer risk, and its distribution in the epidermis optimizes this role, making protection from ultraviolet light its defining contribution to skin physiology.
Question 2 of 5
One of the functions of the integumentary system is protection. Which of the following does not directly contribute to that function?
Correct Answer: C
Rationale: The integumentary system protects via physical barriers and cellular structures. The stratum lucidum, a clear layer in thick skin, adds a tough barrier. Desmosomes anchor epidermal cells together, enhancing structural integrity against trauma. Merkel cells sense touch, indirectly aiding protection by detecting threats. Folic acid (folate) synthesis, however, isn't a skin function; folate is obtained from diet, and UV light actually breaks it down in skin, not contributing to protection. This metabolic process is unrelated to the integumentary system's protective role, making it the odd one out.
Question 3 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 4 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 5 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.