Deck 13: Integument
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Deck 13: Integument
1
A 45-year-old man presents to his dermatologist with a skin condition. The patient was bitten on the leg by a dog and then developed a red, warm, painful, swollen area in the region of the bite. The physician suspects
A) boils
B) impetigo
C) rosacea
D) sebaceous cyst
E) cellulitis
A) boils
B) impetigo
C) rosacea
D) sebaceous cyst
E) cellulitis
E
2
Melanocytes are located in which of the following layers of the epidermis?
A) stratum corneum
B) stratum lucidum
C) stratum granulosum
D) stratum spinosum
E) stratum basale
A) stratum corneum
B) stratum lucidum
C) stratum granulosum
D) stratum spinosum
E) stratum basale
E
3
Identify the layer at the arrow tip 
A) stratum basale
B) stratum spinosum
C) stratum granulosum
D) stratum lucidum
E) stratum corneum

A) stratum basale
B) stratum spinosum
C) stratum granulosum
D) stratum lucidum
E) stratum corneum
B
4
The encircled structure 
A) is a mechanoreceptor
B) manufactures sebum
C) manufactures a mucous secretion
D) manufactures sweat
E) is the duct of a sweat gland

A) is a mechanoreceptor
B) manufactures sebum
C) manufactures a mucous secretion
D) manufactures sweat
E) is the duct of a sweat gland
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5
Sebaceous glands are classified as
A) apocrine glands
B) compound glands
C) holocrine glands
D) simple coiled tubular glands
E) mixed glands
A) apocrine glands
B) compound glands
C) holocrine glands
D) simple coiled tubular glands
E) mixed glands
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6
The structure at the tip of the arrow 
A) is a mechanoreceptor
B) manufactures sebum
C) manufactures a mucous secretion
D) manufactures sweat
E) is the duct of a sweat gland

A) is a mechanoreceptor
B) manufactures sebum
C) manufactures a mucous secretion
D) manufactures sweat
E) is the duct of a sweat gland
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7
A 24-year-old man with AIDS sees his physician because of brown, oval patches that started on his toes and have spread to his face. The physician should suspect
A) Bowen's disease
B) rosacea
C) melanoma
D) squamous cell carcinoma
E) Kaposi's sarcoma
A) Bowen's disease
B) rosacea
C) melanoma
D) squamous cell carcinoma
E) Kaposi's sarcoma
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8
A young African American child is taken to his dermatologist by his parents, who are concerned by a lack of pigmentation in some regions of his body. The dermatologist should suspect
A) albinism
B) tinea versicolor
C) vitiligo
D) squamous cell carcinoma
E) melanoma
A) albinism
B) tinea versicolor
C) vitiligo
D) squamous cell carcinoma
E) melanoma
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9
Which of the following statements is not correct concerning skin?
A) melanocytes possess tyrosinase, which is located in the endosomes
B) Merkel cells are mechanoreceptors
C) Langerhans cells are derived from the bone marrow
D) cells of the stratum granulosum possess keratohyaline granules
E) cells of the stratum spinosum possess membrane-coating granules
A) melanocytes possess tyrosinase, which is located in the endosomes
B) Merkel cells are mechanoreceptors
C) Langerhans cells are derived from the bone marrow
D) cells of the stratum granulosum possess keratohyaline granules
E) cells of the stratum spinosum possess membrane-coating granules
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10
A medical student playing softball chased the ball through a field populated with patches of poison ivy. The student's skin came in contact with the poisonous plant. Which of the following cells processes and presents the plant antigen to initiate the immune response of the skin?
A) T helper cell
B) cytotoxic T lymphocyte
C) plasma cell
D) Langerhans cell
E) T reg cell
A) T helper cell
B) cytotoxic T lymphocyte
C) plasma cell
D) Langerhans cell
E) T reg cell
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11
Which of the following is correct about freckles? They
A) are hyperpigmented spots on the skin
B) are an increased number of melanocytes in the dermis
C) are an increased number of melanocytes in the epidermis
D) fade in the summer
E) darken in the winter
A) are hyperpigmented spots on the skin
B) are an increased number of melanocytes in the dermis
C) are an increased number of melanocytes in the epidermis
D) fade in the summer
E) darken in the winter
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12
Cells of the stratum spinosum are attached to each other by
A) zonulae adherentes
B) zonulae occludentes
C) desmosomes
D) fasciae adherentes
E) hemidesmosomes
A) zonulae adherentes
B) zonulae occludentes
C) desmosomes
D) fasciae adherentes
E) hemidesmosomes
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13
Which of the following infections of the skin is caused by a Corynebacterium?
A) athlete's foot
B) scalp ringworm
C) jock itch
D) erythrasma
E) scabies
A) athlete's foot
B) scalp ringworm
C) jock itch
D) erythrasma
E) scabies
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14
A 30-year-old-healthy patient presents to his family physician with a scaly, red, crusty area on his forehead that does not appear to heal. The physician determines that the lesion has increased in size. The physician should suspect
A) sunburn
B) rosacea
C) melanoma
D) squamous cell carcinoma
E) Kaposi's sarcoma
A) sunburn
B) rosacea
C) melanoma
D) squamous cell carcinoma
E) Kaposi's sarcoma
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