Adrenals

Question 1

Adrenals are located ___ gerota’s fascia & ____ relative to the kidney

Answer 1

within… superomedial

Question 2

Arterial supply of adrenal from ____, ___, and ___

Answer 2

inferior phrenic
aorta
ipsilateral renal artery

Question 3

Venous supply for right adrenal

Answer 3

IVC

Question 4

Venous supply for left adrenal

Answer 4

left renal vein

Question 5

Adrenal cortex is derived from ____

Adrenal medulla is derived from ____

Answer 5

Cortex —> mesoderm

Medulla –> ectoderm (neural crest)

Question 6

Adrenal cortex has ____ function

Answer 6

endocrine

Question 7

Adrenal medulla has ___ function & secretes ____

Answer 7

neurocrine…. catecholamines

Question 8

Hypercortisolism from adrenal tumors is ACTH ____

Answer 8

independent

Question 9

Pheochromocytoma is a tumor of the catecholamine- producing cells of the adrenal ____

Answer 9

medulla

Question 10

Headaches, palpitations, paroxysmal diaphoresis

Answer 10

Pheochromocytoma

Question 11

Evaluation of hypercortisolism

Answer 11

1mg overnight dexamethasone suppression test –> check AM cortisol

Question 12

Evaluation for pheochromocytoma

Answer 12

plasma free metanephrines

Question 13

If patient is hypertensive & hypokalemia, evaluate for hyperaldosteronism

Answer 13

check plasma renin/aldosterone ratio

Question 14

Malignancy in Adrenal Incidentalomas is higher likelihood with HU >___

Answer 14

20

Question 15

< ___ HU on non-contrast imaging is diagnostic of adenoma

Answer 15

10