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Retired NBME 21 Answers

nbme21/Block 1/Question#36 (reveal difficulty score)
A 51-year-old woman comes to the physician ...
Area labeled 'B' (Parietal cell) ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags:

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 +20  upvote downvote
submitted by โˆ—h0odtime(54)
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  • Gastrin released by G Cells pyloric antrum, duodenum, stomach stimulates parietal cells to secrete HCl.
  • Parietal Cells (Fundus + Cardia) epithelial cells that secrete HCl and intrinsic factor. They activate gastric chief cells to secrete digestive enzymes.
  • Gastric Chief Cells (Mucosa): releases pepsinogen and chymosin

Labels

  • A Mucous Neck Cell
  • B Nucleus of Parietal Cell
  • C Nucleus of Chief Cell
  • D Nucleus of Endothelial Cell
  • E Nucleus of Fibroblast

Credit to Histo_Man/reddit

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lovebug  THX for kindful Lables! +1



 +9  upvote downvote
submitted by โˆ—mcl(671)
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This image is very helpful.

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seagull  http://www.siumed.edu/~dking2/erg/GI178b.htm Another histology slide with labels +3
masonkingcobra  I like to think that the parietal cells look like "fried eggs" classically +3



 +5  upvote downvote
submitted by โˆ—seagull(1933)
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http://www.siumed.edu/~dking2/erg/GI178b.htm

Another histology slide with labels a few seconds ago

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enbeemee  what are the other labeled structures? i can discern the parietal and chief cells, but not really the others... +1
hyperfukus  yea wth is A +1



 +0  upvote downvote
submitted by enbeemee(12)
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what are the other labeled structures? i can discern the parietal and chief cells, but not the others...

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hyperfukus  what is A? +
et-tu-bromocriptine  According to this source, they're mucous neck cells (secrete acidic fluid containing mucin); compare this with mucus produced by surface mucous cells, which is alkaline. http://www.siumed.edu/~dking2/erg/GI082b.htm +2
hyperfukus  i gosh i see now! thanks so much :) so if it's Pink=Parietal but not granules got it thank you :) +



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