Wednesday, March 28, 2012

EXAM FOCUS MCQ ON ABDOMEN-GIT(Suprarenal gland)#6

SUPRARENAL GLAND(GROSS)
56. which of the following regarding suprarenal gland is false:
a. its inner part produces epinephrine (adrenaline) and norepinephrine (noradrenaline).
b. its outer part is medulla
c. its outer part is cortex
d. its outer part produces steroid
                      ANSWER: B
NOTE: The suprarenal cortex derives from mesoderm and secretes corticosteroids and androgens, The suprarenal medulla is a mass of nervous tissue permeated with capillaries and sinusoids that derives from neural crest cells associated with the sympathetic nervous system.

57. Anteriorly, right suprarenal gland is related to all of the following EXCEPT:
a. liver
b. ivc
c.spleen
                 ANSWER: C
NOTE: The pyramidal right gland is more apical  with the IVC anteromedially  and the liver anterolaterally.


58. Anteriorly, LEFT suprarenal gland is related to all of the following EXCEPT:
a. stomach
b. spleen
c. pancreas
d. kidney
                ANSWER: D
NOTE: The crescent-shaped left gland is medial to the superior half of the left kidney and is related to the spleen, stomach, pancreas, and the left crus of the diaphragm.

59.  Posteriorly, right suprarenal gland is related to all of the following EXCEPT:
a. right kidney
b. right crus of the diaphragm
c. left crus of diaphragm
d. splenn
                             ANSWER: both C and D
NOTE: The medial borders of the suprarenal glands are 4-5 cm apart.

60. Posteriorly, LEFT suprarenal gland is related to all of the following EXCEPT:
a. left kidney
b. left crus of diaphragm
c. pancreas
                ANSWER: C
61. Regarding venous drainage of suprarenal glands which of the following statements is CORRECT:
a. drains in corresponding renal vein
b. drains in IVC
c. right suprarenal vein drain in IVC and left drain in left renal vein
d. drain in veins corresponding to suprarenal arteries
e. None of these
 ANSWER: C
NOTE: The venous drainage of the suprarenal glands occurs via large suprarenal veins. The short right suprarenal vein drains into the IVC, whereas the longer left suprarenal vein, often joined by the inferior phrenic vein, empties into the left renal vein.



62:  Suprarenal arteries arise from the following sources except:
a.Superior suprarenal arteries  from the inferior phrenic arteries.
b.Middle suprarenal arteries from the abdominal aorta near the level of origin of the SMA.
c.Inferior suprarenal arteries  from the renal arteries.
d. none
                    ANSWER: D
NOTE: The endocrine function of the suprarenal glands makes their abundant blood supply necessary.

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