INSTANT DOWNLOAD WITH ANSWERS
ANATOMY AND PHYSIOLOGY THE UNITY OF FORM AND FUNCTION 7TH ED BY SALADIN – TEST BANK
Chapter 06
The Integumentary System
True / False Questions
- The skin carries out the first step in the synthesis of vitamin D.
- Living keratinocytes exfoliate from the epidermis as tiny specks called dander.
- The deeper of the two layers of the skin is the hypodermis.
- The youngest keratinocytes are found in the stratum basale.
- Melanin, hemoglobin, and carotene give color to the skin.
- Albinism is the genetic lack of melanin that results in a milky white coloration of the skin.
- Embarrassment can be perceived by an abnormal coloration of the skin called cyanosis.
- Freckles are elevated patches with an abnormal coloration of the skin.
- Straight hair is round, wavy hair is oval, and curly hair is relatively flat.
- Hair and nails are composed of collagen.
- Merocrine sweat glands are associated with hair follicles in the pubic and anal regions, axilla, areola, and beard.
- Pattern baldness is relatively rare in women because women have lower testosterone levels than men.
- The acidity of sweat contributes to the acid mantle that inhibits bacterial growth in the skin.
- Debridement is not necessary to infection control.
- The three forms of skin cancer are defined by the types of cells from which they originate.
Multiple Choice Questions
- Which of the following is not part of the skin?
- Epidermis
- Papillary layer
- Hypodermis
- Stratum basale
- Dermis
- Which of the following is not found in the epidermis?
- Melanocytes
- Fibroblasts
- Stem cells
- Keratinocytes
- Tactile cells
- Skin covering the __________ has sweat glands but no hair follicles or sebaceous glands.
- forearm
- buttocks
- abdomen
- fingertips
- back
- Most of the skin is __________ mm thick.
- 0.01 to 0.02
- 0.1 to 0.2
- 1 to 2
- 10 to 20
- 100 to 200
- In which of the following skin layers would a subcutaneous injection be administered?
- Stratum basale
- Stratum spinosum
- Stratum corneum
- Dermis
- Hypodermis
- Which of the skin layers below is the most superficial?
- Basal lamina
- Epidermis
- Papillary layer
- Reticular layer
- Hypodermis
- Which of the following best describes the composition of the dermis?
- Collagen and living keratinocytes
- Collagen and dead keratinocytes
- Collagen and fibroblasts
- Elastic fibers and melanocytes
- Elastic fibers and dendritic cells
- What type of tissue is found in the most superficial layer of skin?
- Simple squamous epithelium
- Stratified squamous epithelium
- Dense irregular connective tissue
- Areolar connective tissue
- Dense regular connective tissue
- Looking at a slide of thin skin under the microscope, you note that the stratum basale is the __________ layer of the epidermis in from the surface.
- second
- third
- first
- fifth
- fourth
- Which of the following cells is largely responsible for skin color?
- Dendritic cell
- Keratinocyte
- Melanocyte
- Merkel cell
- Dead keratinocyte
- Which layer of the epidermis consists of up to 30 layers of dead cells?
- Stratum basale
- Stratum spinosum
- Stratum granulosum
- Stratum lucidum
- Stratum corneum
- Which of the following are associated with the sense of touch?
- Fibroblasts
- Melanocytes
- Keratinocytes
- Dendritic (Langerhans) cells
- Tactile (Merkel) cells
- The fastest rate of mitosis happens in the __________.
- stratum basale
- stratum spinosum
- stratum granulosum
- stratum lucidum
- stratum corneum
- Which of the following cells stand guard against toxins, microbes and other pathogens?
- Keratinocytes
- Melanocytes
- Adipocytes
- Dendritic (Langerhans) cells
- Tactile (Merkel) cells
- Fingerprints left on things we touch are associated with our __________.
- dermal papillae
- dermal connective tissue
- stratum basale
- subcutaneous tissue
- subcutaneous adipose
- Calluses or corns are the result of accelerated multiplication by ___________.
- melanocytes
- keratinocytes
- fibroblasts
- tactile cells
- red blood cells
- The __________ is absent from most epidermis.
- stratum basale
- stratum spinosum
- stratum granulosum
- stratum lucidum
- stratum corneum
- Leather is made of the __________ layer of the dermis.
