Deck 5: The Integumentary System
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Deck 5: The Integumentary System
1

Figure 5.1
Use the diagram above to answer the following questions.
Which letter indicates the integument layer that has no vascularization?
A) A
B) B
C) C
D) D
E) E
A
2

Figure 5.2
Use the diagram above to answer the following questions.
Which letter indicates cells that produce melanin in the hair root?
A) A
B) B
C) C
D) D
E) E
D
3
Which primary layer of the skin provides a pink undertone to Caucasian skin?
A) dermis
B) hypodermis
C) epidermis
A) dermis
B) hypodermis
C) epidermis
A
4

Figure 5.2
Use the diagram above to answer the following questions.
Which letter indicates a layer of cells that are derived from the epidermis?
A) A
B) B
C) C
D) D
E) E
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5

Figure 5.1
Use the diagram above to answer the following questions.
Which letter indicates the integument layer composed of keratinized stratified squamous cells?
A) A
B) B
C) C
D) D
E) E
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6

Figure 5.1
Use the diagram above to answer the following questions.
Which letter indicates a specialized sensory receptor that responds to deep pressure?
A) A
B) B
C) C
D) D
E) E
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7

Figure 5.1
Use the diagram above to answer the following questions.
Which letter indicates projections from the dermis that reduce blister formation?
A) A
B) B
C) C
D) D
E) E
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8

Figure 5.1
Use the diagram above to answer the following questions.
Which letter indicates the integument layer that corresponds to leather hides from an animal?
A) A
B) B
C) C
D) D
E) E
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9
Which tissue layer deep to the integument acts as a shock and thermal insulator?
A) dermis
B) hypodermis
C) epidermis
A) dermis
B) hypodermis
C) epidermis
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10

Figure 5.2
Use the diagram above to answer the following questions.
Which letter indicates the innermost portion of hair that is comprised of large epithelial cells and air spaces?
A) A
B) B
C) C
D) D
E) E
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11

Figure 5.2
Use the diagram above to answer the following questions.
Which letter indicates the portion of the hair root that contains a single capillary cluster?
A) A
B) B
C) C
D) D
E) E
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12
Identify the layer of the skin that contains most of the sensory receptors.
A) dermis
B) hypodermis
C) epidermis
A) dermis
B) hypodermis
C) epidermis
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13
Diffusion of chemicals from a transdermal patch must reach what layer of the skin to be effective?
A) dermis
B) hypodermis
C) epidermis
A) dermis
B) hypodermis
C) epidermis
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14
Which primary layer of the skin contains melanocytes?
A) dermis
B) hypodermis
C) epidermis
A) dermis
B) hypodermis
C) epidermis
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15
When doctors make incisions on the body based on the lines of cleavage of the skin, these cleavage lines are based on the arrangement of collagen fibers in which layer of the skin?
A) dermis
B) hypodermis
C) epidermis
A) dermis
B) hypodermis
C) epidermis
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16
Which layer of the integument are toenails and fingernails derived from?
A) dermis
B) hypodermis
C) epidermis
A) dermis
B) hypodermis
C) epidermis
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17
Which layer of the skin invaginates downward to form sebum-producing glands?
A) dermis
B) hypodermis
C) epidermis
A) dermis
B) hypodermis
C) epidermis
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18

