CPC Study - Integumentary System
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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How many layers make up the skin? | 2 - epidermis, dermis
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Layers of the dermis: | papillare, reticulare
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Outer layer of epidermis: | stratum corneum
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Deepest layer of epidermis: | basal layer
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Hypodermis | fat tissue and fibrous connective tissue connecting skin to underlying muscle
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Another name for superficial fascia: | hypodermis
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Lunula | white area at base of nail plate (growth area)
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Eponychium | narrow band of epidermis at base and sides of nail (cuticle)
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Paronychium | soft tissue around nail border
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Types of glands: | sebaceous (lubricate skin, hair), sudoriferous (sweat glands)
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Homograft or Allograft | same-species graft
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Anhidrosis | deficiency of sweat
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Autograft | graft from patient's own body
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Causalgia | burning pain
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Delayed Flap | pedicle of skin with blood supply that is separated from origin over time
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Epidermolysis | loosening of epidermis
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Epidermomycosis | superficial fungal infection
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Epithelium | surface covering of internal and external organs of body
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Erythema | redness of skin
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Escharotomy | surgical incision into necrotic tissue
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Furuncle | nodule in skin caused by staphylococci entering through hair follicle (boil)
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Hematoma | localized collection of blood
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Ichthyosis | scaling of skin
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Island pedicle flap | contains a single artery and vein that remains attached to origin temporarily or permanently
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Leukoderma | depigmentation of skin
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Leukoplakia | white patch on mucous membrane
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Lipocyte | fat cell
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Lipoma | fatty tumor
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Melanin | dark pigment of skin
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Melanoma | tumor of epidermis, malignant and black in color
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Mohs' Micrographic Surgery | removal of skin cancer in layers by a surgeon who also acts as a pathologist during surgery
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Neurovascular Flap | contains artery, vein, nerve
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Pedicle | growth attached with a stem
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Sebum | oil
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Free full-thickness graft | graft of epidermis and dermis completely removed from donor area
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split-thickness graft | graft of epidermis and some of dermis
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Steatoma | fat mass in sebaceous gland
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Subungual | beneath nail
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Xanthoma | yellow, fatty tumor
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Xenograft | different species graft
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Xeroderma | dry, discolored, scaly skin
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Macule | flat area of color change (freckle, flat mole)
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Papule | solid elevation (wart, lichen planus, mole)
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Nodule | solid elevation 1-2 cm in diameter (lipoma, enlarged lymph nodes)
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Pustule | elevated area filled with purulent fluid (pimple, impetigo, abscess)
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Tumor | solid mass (hemangioma, neoplasm, lipoma)
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Plaque | flat elevated surface 1cm or greater (psoriasis, seborrheic keratosis)
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Wheal | insect bite, allergic reaction
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Vesicle | small blister (shingles, chickenpox)
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Bulla | large blister
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Scales | flakes of cornified skin
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Crust | dried exudate on skin (scab)
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Fissure | crack in skin
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Erosion | loss of epidermis
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Scar | excess collagen production following trauma
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Atrophy | loss of some portion following trauma
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Ulcer | area of destruction of entire epidermis
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Define the stages of a pressure ulcer: | I erythema, II partial loss of skin, III full thickness loss of skin up to but not through fascia, IV full thickness loss with extensive destruction and necrosis
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Keloid | sharply elevated, irregularly shaped scar that progressively enlarges
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Cicatrix | scar
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Types of exogenous atopic dermatitis: | irritant dermatitis, allergic contact dermatitis
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Atopic dermatitis results in the activation of these cells: | mast cells, eosinophils, T lymphocytes, monocytes
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Allergic contact dermatitis is most common in: | infants and children
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Stasis dermatitis | dermatitis on legs from venous stasis
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Psoriasis | chronic, relapsing, proliferating skin disorder (papulosquamous)
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Pityriasis Rosea | self-limiting inflammatory disorder beginning with herald patch, progresses to circular lesions over the trunk and upper extremities
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Lichen Planus | pink lesions that turn into violet-colored pruritic papules occuring on skin and mucous membranes
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Types of acne vulgaris: | noninflammatory (whiteheads, blackheads), inflammatory (follicle walls rupture, pustules result)
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Bacterial Impetigo | highly contagious pyoderma common in infants and children, caused by staphylococcus
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Erysipelas | bright red and hot skin infection
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Acute necrotizing fasciitis | virulent strain of gram-positive, A beta-hemolytic Streptococcus
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Cold Sore | fever blisters on lips caused by Herpes simplex virus 1
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Shingles are caused by this virus: | varicella-zoster virus
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Verrucae | warts
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Warts are caused by this virus: | human papillomavirus
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4 types of tinea | tinea capitis, tinea corporis (ringworm), tinea pedis (athlete's foot), tinea unguium (onychomycosis)
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Tinea | superficial skin infection
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Seborrheic Keratosis | benign skin tumor - proliferation of basal cells, dark lesion on trunk or face
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Actinic Keratosis | benign skin tumor - pigmented scaly patch caused by exposure to sun (pre-malignant)
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Keratoacanthoma | benign skin tumor - occurs in hair follicles
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Nevi | moles (benign skin tumor)
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Squamous Cell Carcinoma | malignant skin tumor - grows wherever squamous epithelium is located
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Basal Cell Carcinoma | malignant skin tumor - common, slow growing, easily treated
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Where does a melanoma originate? | in melanocytes
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Kaposi's Sarcoma | rare vascular skin cancer associated with AIDS (painful lesions appearing as purple papules)
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