- areolar
- keratin
- reticular
- collagen
- papillary
- The hypodermis is characterized by an abundance of which tissue?
- Statified squamous epithelium
- Smooth muscle
- Nervous tissue
- Adipose tissue
- Dense irregular connective tissue
- The skin discoloration most likely to suggest physical abuse is __________.
- pallor
- albinism
- erythema
- hematoma
- jaundice
- The reddish color of the skin of the lips is primarily due to the presence of which pigment?
- Hemoglobin
- Myoglobin
- Melanin
- Carotene
- Keratin
- Which skin color is most likely to result from anemia?
- Pallor
- Erythema
- Hematoma
- Albinism
- Jaundice
- Increased bilirubin levels cause a skin discoloration called __________.
- erythema
- jaundice
- pallor
- bronzing
- cyanosis
- Ethnic differences in skin color are primarily caused by differences in ___________.
- UV radiation exposure
- the quantity of hemoglobin carried in the blood
- the quantity of melanin produced
- the number of melanocytes
- the number of keratinocytes
- A __________ is an elevated patch of melanized skin.
- hemangioma
- mole
- freckle
- flexion line
- friction ridge
- A pilus is a __________.
- hair
- hair follicle
- tiny muscle that moves a hair
- sensory nerve fiber around the base of a hair
- gland associated with a hair follicle
- What type of hair is present prenatally and usually replaced by birth?
- Lunule
- Peach fuzz
- Terminal hair
- Vellus
- Lanugo
- Blood vessels in the __________ provide a hair with its sole source of nutrition.
- bulb
- root
- shaft
- dermal papilla
- medulla
- The base where a hair follicle originates in the skin is known as the __________.
- Hair bulb
- Hair root
- Shaft
- Medulla
- Cuticle
- The contraction of the piloerector muscles (pilomotor muscle or arrector pili) in humans causes __________.
- hairs to stand on end, trapping an insulating layer of warm air next to the skin
- generation of heat to raise the body temperature
- hairs to stand on end to make the individual appear bigger
- hairs to stand on end with no apparent function
- increased ability to feel pain
- A hair cycle consists of three developmental stages in which order?
- Anagen, telogen, and catagen
- Anagen, catagen, and telogen
- Catagen, anagen, and telogen
- Catagen, telogen, and anagen
- Telogen, anagen, and catagen
- Each hair grows in an oblique epithelial tube called a(an) __________.
- hair follicle
- vellum
- pilus
- bulb
- shaft
- Excessive hairiness is called __________.
- telogenism
- anagenism
- catagenism
- alopecia
- hirsutism
- The narrow zone of dead skin overhanging the proximal end of a nail is called the __________.
- eponychium
- lunule
- nail plate
- nail body
- nail root
- What is the white opaque “moon” often found at the proximal end of a fingernail called?
- Free edge
- Nail body
- Eponychium
- Lunule
- Nail root
- Variations in hair color arise from differing amounts of __________.
- collagen and elastic filaments
- keratin and melanin
- carotene and hemoglobin
- carotene and collagen
- eumelanin and pheomelanin
- Mitosis in the __________ accounts for growth of the nail.
- nail plate
- nail fold
- eponychium
- hyponychium
- nail matrix
- The oil of your scalp is secreted by __________ glands associated with the hair follicles.
- merocrine sweat
- apocrine sweat
- sebaceous
- ceruminous
- eccrine sweat
- Secretions from __________ glands contribute to the acid mantle that inhibits bacterial growth on the skin.
- mammary
- ceruminous
- sebaceous
- apocrine sweat
- merocrine sweat
- __________ is/are formed partly from the secretions of glands in the external ear canal.
- Sebum
- Cerumen
- Sweat
- Scents
- Mucus
- Looking at a slide of axillary skin under the microscope, you notice the presence of __________ glands that are absent on slides of the scalp.
- merocrine
- apocrine
- sebaceous
- ceruminous
- perspiration
- Which cutaneous glands are concerned with cooling the body?
- Ceruminous glands
- Sebaceous glands
- Merocrine glands
- Apocrine glands
- Exothermic glands
- The __________ glands are a source of sex pheromones.
- ceruminous
- merocrine
- mammary
- sebaceous
- apocrine
- Mammary glands are modified __________ glands that develop within the female breasts.
