Montgomery gland is found in:

Appeared in: Haryana CHO -2023

Explanation

Montgomery glands are modified sebaceous glands located in the areola, the pigmented area around the nipple.
Their primary function is to secrete a lipoid fluid that lubricates and provides protective bacteriostatic properties for the nipple and areola.
These glands often become enlarged and more visible during pregnancy and lactation, where they are referred to as Montgomery's tubercles.

Option A: The duodenum contains Brunner's glands, not Montgomery glands. These are located in the submucosa of the first part of the small intestine.
Option C: The labia majora area (specifically the vestibule) contains Bartholin's glands, not Montgomery glands.
Option D: The tarsal plates of the eyelids contain Meibomian glands (also known as tarsal glands), not Montgomery glands.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Anatomy: Location of Glands as background academic context rather than a clinical decision trigger.
Enlarged Montgomery glands are a normal presumptive sign of pregnancy. Nurses can use this information to reassure expectant mothers.
Patient education is crucial. Nurses should advise pregnant and breastfeeding clients to gently clean the areola with water only and avoid harsh soaps to preserve the natural protective secretions of these glands.
What if? If a patient presents with a painful, red, swollen bump on the areola, it might not be a simple enlarged Montgomery gland but could be an infected gland or an abscess, which would require medical evaluation and possibly treatment with antibiotics.

How to Approach the Question

This is a factual recall question testing your knowledge of anatomy.
Read the question carefully to identify the specific structure: 'Montgomery gland'.
Recall or deduce the anatomical location of this gland.
Evaluate each option: 'Duodenum', 'Areola of breast', 'Labia Majora', 'Tarsal plate'.
Select the option that correctly identifies the location of Montgomery glands. If unsure, try to eliminate incorrect options by recalling the specific glands associated with those other locations (e.g., Brunner's in the duodenum).

Concept Tested & Keywords

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E6 Anatomy Applied Ashalatha 4e p. 394-396

E6 Histology Inderbir 11e p. 129-131

E6 Obstetrics Williams p. 7-19

Practise the full Haryana CHO -2023

Attempt every question from this paper in a timed mock, then review the full solution for each one.