Figure 5.2
Use the diagram above to answer the following questions.
Which letter indicates the portion of a hair that projects above the skin surface?
A) A
B) B
C) C
D) D
E) E
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19
Which primary layer of the skin contains lamellated granules that aid in waterproofing?
A) dermis
B) hypodermis
C) epidermis
A) dermis
B) hypodermis
C) epidermis
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20
Which layer of the integument contains the stratum basale?
A) dermis
B) hypodermis
C) epidermis
A) dermis
B) hypodermis
C) epidermis
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21
The type of sweat gland that begins to function at puberty and is involved in sexual signaling is
A) apocrine.
B) eccrine.
C) sebaceous.
D) holocrine.
A) apocrine.
B) eccrine.
C) sebaceous.
D) holocrine.
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22
Which layer of the epidermis contains keratohyalin granules and lamellated granules?
A) stratum basale
B) stratum corneum
C) stratum granulosum
D) stratum spinosum
A) stratum basale
B) stratum corneum
C) stratum granulosum
D) stratum spinosum
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23
The type of burn in which the epidermis and part of the dermis are damaged is ________ degree.
A) first
B) second
C) third
D) fourth
A) first
B) second
C) third
D) fourth
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24
Visible stretch marks on the skin surface are actually the result of microscopic tears in collagen fibers in which layer?
A) dermis
B) hypodermis
C) epidermis
A) dermis
B) hypodermis
C) epidermis
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25
The thickness of skin is determined by the presence of the stratum lucidum and the thickness of the
A) papillary layer of the dermis.
B) reticular layer of the dermis.
C) stratum basale.
D) stratum corneum.
A) papillary layer of the dermis.
B) reticular layer of the dermis.
C) stratum basale.
D) stratum corneum.
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26
The lunule, which represents the thickest part of the nail matrix is found at the
A) body of the nail.
B) eponychium.
C) proximal part of the nail bed.
D) dermis around the nail.
A) body of the nail.
B) eponychium.
C) proximal part of the nail bed.
D) dermis around the nail.
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27
Which is the most abundant and widespread type of sweat gland?
A) eccrine
B) apocrine
C) holocrine
D) endocrine
A) eccrine
B) apocrine
C) holocrine
D) endocrine
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28
The cells in the skin that store the most melanin granules are
A) dendritic cells.
B) tactile epithelial cells.
C) basal keratinocytes.
D) melanocytes.
A) dendritic cells.
B) tactile epithelial cells.
C) basal keratinocytes.
D) melanocytes.
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29
The proximal nail fold is also called the nail's
A) matrix.
B) bed.
C) lunule.
D) eponychium.
A) matrix.
B) bed.
C) lunule.
D) eponychium.
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30
Based on the rule of nines, approximately what percent of the total body surface covers the anterior and posterior torso?
A) 37%
B) 50%
C) 58%
D) 66%
A) 37%
B) 50%
C) 58%
D) 66%
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31
If you were to have liposuction, you would have tissue removed from which layer?
A) dermis
B) hypodermis
C) epidermis
A) dermis
B) hypodermis
C) epidermis
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32
Light-skinned people have less melanin in the superficial layers of their epidermis because
A) they are exposed to less UV radiation.
B) they have fewer melanocytes.
C) keratinocytes in their deeper layers rapidly digest melanin.
D) their melanocytes produce a pinkish color melanin instead of brown.
A) they are exposed to less UV radiation.
B) they have fewer melanocytes.
C) keratinocytes in their deeper layers rapidly digest melanin.
D) their melanocytes produce a pinkish color melanin instead of brown.
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33
Is the human integumentary system best adapted for hot or cold climates?
A) cold, because we have many skin features that keep us from overheating
B) cold, because we have a thick hypodermis
C) warm, because sweating cools us in hot climates but we would die in cold climates without clothing
D) warm, because sebaceous glands aid us in hot climates but evaporative cooling would kill us in cold climates
A) cold, because we have many skin features that keep us from overheating
B) cold, because we have a thick hypodermis
C) warm, because sweating cools us in hot climates but we would die in cold climates without clothing
