Inguinal lymph node

INGUINAL LYMPH NODE

Q. 1

Lymphatics from the spongy urethra drain into which of the following lymph nodes?

 A

Sacral nodes

 B

Deep inguinal nodes

 C

Internal inguinal nodes

 D

Superficial inguinal nodes

Q. 1

Lymphatics from the spongy urethra drain into which of the following lymph nodes?

 A

Sacral nodes

 B

Deep inguinal nodes

 C

Internal inguinal nodes

 D

Superficial inguinal nodes

Ans. B

Explanation:

Lymphatics from glans penis, prostatic urethra, spongy urethra and superficial inguinal nodes drains into deep inguinal lymph nodes.


Q. 2

Lymphatic drainage of the cervix occurs by all of the following lymph nodes, EXCEPT?

 A

Parameterial lymph nodes

 B

Deep inguinal lymph nodes

 C

Obturator lymph nodes

 D

Ext. iliac lymph nodes

Q. 2

Lymphatic drainage of the cervix occurs by all of the following lymph nodes, EXCEPT?

 A

Parameterial lymph nodes

 B

Deep inguinal lymph nodes

 C

Obturator lymph nodes

 D

Ext. iliac lymph nodes

Ans. B

Explanation:

Principal nodes involved in the lymphatic drainage of cervix are the obturator, common iliac, external iliac, internal iliac and the nodes of parametrium. Lymphatics from cervix do not drain into the deep iuguinal lymph nodes.


Q. 3

Which of the following is drained directly to deep inguinal lymph nodes:

 A

Glans Penis

 B

Perianal area

 C

Lower abdominal area

 D

Ischiorectal fossa

Q. 3

Which of the following is drained directly to deep inguinal lymph nodes:

 A

Glans Penis

 B

Perianal area

 C

Lower abdominal area

 D

Ischiorectal fossa

Ans. A

Explanation:

A. i.e. Glans penis


Q. 4

Lymphatic drainage of clitoris is to:

 A

Glands of cloquet

 B

Superficial inguinal lymph nodes

 C

Deep inguinal lymph nodes

 D

a and c

Q. 4

Lymphatic drainage of clitoris is to:

 A

Glands of cloquet

 B

Superficial inguinal lymph nodes

 C

Deep inguinal lymph nodes

 D

a and c

Ans. D

Explanation:

A. i.e. Glands of cloquet; C. i.e. Deep injuinal lymph nodes 

–   Glans penis & clitoris drain in deep inguinal lymph nodes of Cloquet or Rosenmuller

Superficial inguinal lymph nodes drain anterior abdominal wall below umbilicus, perineum, anal canal (gluteal region) but not clitoris & toes and fingers.


Q. 5

Superficial inguinal lymph nodes drain from all of the following except:

 A

Urethra

 B

Anal canal below the pectinate line

 C

Glans penis

 D

Perineum

Q. 5

Superficial inguinal lymph nodes drain from all of the following except:

 A

Urethra

 B

Anal canal below the pectinate line

 C

Glans penis

 D

Perineum

Ans. C

Explanation:

Superficial Inguinal Lymph Nodes

  • The horizontal group
  • The medial members of the group receive superficial lymph vessels from the anterior abdominal wall below the level of the umbilicus and from the perineum. The lymph vessels from the urethra, the external genitalia of both sexes (but not the testes), and the lower half of the anal canal are drained by this route.
  • The lateral members of the group receive superficial lymph vessels from the back below the level of the iliac crests.
  • The vertical group lies along the terminal part of the great saphenous vein and receives most of the superficial lymph vessels of the lower limb.

The efferent lymph vessels from the superficial inguinal nodes pass through the saphenous opening in the deep fascia and join the deep inguinal nodes.

Deep Inguinal Lymph Nodes

The deep nodes are located beneath the deep fascia and lie along the medial side of the femoral vein; the efferent vessels from these nodes enter the abdomen by passing through the femoral canal to lymph nodes along the external iliac artery Lymphatic Drainage of the Penis

From most of the penis, lymph drains into the superficial inguinal lymph nodes.

Vessels from the glans penis drain into the deep inguinal lymph nodes.


Q. 6

Lymph from glans penis drains into ‑

 A

Superficial inguinal nodes

 B

Deep inguinal lymph nodes

 C

Obturator nodes

 D

Internal iliac nodes

Q. 6

Lymph from glans penis drains into ‑

 A

Superficial inguinal nodes

 B

Deep inguinal lymph nodes

 C

Obturator nodes

 D

Internal iliac nodes

Ans. B

Explanation:

Vessels from the glans penis drain into the deep inguinal lymph nodes (gland of Cloquet)

From rest of the penis, lymph drains into the superficial inguinal lymph nodes.


Q. 7

Lymphatic drainage of Vulva is into ‑

 A

Obturator nodes

 B

Internal iliac nodes

 C

Superficial inguinal nodes

 D

Paraaortic nodes

Q. 7

Lymphatic drainage of Vulva is into ‑

 A

Obturator nodes

 B

Internal iliac nodes

 C

Superficial inguinal nodes

 D

Paraaortic nodes

Ans. C

Explanation:

Ans. is ‘c’ i.e., Superficial inguinal nodes

Lymphatics of Vulva drain primarily into superficial inguinal lymph nodes and subsequently to deep inguinal and external iliac ndes. Lymphatics of Clitoris primarily drain into deep inguinal nodes.



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