- merocrine
- apocrine
- ceruminous
- sebaceous
- eccrine
- Which two strata of the epidermis are most susceptible to cancer?
- Stratum corneum and stratum lucidum
- Stratum basale and stratum corneum
- Stratum spinosum and stratum basale
- Stratum granulosum and stratum spinosum
- Stratum lucidum and stratum granulosum
- The “ABCD rule” for recognizing early signs of malignant melanoma refers to the following characteristics of the lesion:
- asymmetry, border irregularity, color, and diameter
- asymmetry, brightness, color, and diameter
- aspect, brightness, color, and distance
- aspect, border irregularity, color, and distance
- area, border irregularity, color, and density
- The least common, but most deadly, type of skin cancer is __________.
- basal cell carcinoma
- squamous cell carcinoma
- melanoma
- skin lymphoma
- skin sarcoma
- Basal cell carcinoma initially affects cells of the stratum __________.
- spinosum
- germinativum
- corneum
- basale
- lucidum
- __________ burns involve the epidermis, all of the dermis, and often some deeper tissue.
- First-degree
- Second-degree
- Third-degree
- Partial-thickness
- Malignant
- The most immediate threat to the life of a patient with severe burns is __________.
- fluid loss
- eschar
- heat loss
- pain
- infection
- The skin is a barrier to all of the following except __________.
- metals such as mercury
- infectious organisms
- water
- UV rays
- In whom are mammary glands found?
- In lactating females
- In lactating and non-lactating females
- In non-lactating females
- In non-lactating females and males
Chapter 07
Bone Tissue
True / False Questions
- Most blood cells are produced in the red marrow of bones.
- A vertebra is considered an irregular bone.
- A radiograph (X-ray) of a child’s hand will show epiphyseal lines.
- The hemopoietic tissue in a bone is otherwise known as myeloid tissue.
- Concentric lamellae within an osteon are connected by lacunae.
- Osteogenic cells are bone stem cells that differentiate into osteoblasts and osteoclasts.
- Osteoid tissue is similar to bone except for a lack of minerals.
- Intramembranous ossification is common in children, whereas endochondral ossification is typical in young adults.
- Bones grow in diameter by interstitial growth.
- Hypercalcemia causes depression of the nervous system.
- Parathyroid hormone (PTH) binds to receptors on osteoblasts.
- Hypercalcemia is rare, but hypocalcemia can result from a wide variety of conditions.
- Closed reduction is the surgical realignment of the parts of a broken bone.
- Osteomalacia results in bone brittleness.
- Osteoporosis often leads to an exaggerated thoracic spinal curvature, which is called kyphosis.
Multiple Choice Questions
- Which of the following is not a function of the skeleton?
- Storage of calcium and phosphate ions
- Storage of red blood cells
- Providing support for most muscles
- Protecting the brain
- Protecting the spinal cord
- Osseous tissue is a(an) ____________ tissue.
- connective
- epithelial
- dense regular
- dense irregular
- reticular
- Which of the following tissues is not found as part of a long bone?
- Osseous tissue
- Nervous tissue
- Adipose tissue
- Cartilage
- Transitional epithelium
- The center cavity of the diaphysis of a long bone is called the __________.
- marrow cavity
- central canal
- nutrient foramen
- canaliculus
- epiphysis
- The thin layer of compact bone that separates an adult’s epiphysis from the diaphysis is called the __________.
- periosteum
- metaphysis
- growth plate
- epiphyseal line
- diaphyseal line
- The cortex of the long bone’s diaphysis is made of _________.
- marrow
- compact bone
- spongy bone
- dense regular connective tissue
- articular cartilage
- The expanded head at each end of a long bone is called the __________.
- epiphysis
- diaphysis
- articular cartilage
- periosteum
- endosteum
- A long bone is covered externally with a sheath called the __________, whereas the marrow cavity is lined with the __________.
- epiphysis; diaphysis
- diaphysis; epiphysis
- compact bone; spongy bone
- periosteum; endosteum
- endosteum; periosteum
- Bone-forming cells are called __________.
- osteogenic (osteoprogenitor) cells
- osteoblasts
- osteoclasts
- osteocytes
- osteons
- When ____________ become enclosed in lacunae, they become cells called _____________.