D) warm, because sebaceous glands aid us in hot climates but evaporative cooling would kill us in cold climates
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34
The coarse hairs in the skin of the perineum and axillary regions are all ________ hairs.
A) pubic
B) apocrine
C) terminal
D) vellus
A) pubic
B) apocrine
C) terminal
D) vellus
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35
Following their production in red bone marrow, dendritic cells circulate to what primary layer of the skin?
A) dermis
B) hypodermis
C) epidermis
A) dermis
B) hypodermis
C) epidermis
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36
In the thick skin of the palm, the layer of the epidermis directly deep to the stratum corneum is the stratum ________.
A) granulosum.
B) basale.
C) lucidum.
D) spinosum.
A) granulosum.
B) basale.
C) lucidum.
D) spinosum.
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37
The reticular layer of the dermis consists of ________ connective tissue.
A) reticular
B) stratified squamous
C) dense regular
D) dense irregular
A) reticular
B) stratified squamous
C) dense regular
D) dense irregular
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38
Which layer of the integument is found deep to the dermis?
A) dermis
B) hypodermis
C) epidermis
A) dermis
B) hypodermis
C) epidermis
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39
When a blister forms due to friction, liquid pools between the epidermis and what other layer of the integument?
A) dermis
B) hypodermis
C) epidermis
A) dermis
B) hypodermis
C) epidermis
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40
Lamellated granules
A) burst from sebaceous glands, releasing oils onto the skin.
B) contain glycolipids that are secreted from cells in the stratum granulosum.
C) help form keratin in fingernails.
D) smooth the cuticle of a hair shaft to prevent split ends.
A) burst from sebaceous glands, releasing oils onto the skin.
B) contain glycolipids that are secreted from cells in the stratum granulosum.
C) help form keratin in fingernails.
D) smooth the cuticle of a hair shaft to prevent split ends.
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41
Pimples begin
A) as localized infections in the hypodermis.
B) as tiny cuts and nicks in the skin.
C) when bacteria enter sweat pores.
D) when sebaceous glands become blocked by sebum.
A) as localized infections in the hypodermis.
B) as tiny cuts and nicks in the skin.
C) when bacteria enter sweat pores.
D) when sebaceous glands become blocked by sebum.
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42
The black part of a blackhead is
A) oxidized sebum.
B) dirt.
C) a growing hair stub.
D) excreted carbon.
A) oxidized sebum.
B) dirt.
C) a growing hair stub.
D) excreted carbon.
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43
The most external layer of a hair shaft is the
A) medulla.
B) cuticle.
C) cortex.
D) epidermal root sheath.
A) medulla.
B) cuticle.
C) cortex.
D) epidermal root sheath.
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44
Lanugo hair is replaced in a fetus by
A) nominal hair.
B) no hair.
C) vellus hair.
D) dermal hair.
A) nominal hair.
B) no hair.
C) vellus hair.
D) dermal hair.
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45
Since apocrine glands are almost inactive until puberty, they may function primarily in
A) cooling the body.
B) sexual signalling, under the influence of androgens.
C) keeping hair from falling out.
D) strengthening melanin in the skin.
A) cooling the body.
B) sexual signalling, under the influence of androgens.
C) keeping hair from falling out.
D) strengthening melanin in the skin.
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46
Tattoos are permanent because
A) Langerhans cells do not recognize the pigments as foreign.
B) the melanocytes are altered to produce different colors.
C) the pigments are injected in the dermis.
D) the pigments are injected in the stratum basale, which continuously replaces the superficial layers that are sloughed off.
A) Langerhans cells do not recognize the pigments as foreign.
B) the melanocytes are altered to produce different colors.
C) the pigments are injected in the dermis.
D) the pigments are injected in the stratum basale, which continuously replaces the superficial layers that are sloughed off.
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47
Since both hair and skin contain keratin, the hair shaft is most comparable to what part of the epidermis?
A) stratum corneum
B) melanocytes
C) basal lamina
D) stratum basale
A) stratum corneum
B) melanocytes
C) basal lamina
D) stratum basale
