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Tri - Rivers School of Practical Nursing

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Question
Answer
Epidermis   *stratified squamous epitheilum *normal flora  
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What is normal flora?   normal bacteria  
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What are the two layers of the epidermis?   *stratum corneum *stratum germinativum  
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Stratum Corneum   *outermost layer *many layers of dead cells *keratin is left *"waterproof" *barrier to microrganisms  
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What makes the stratum corneum almost waterproof?   keratin  
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Stratum Germinativum   *innermost layer *mitosis takes place here *cells have form of cholesterol *has keratin - alive  
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Where is cholesterol produced?   the liver  
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What is cholesterol involved in the production of?   Vit. D  
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What are the 4 cells of the epidermis?   keratinocytes, merkle cells, langerhan cells, melanocytes  
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Keratinocytes   specialized - produce keratin  
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Merkel cells (discs)   Sensory receptor - touch  
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Langerhan cells   immunity  
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Melanocytes   produce melanin - color (pigmentation)  
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Dermis   *fibrous connective tissue (irregular) *papillary layer *hair / nail follicles *receptors *glands *arterioles  
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What is papillary layer?   top layer of dermis, has capillaries  
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Structure of hair follicles   *root: mitosis takes place *produces keratin & melanin *arrector pili  
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What is the arrector pili?   muscle, causes goosebumps  
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Function of hair follicles   produces keratin and die, hair itself protects  
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Structure of nail follicles   root is site of mitosis  
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Function of nail follicles   Produces keratin& die, protects end of fingers and toes from mechanical injury  
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What are the two types of receptors in the dermis?   pain: heat/cold pressure/touch  
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Free or encapsulated nerve ending? Pain - heat/cold   free  
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Free or encapsulated nerve ending? Pressure/Touch   encapsulated  
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Glands in the dermis   sebaceous, ceremonious, apocrine, eccrine  
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Sebaceous gland   oil - sebum  
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Functions of sebaceous gland   keep things moist, water barrier, protection  
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Ceremonious gland   ear wax  
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Apocrine glands   underarm,genitals *secretions are thicker  
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Eccrine glands   forehead, soles of feet, palms of hands *thin / watery secretions  
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Arterioles & capillaries   supplies O2, removes waste, helps with heat  
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vasodialation   opens up veins bp: lower temp: lower  
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vasoconstriction   tightens veins bp: higher temp: higher  
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What are the two layers of the skin?   dermis, epidermis  
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The stratum corneum is the....?   top layer  
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Where does mitosis take place?   Stratum germinativuum, hair roots, nail roots  
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The dermis is made of fibrous connective tissues and contains ___________   nerve endings, glands, capillaries, collagen, elastin  
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Functions of the epidermis   prevent H2O loss, mitosis, production of melanin, protection  
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Functions of the dermis   contains capillaries, insulation, detect changes, produce sebum, produce cerumen, dialate / constrict, converts cholesterol to vit. D  
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What are the proteins of the epidermis and dermis?   keratin, melanin, collagen, elastin  
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What protein gives hair its color?   melanin  
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Subcutaneous tissue Superficial fascia hypodermis   connective membrane *areolar / adipose *WBC *Mast Cells *under dermis *greatest blood supply  
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Mast Cells   triggers inflammation  
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first degree "superficial" burn   *superficial epidermis *painful *no blisters *appears red  
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second degree "partial thickness" burn   *deeper layers of epidermis *painful *blisters  
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third degree "full thickness" burn   *entire epidermis *may extend to dermis / subcutaneous tissue *may not be painful at first *subject to infection and dehydration  
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Basal cell carcinoma   *originates in cells at base of epidermis *common on upper face *slow growing *less likely to metastasize  
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Squamous cell carcinoma   *slow growing *will metastasize *lesions begin as painless, hard raised nodules *common on scalp and ears  
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Malignant melanoma   *very aggressive *beings in melanocytes *metastasizes rapidly *can be all over *ABCD rule  
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What does the A in the abcd rule stand for?   asymmetry (different on sides)  
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What does the B in the abcd rule stand for?   border (not round)  
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What does the C in the abcd rule stand for?   coloration (heavy to light, light to heavy pigmentation)  
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What does the D in the abcd rule stand for?   diameter (more than 6mm)  
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At what mm can a lesion possibly be skin cancer?   anything more than 6 mm  
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Nathan injured the soft tissues around his ankle, what tissue type is involved?   fibrous connective tissue  
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Nathan also cut his arm, and requires 5 stitches, what membrane did they go through?   cutaneous  
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Splinter that wasn't bleeding - what layers did it go through?   epidermis only  
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