- osteogenic cells; osteoblasts
- osteoblasts; osteoclasts
- osteoblasts; osteocytes
- osteocytes; osteoclasts
- osteocytes; osteoblasts
- The spaces found within the concentric lamellae are called __________, and they contain __________.
- canaliculi; osteoblasts
- osteons; stem cells
- lacunae; osteocytes
- lacunae; osteoclasts
- central canals; osteocytes
- Which of the following is an inorganic component of the bone matrix?
- Proteoglycans
- Glycoproteins
- Collagen
- Hydroxyapatite
- Glycosaminoglycans
- Spicules and trabeculae are found in __________.
- compact bone
- bone matrix
- yellow bone marrow
- red bone marrow
- spongy bone
- Red bone marrow does not contain __________.
- myeloid tissue
- yellow bone marrow
- hemopoietic tissue
- white blood cells
- red blood cells
- The hardness of bone comes from __________, whereas __________ provide(s) some degree of flexibility.
- hydroxyapatite and other minerals; proteins
- collagen and elastic fibers; minerals
- glycoproteins; proteoglycans
- calcium carbonate; calcium phosphate
- proteins; collagen
- The plasma membrane of __________ have a ruffled border with many deep infoldings, whereas __________ have long, thin, fingerlike cytoplasmic processes.
- osteoclasts; osteocytes
- osteocytes; osteoclasts
- osteoblasts; osteoclasts
- osteoblasts; osteocytes
- osteocytes; osteogenic cells
- What would you find in the marrow cavity of the diaphysis of an adult humerus (arm bone)?
- Periosteum
- Hemopoietic tissue
- Red bone marrow
- Yellow bone marrow
- Compact bone
- Which one of the following bone cells would have the greatest number of lysosomes?
- Osteoblasts
- Osteoclasts
- Osteocytes
- Osteogenic cells
- Stem cells
- It is common to find __________ in compact bone, but they are not seen in spongy bone.
- lamellae
- osteoclasts
- lacunae
- central canals
- osteocytes
- Intramembranous ossification produces the __________.
- irregular bones of the vertebrae
- flat bones of the skull
- long bones of the limbs
- short bones of the wrist
- short bones of the ankle
- In endochondral ossification, the precursor connective tissue is __________, which is replaced by bone.
- embryonic mesenchyme
- fibrous membranes
- hyaline cartilage
- transitional epithelium
- fibrocartilage
- The __________ is a marginal zone of the epiphyseal plate where, in children and adolescents, bone can be seen replacing the hyaline cartilage.
- metaphysis
- primary ossification center
- secondary ossification center
- osteoid tissue
- epiphyseal line
- Achondroplastic dwarfism is a hereditary condition, in which the long bones of the limbs fail to elongate normally because of reduced hyperplasia and hypertrophy of cartilage in the __________.
- primary ossification center
- secondary ossification center
- primary bone marrow
- secondary bone marrow
- epiphyseal plate
- Chondrocytes multiply in the zone of __________ of the metaphysis.
- reserve cartilage
- cell proliferation
- cell hypertrophy
- calcification
- bone deposition
- Mature bones are remodeled throughout life via a process known as __________.
- intramembranous ossification
- endochondral ossification
- interstitial growth
- appositional growth
- metaphysical growth
- Bone elongation is a result of __________.
- cartilage growth
- muscle growth
- osseous tissue growth
- fibrous membrane addition
- dense irregular connective tissue addition
- Wolff’s law of bone explains the effect of __________.
- different diets on bone elongation
- mechanical stress on bone remodeling
- temperature on bone growth
- age on bone thickening
- sex on bone widening
- A growing long bone in a child has only two areas of cartilage at the epiphysis. These two areas are the __________.
- elastic cartilage and epiphyseal plate
- epiphyseal plate and epiphyseal line
- primary and secondary ossification centers
- fibrocartilage and articular cartilage
- articular cartilage and epiphyseal plate
- The process of dissolving bone and returning its minerals to the bloodstream is known as _________.
- mineralization
- mineral deposition
- crystallization
- resorption
- ossification
- Which of the following exemplifies a positive feedback process happening in bone mineral deposition?
- The first few crystals that form attract more calcium and phosphate.
- Osteoblasts neutralize inhibitors that prevent bone resorption.
