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NBME 21 Answers

nbme21/Block 1/Question#36 (55.3 difficulty score)
A 51-year-old woman comes to the physician ...
Area labeled 'B' (Parietal cell)🔍
tags:

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 +13  upvote downvote
submitted by h0odtime(42),
  • 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

lovebug  THX for kindful Lables! +  



 +7  upvote downvote
submitted by mcl(512),
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sTih emaig is yrve fehplul.

seagull  http://www.siumed.edu/~dking2/erg/GI178b.htm Another histology slide with labels +1  
masonkingcobra  I like to think that the parietal cells look like "fried eggs" classically +  



 +5  upvote downvote
submitted by seagull(1101),
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dsd18/.I7b.ugn.k~2muet/miethewig/rG/wdw/hpt:

ntehroA ooithylsg dilse hitw sbllae a fwe csodens oga

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(13),
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hwat ear eth eohrt elebald rtrtcssueu? i acn eicnsdr eth arpetlai dna ifhec c,slle utb nto eht r.sh.o.te

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 :) +