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Anatomy · Head and neck
Sample itemA man has pain and swelling below the jaw during meals, and a stone is palpated beside the frenulum. Why does the gland commonly form stones?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Its secretion is viscous and flows against gravity along a long duct
The submandibular gland produces mixed, relatively viscous mucous secretion and its duct runs upward, so stasis and calculi are common. The duct opens beside the frenulum and winds around the lingual nerve.
Option by option
A. Its secretion is viscous and flows against gravity along a long duct (correct)
Correct. Mucous secretion and an uphill duct promote calculus formation.
B. It has a short straight duct
The Wharton duct is long, not short, and flows upward.
C. It is only supplied by sympathetic fibres
Salivary glands receive both sympathetic and parasympathetic fibres.
D. It secretes mainly serous fluid
The parotid is mainly serous and less often forms stones.
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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