Adrenal Gland Histology Flashcards

1
Q

blood supply to suprarenal gland and branches from what

A

superior suprarenal gland from inferior phrenic a
middle suprarenal gland from abdominal aorta
inferior suprarenal gland from renal a

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2
Q

the cortex of adrenal glands is of what origin and develops from what

A

mesodermal origin and develops from epithelium of posterior abdominal wall

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3
Q

medulla is of ___ origin and is from what cells

A

ectodermal origin and develops from neural crest cells

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4
Q

by week __ you have two layers of cortex what are they

A

8, thin outer adult cortex, and thick inner fetal cortex

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5
Q

what does the fetal cortex produce

A

fetal steroids during gestation but involutes rapidly after birth

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6
Q

adrenocortical rests

A

in 50% of newborns, tend to atrophy and disappear, cna be detected anywhere along path of embryonic migratin of adrenal cortex

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7
Q

accessory adrenocortical nodules are what

A

minor developmental anomalies arising from partly or completely detached rests of coelomic epithelial primordia from which the adrenal cortex is derived

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8
Q

where are accessory adrenocortical nodules most frequently located

A

in contact with the capsule at one pole of adrenal

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9
Q

the definitive adult cortex persists and develops into the functional adrenal cortex with distinct ___ and ___ the ___ develops during first year of life

A

zona glomerulosa and gasciculata

reticularis develops after birth

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10
Q

medullary elements derived from NC cells migrate to where and develop along with what

A

to para-aortic and paravertebral regions and along adrenal vein toward medial aspect of developing adrenal fetal cortex

develop along with sympathetic nervous system

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11
Q

what is produced in the early stage of gestation by the fetal cortex that is converted to estrogen in the placneta? what enzyme does this

A

DHEA

3B-Hydroxysteroid dehydrogenase

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12
Q

what is the onlymiled form resulting from incomplete loss of 3B HSD produces what

A

virilization of genetically female infants and undervirilization of genetically male infants

  • only form of congenital adrenal hyperplasia that can cause ambigous genitalia in both genetic sexes
  • this is rare
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13
Q

glucocorticoids come from where for fetus

A

placental progesterone by fetus or of maternal origin

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14
Q

glucocorticoids are essential for 3 main developmental events:

A

1) production of surfacant by type II alveolar cells after 8th month of fetal life
2) development of a functional hypothalamopituitary axis
3) inuction of thymic involution

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15
Q

zona glomerulosa produces what in response to___ and __

A

aldosterone in response to ACTH and angiotensin II

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16
Q

what enzyme does the zona glomerulosa lack

A

17a-hydroxylase, cannot produce glucocorticoids or androgens

17
Q

what does aldosterone sitmulate the secretion of

A

K+ and H+

18
Q

describe zona glomerulosa cells

A

lie under capsule, aggregate into glomerulus like arrangement and have a moderate amount of lipid droplets in the cytoplasm

19
Q

describe zona fasiculata cells

A

spongiocytes, many lipid droplets of cholesterol (precursor) in cytoplasm

cells appear vacuolated (foamy appearance)

cuboid cells arranged in longitudinal cords separated by cortical fenestrated capillaries

20
Q

what enzyme is required to make the sex hormones

A

17,20 hydroxylase

21
Q

where is cortisol converted into cortisone

A

in the hepatocytes

22
Q

zona fasciculata and reticularis are both stimulated by what?

A

ACTH

23
Q

describe zona reticularis cells

A

arranged in irregular cords that from anastomosing network

24
Q

in zona reticularis what 2 androgens predominant as weak androgens? and what can they be converted to?

A

DHEA and androstenedione

convert to testosterone and even estrogen in peripheral tissues

25
Q

describe chromaffin cells

A
  • cells of adrenal medulla

- modified sympathetic postganglionic neruons without postganglionic axons

26
Q

what is the adrenal medulla innervated by?

A

sympathetic preganglionic fibers that release Ach

27
Q

catecholamines effect on:

  • Blood vessels supplying cardiac and skeletal muscle
  • Bronchioles
  • Blood vessels supplying GI tract, kidneys, skin
A

BV cardiac and skeletal muscle: dilation
Bronchioles: dilation
BV of GI tract etc: constriction

28
Q

Blood supply of adrenal gland: all 3 sources enter adrenal gland capsule and form ___

A

arterial plexus

29
Q

3 components of arterial plexus

A

short cortical artery: feeds glomerulosa–>ZF–>ZR–>and drains to medulla

long cortical artery: goes straight to the medulla

subcapsular plexus: supplies the capsule

30
Q

conn’s syndrome

A

tumor of ZG that excessively secretes aldosterone

31
Q

cushings disease causes an increase in production of what

A

aldosterone, cortisol, and adrenal androgen production

32
Q

addison’s disease lose what

A

cortisol: cause muscle weakness
mineralocorticoids: hypotension and circulatory shock