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48
An appendage or layer of the skin that does not develop from ectoderm is the
A) stratum spinosum.
B) hair follicle.
C) stratum corneum.
D) dermis.
A) stratum spinosum.
B) hair follicle.
C) stratum corneum.
D) dermis.
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49
Any condition involving absence or loss of hair is called
A) psoriasis.
B) alopecia.
C) impetigo.
D) vitiligo.
A) psoriasis.
B) alopecia.
C) impetigo.
D) vitiligo.
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50
Soft keratin is present in the
A) epidermis.
B) hair cuticles.
C) dermis.
D) body of the nails.
A) epidermis.
B) hair cuticles.
C) dermis.
D) body of the nails.
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51
Which connective tissue layer is discussed in the chapter on the integumentary system but is truly not a part of it?
A) dermal papilla
B) hair
C) nail
D) hypodermis
A) dermal papilla
B) hair
C) nail
D) hypodermis
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52
Which of the following is a sensory receptor?
A) keratinocyte
B) melanocyte
C) dendritic cell
D) Pacinian corpuscle
A) keratinocyte
B) melanocyte
C) dendritic cell
D) Pacinian corpuscle
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53
Cleavage lines
A) are scars resulting from overstretching of the dermis.
B) attach the dermis to underlying bone and muscle.
C) form the pattern of epidermal ridges known as fingerprints.
D) run parallel to the orientation of collage bundles in the reticular layer.
A) are scars resulting from overstretching of the dermis.
B) attach the dermis to underlying bone and muscle.
C) form the pattern of epidermal ridges known as fingerprints.
D) run parallel to the orientation of collage bundles in the reticular layer.
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54
In the ABCD rule of skin cancer, the letter B stands for
A) big.
B) blisters.
C) border.
D) baked skin.
A) big.
B) blisters.
C) border.
D) baked skin.
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55
The "cheesy" layer on the skin of a newborn is
A) lanugo.
B) baby sweat.
C) seborrhea.
D) vernix caseosa.
A) lanugo.
B) baby sweat.
C) seborrhea.
D) vernix caseosa.
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56
Which of the following is not a current hypothesis proposed for the evolution of skin color?
A) preventing damage to DNA
B) preventing damage to elastin
C) protecting the level of folic acid
D) protecting the level of vitamin D
A) preventing damage to DNA
B) preventing damage to elastin
C) protecting the level of folic acid
D) protecting the level of vitamin D
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57
The color of red or blonde hair is due to
A) carotene.
B) oxygenated hemoglobin.
C) porphyrins.
D) a different type of melanin.
A) carotene.
B) oxygenated hemoglobin.
C) porphyrins.
D) a different type of melanin.
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58
The white half-moon visible under the proximal part of a fingernail is the
A) matrix.
B) bed.
C) lunule.
D) cuticle.
A) matrix.
B) bed.
C) lunule.
D) cuticle.
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59
The type of skin cancer that is most common and has the lowest metastasis rate is
A) basal cell carcinoma.
B) squamous cell carcinoma.
C) malignant melanoma.
D) leukopenia.
A) basal cell carcinoma.
B) squamous cell carcinoma.
C) malignant melanoma.
D) leukopenia.
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60
The subpapillary plexus
A) nourishes the dermal papillae and epidermis.
B) nourishes the hypodermis and reticular layer of the dermis.
C) provides the sensation of fine touch.
D) provides the sensation of deep pressure.
A) nourishes the dermal papillae and epidermis.
B) nourishes the hypodermis and reticular layer of the dermis.
C) provides the sensation of fine touch.
D) provides the sensation of deep pressure.
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61
Damage to the hair ________ would prevent hair growth.
A) cortex
B) cuticle
C) matrix
D) medulla
A) cortex
B) cuticle
C) matrix
D) medulla
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62
The only cell type found superficial to the stratum spinosum in the epidermis is the
A) keratinocyte.
B) melanocyte.
C) dendritic cell.
D) tactile epithelial cell.
A) keratinocyte.
B) melanocyte.
C) dendritic cell.
D) tactile epithelial cell.
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63
The epidermis is a keratinized ________ epithelium.
A) compound columnar
B) stratified squamous
C) simple squamous
D) simple areolar
A) compound columnar
B) stratified squamous
C) simple squamous
D) simple areolar
