510-6 Flashcards

1
Q

Name 4 components of saliva.

A

Amylase, Lingual lipase, and immunoglobulin A (antibacterial/antiviral), and SLPI (potent antimicrobial)

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2
Q

Name the component in saliva that aids in wound closure.

A

Histatins

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3
Q

How much saliva is secreted each day?

A

1 to 1.5 Liters

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4
Q

Describe 2 consequences of the autonomic innervation of the salivary response.

A

Parasympathetic - via AcetyCholine - creates watery serous saliva
Sympathetic - norepinepherine - creates thick mucosal saliva

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5
Q

What are a few causes of xerostomia?

A

Medication (some antihistimines), Sjogren’s syndrome,

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6
Q

Describe difference between minor and major salivary glands.

A

Minor - intrinsic - very small amount of saliva directly to the epithelial surface (600-1000 of these)
Major - extrinsic - larger amounts through pathway of ducts

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7
Q

Name the 3 major salivary glands

A

Parotid, Submandibular, and Sublingual

25%, 70%, 5%

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8
Q

Difference between sebaceous and serous

A

Sebaceous refers to glands that secrete mucous

Serous refers to watery secretions

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9
Q

What duct empties the parotid gland?

A

Stenson’s (or Parotid) Duct

25% saliva comes from here

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10
Q

What duct empties the submandibular gland?

A

Wharton’s (or submandibular) duct.

70% Saliva comes from here

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11
Q

What duct empties the sublingual gland?

A

Bartholin’s Duct

5% Saliva from here

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12
Q

Describe the Serous/Mucous differences of the major salivary glands.

A

Parotid Gland is Serous
Submandibular gland is mixed - mostly serous
Sublingual gland is mixed - mostly mucous

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13
Q

What is a Sialolith

A

a salivary stone

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14
Q

What type of epithelium is found in intercalated ducts

A

Simple Cuboidal

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15
Q

What are three types of acini?

A

Serous, Mucous, Mixed (with demilumes)

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16
Q

Serous acinus vs. Mucous acinus when stained

A

Serous vesicles are dark - mucous light

Also - Mucous acinus nucleus and organelles are flattened

17
Q

What’s the function of a myoepithelial cell on the outer surface of an acinus?

A

Could be a tumor suppressor.

18
Q

What is pellicle formation?

A

First step toward plaque (“sweaters”)

19
Q

Are serous demilumes crescent in the living cell?

A

No - shape under slide is due to preparation process. Is an “artifact”

20
Q

What are the 4 major parts of the Salivon?

A

Acinus, Intercalated duct, Striated duct, Secretory duct.

21
Q

Describe the parotid, submandibular, and sublingual salivary glands in terms of serous/mucous ratios.

A

Parotid pretty much all serous.
Submandibular Mostly serous. (and produces most saliva)
Sublingual mostly mucous.

22
Q

What does a striated duct resorb?

What does it add?

A

NaCl
- serves to dilute saliva to mostly water.

IgA (immunoglobulin A) - powerful anti-bacterial/anti-viral

23
Q

What do serous acini look like under microscope and where would you find them?

A

Pink and dark staining cells with slightly lighter striated ducts

Parotid gland

24
Q

Describe an acinous in the sublingual gland.

A

Mostly mucous with some serous demilumes

25
Q

Mucous and serous fluid are both released into the lumen and then into ducts

A

True

26
Q

Histologically describe a slide of an acinus in a submandibular salivary gland.

A

Mostly dark staining serous cells with some mucous. There should also be round striated ducts.

27
Q

Where is salivary IgA synthesized?

How does it get into the saliva?

A

By plasma cells in the connective tissue surrounding the acini.

Various mechanisms via the epithelial duct cells (monomer/dimer bonding, endocytosis, exocytosis)

28
Q

What type of cell is an intercalated duct made from?

A

Simple cuboidal

some secretory components

29
Q

What type of cell makes up the striated duct and what is their function?

A

Simple columnar with lots of mitochondria close to the basal lamina. Function to remove Na and Cl from saliva making it hypotonic.

30
Q

Where can you find stratified columnar epithelium (a rare type)?

A

At the effluent end of excretory salivary ducts. The base layer is often more cuboidal, with columnar appearing toward the free surface.

31
Q

What type of membrane does a striated epithelial duct cell have?

A

Selectively permeable (salts not water).