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Dentistry · Oral histology and anatomy: autonomic control of saliva
Sample itemA patient on a drug that blocks muscarinic receptors complains of a dry mouth. Which change in saliva is expected with predominant sympathetic action?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Scanty, thick and viscous saliva
Parasympathetic stimulation produces abundant watery saliva, and sympathetic stimulation yields a small volume of thick, protein-rich saliva. Anticholinergic drugs remove the parasympathetic drive and cause xerostomia.
Option by option
A. Increased amylase-free secretion
Sympathetic secretion is rich in protein, including amylase, and is not amylase-free.
B. Scanty, thick and viscous saliva (correct)
Correct. Sympathetic action gives scanty viscous saliva.
C. Increased salivary flow from vasodilation
Vasodilation of the glands accompanies parasympathetic stimulation.
D. Profuse watery saliva
Profuse watery saliva is the parasympathetic response, which is blocked here.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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