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64
The integumentary organs that are derived from mesoderm and function in thermoregulation are
A) nails.
B) hair.
C) sebaceous glands.
D) arrector pili muscles.
A) nails.
B) hair.
C) sebaceous glands.
D) arrector pili muscles.
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65
Keratinocytes begin to die in the stratum granulosum.
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66
Which statement is not part of the explanation for male pattern baldness?
A) Cells of the hair matrix cease mitosis.
B) Hair growth cycles shorten.
C) Hair shafts may not reach the surface.
D) Terminal hairs are replaced by vellus hairs.
A) Cells of the hair matrix cease mitosis.
B) Hair growth cycles shorten.
C) Hair shafts may not reach the surface.
D) Terminal hairs are replaced by vellus hairs.
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67
Nutrients enter a hair follicle through the dermal papilla.
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68
Holocrine secretion
A) differentiates the products of ceruminous and mammary glands from other sweat glands.
B) involves the bursting of the glandular epithelial cell.
C) produces a lipid-rich product that can be metabolized by bacteria.
D) results from the exocytosis of protein-rich vesicles.
A) differentiates the products of ceruminous and mammary glands from other sweat glands.
B) involves the bursting of the glandular epithelial cell.
C) produces a lipid-rich product that can be metabolized by bacteria.
D) results from the exocytosis of protein-rich vesicles.
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69
A(n) ________ responds to the movement of a single hair.
A) arrector pili muscle
B) hair matrix
C) hair papilla
D) root hair plexus
A) arrector pili muscle
B) hair matrix
C) hair papilla
D) root hair plexus
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70
Chemotherapy causes hair loss because these drugs specifically target rapidly dividing cells in the hypodermis.
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71
In the ABCD rule for recognizing melanoma, the letter D stands for
A) depth.
B) diameter.
C) dark.
D) density.
A) depth.
B) diameter.
C) dark.
D) density.
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72
Excessive exposure to ultraviolet radiation (UVR) can lead to skin cancer, but minimal UVR exposure can lead to
A) porphyria.
B) vitiligo.
C) vitamin D deficiency.
D) ulcerative colitis.
A) porphyria.
B) vitiligo.
C) vitamin D deficiency.
D) ulcerative colitis.
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73
Skin consists of two distinct tissue layers: the epidermis and dermis.
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74
The type of skin cancer that arises from keratinocytes of the stratum spinosum is
A) basal cell carcinoma.
B) malignant melanoma.
C) squamous cell carcinoma.
D) psoriasis.
A) basal cell carcinoma.
B) malignant melanoma.
C) squamous cell carcinoma.
D) psoriasis.
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75
A sebaceous gland is classified as a ________ gland.
A) compound tubular
B) simple tubular
C) simple alveolar
D) compound alveolar
A) compound tubular
B) simple tubular
C) simple alveolar
D) compound alveolar
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76
A partial-thickness burn involves
A) the epidermis.
B) the epidermis and papillary layer of the dermis.
C) the epidermis and the entire dermis.
D) the epidermis, dermis, and any portion of the hypodermis.
A) the epidermis.
B) the epidermis and papillary layer of the dermis.
C) the epidermis and the entire dermis.
D) the epidermis, dermis, and any portion of the hypodermis.
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77
The letter A in the ABCD rule for melanoma detection stands for asymmetry.
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78
"Goose bumps" on the skin are due to action of the
A) arrector pili muscles.
B) sweat glands.
C) sebaceous glands.
D) flexion creases.
A) arrector pili muscles.
B) sweat glands.
C) sebaceous glands.
D) flexion creases.
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79
As a person balds, terminal hair is replaced by vellus.
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80
The appearance of wrinkles in skin with age is largely due to changes in the
A) collagen and elastic fibers in the dermis.
B) keratin of the epidermis.
C) carotene in the epidermis.
D) blood vessels in the dermis.
A) collagen and elastic fibers in the dermis.
B) keratin of the epidermis.
C) carotene in the epidermis.
D) blood vessels in the dermis.
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