DSSSB -28 August 2019 (Shift-2)
Applied Anatomy
Easy

The Brown Adipose Tissue (BAT) is NOT located in which of the following areas?

Appeared in: DSSSB -28 August 2019 (Shift-2)

Explanation

  • The sacral region, located at the base of the spine near the pelvis, is not a primary site for brown adipose tissue depots.
  • BAT is strategically located in neonates and adults to warm blood as it circulates through major vessels near the body's core.
  • Key BAT locations include the interscapular, supraclavicular, axillary, paravertebral (along the spine), and perirenal (around the kidneys) areas.
  • The absence of significant BAT in the sacral region makes it the correct answer for the location where BAT is NOT found.

Why Other Options Were Wrong

  • Option A: This is incorrect because the interscapular region (between the shoulder blades) is one of the largest and most well-known depots of brown adipose tissue, especially in newborns.
  • Option C: This is incorrect because the supraclavicular region (in the neck, above the collarbones) is a significant site of BAT that persists into adulthood.
  • Option D: This is incorrect because the axillary regions (armpits) contain brown adipose tissue, which helps warm the blood passing through the axillary arteries and veins.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Anatomy and Physiology: Location of Brown Adipose Tissue (BAT) as background academic context rather than a clinical decision trigger.
  • Understanding BAT locations is vital for preventing neonatal hypothermia. Nurses must ensure newborns are kept warm, dry, and have a hat on, as heat loss is rapid.
  • Promoting skin-to-skin contact (Kangaroo Mother Care) is a key nursing intervention that utilizes the parent's body heat to keep the infant warm and reduces the metabolic demand on the infant's BAT stores.
  • Cold stress in a neonate forces the body to use BAT, which consumes large amounts of glucose and oxygen. This can quickly lead to hypoglycemia, metabolic acidosis, and respiratory distress, which are critical conditions a nurse must monitor for and prevent.
How to Approach the Question
  • First, identify the keywords in the question stem. The key concepts are 'Brown Adipose Tissue (BAT)' and its 'location'.
  • Pay close attention to the negative lead-in word 'NOT'. This signals that you are looking for the exception among the options. Three options will be correct locations for BAT, and one will be incorrect.
  • Recall the primary anatomical sites of BAT, especially in newborns where it is most prominent. Think about areas around the neck, chest, and back.
  • Evaluate each option against your knowledge:
  • Interscapular (between shoulder blades)? Yes, a major site.
  • Supraclavicular (above collarbone)? Yes, a known site.
Concept Tested & Keywords
  • Concept Tested: Anatomy and Physiology: Location of Brown Adipose Tissue (BAT)
  • Stem keywords: Brown Adipose Tissue, BAT, located
  • Lead-in keywords: NOT
  • Negative lead-in flag: Question asks for the area where Brown Adipose Tissue (BAT) is NOT located.

Question ID

QFwD8HYH1aknXicY27c-aV

Reference Book

E6 Anatomy Grays 43e Vol 1 Part 1 p. 69-71

E6 Anatomy Grays 43e Vol 2 Part 2 p. 39-41

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