- Osteoclasts secrete acid phosphatase that digests collagen.
- Collagen is digested by enzymes and hydroxyapatite by hydrochloric acid.
- Solubility product is reached in the tissue fluids.
- Phosphate is necessary for all of the following except __________.
- ATP
- DNA
- phospholipids
- RNA
- amino acids
- Calcium plays an essential role in all of the following except __________.
- muscle contraction
- exocytosis
- blood clotting
- DNA synthesis
- communication among neurons
- Which of the following is not a function of parathyroid hormone (PTH)?
- Promote calcium reabsorption by the kidneys
- Stimulate osteoclast activity
- Lower blood calcium
- Promote calcitriol synthesis
- Inhibit osteoblast activity
- Synthesized by the combined action of the skin, kidneys, and liver, _________ is important to the deposition of bone.
- growth hormone
- testosterone
- estrogen
- calcitonin
- calcitriol
- Which of the following does not put women at risk for hypocalcemia?
- Lactation
- Pregnancy
- Removal of the parathyroid glands
- Removal of the thyroid gland
- Lack of exposure to UV radiation
- Blood Ca2+ deficiency stimulates __________ secretion, which leads to __________.
- calcitonin; more urinary phosphate reabsorption
- calcitriol; more urinary phosphate excretion
- parathyroid hormone; increased osteoclast activity
- growth hormone; increased osteoblast activity
- thyroid hormone; less urinary calcium excretion
- Hypocalcemia can cause __________.
- emotional disturbances
- depression of the nervous system
- muscle weakness
- sluggish reflexes
- muscle spasms
- Arteriosclerosis is one example of ectopic ossification, which means __________.
- the solubility product has been reached
- artery mineralization by osteoblasts
- abnormal calcification of a tissue
- accumulation of collagenous fibers in blood vessels
- ossification of an entire blood vessel
- If a thyroid tumor secreted an excessive amount of calcitonin, we would expect ___________.
- an elevated level of osteoclast activity
- an elevated level of osteoblast activity
- a reduced rate of endochondral ossification
- a rise in blood calcium concentration
- increasingly brittle bones
- A soft callus forms during ___________.
- endochondral ossification
- intramembranous ossification
- bone growth at the metaphysis
- the remodeling of bone
- the healing of a fracture
- Osteoporosis is most common in elderly women because of the lack of ___________, which would otherwise inhibit ____________.
- dietary calcium; estrogen production
- osteoblasts; osteoclast activity
- estrogen; osteoclast activity
- parathyroid hormone; osteocyte activity
- exercise; osteoblast activity
- A fracture in which the bone is broken into three or more pieces is called a __________ fracture.
- linear
- pott
- comminuted
- greenstick
- compound
- The result of blood calcium and phosphate levels being too low for normal deposition is a softness of the bones called __________ in children and __________ in adults.
- osteomalacia; rickets
- rickets; osteomalacia
- osteoporosis; osteomalacia
- osteomyelitis; osteosarcoma
- osteomyelitis; osteomalacia
- Bone protrudes through the skin in a fracture called __________.
- complete
- incomplete
- closed
- open
- displaced
- A break in a bone that is already weakened by some other disease is called a(n) __________ fracture.
- greenstick
- open
- closed
- pathologic
- displaced
- Which of the following is the correct sequence of events in the healing of a bone fracture?
- Bone remodeling ï‚® soft callus formation ï‚® hard callus formation ï‚® hematoma formation
- Bone remodeling ï‚® hard callus formation ï‚® soft callus formation ï‚® hematoma formation
- Hematoma formation ï‚® soft callus formation ï‚® hard callus formation ï‚® bone remodeling
- Hematoma formation ï‚® hard callus formation ï‚® soft callus formation ï‚® bone remodeling
- Soft callus formation ï‚® hard callus formation ï‚® hematoma formation ï‚® bone remodeling
- Patches of fibrocartilage formed in the healing of a fracture are called __________, whereas the bony collar formed around the fracture is called __________.
- fracture hematoma; granulation tissue
- granulation tissue; soft callus
- fracture hematoma; hard callus
- granulation tissue; hard callus
- soft callus; hard callus
- The most common bone disease is __________.
- osteomyelitis
- osteoporosis
- osteosarcoma
- osteomalacia
- rickets