HEENT Final Review Exam Questions
and Answers Rated A+ (2025-2026)
Integumentary System to start with
Skin!
A) Epidermis i) Made of adipose tissue for temp control, storing energy, and protection via
cushioning
B) Dermis ii) Protective layer, shows off skin colour (melanin, carotene, vascular bed)
C) Subcutaneous layer iii) Inner supportive layer, resists tearing. For stretchingA - Answer Aii
Biii (Also contains nerves, sensory receptors, BVs, lymph vessels, hair follicles, sweat glands,
etc!)
Ci
Hair! Made of keratin :P
__________ hair: Covers most of the body! Excludes the palms & soles, nails, umbillicus, glans
penis, and inside labia.
____________ hair: Covers the scalp, eyebrows, axillae, pubic area, face, and chest! - Answer
Vellus Hair
Terminal Hair
A) Sebacous glands i) Opens directly on the skin surface to secrete sweat
B) Eccrine sweat glands ii) Secretes a thick secretion into hair follicles. Activates after puberty.
Smelly!
C) Apocrine sweat glands iii) Secretes sebum. Oils and lubricates skin & hair to delay water loss.
Lipid! - Answer Aiii everywhere except palms & soles
Bi
Cii
Nails! Hard plates of keratin w/ fine, longitudinal ridges
__________: White opaque area at the end.
,Many functions of the skin!
A) Protection i) Removing metabolic wastes
B) Prevents penetration ii) Emotions and vascular mechanisms (blushing!)
C) Perception iii) Sweat glands and heat storage
D) Temp regulation iv) Exposure to sunlight
E) Identification v) Via platelets and clotting
F) Communication vi) From physical, chemical, and thermal sources
G) Wound repair vii) Fingerprints
H) Absorption and excretion viii) Loss of water/electrolytes
I) Production of Vitamin D ix) Sensory info - Answer Avi
Bviii
Cix
Diii
Evii
Fii
Gv
Hi
Iiv
Health Hx!
Hx of skin disease: What is eczema? Psoriasis? Rosacea?
Change in pigmentation: a loss/increase in colour is known as:
Change in moles (worry if its benign/malignant)
Texture of skin: Xerosis =______ skin, Seborrhea = ________ skin.
Pruritus: what does this mean again?
Excessive bruising (abuse, falls, minor trauma)
Rash/Lesion (spreading pattern, ner/chronic, scars)
Medication (drug allergy, photosensitive)
Hair loss/growth. Alopecia means? Hirsutism means?
Change in nails (nutrition defect, infection)
Envirionmental/occupational hazards: exposure to the _____.
, Change in pigmentation: Hypo/hyperpigmentation
Texture of skin: Xerosis = Dry skin, Seborrhea = oily skin
Pruritus: Itchy skin
Hair loss/Growth: Alopecia = significant loss, Hitruism = Excessive, shaggy growth.
Enviro/Occu hazards: Exposure to sun
Self-care: Using sunscreen!
Older adult Qs: Skin changes, wound healing, skin pain, foot changes, falling, diabetes/CVD
Physical Ex involves inspecting and palpating for the following EXCEPT
A) Colour
B) Temp
C) Moisture
D) Texture
E) Thickness
F) Mobility/Turgor
G) Edema
H) Tics
I) Hair
J) Nails
K) Lesions
Additionally... T or F: This is assessed alongside other systems
Which two areas are looked at first? - Answer H) Tics is a naur.
True!
Hair and nails are inspected first!
Note: Under areas such as the groin are key to look at.
Assessing Colour and Temp!