This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: All India exam, Subject name: Physiology
[{'content': 'During bilateral adrenalectomy, intra-operative dose of hydrocoisone should be given after \nSelect and explain. \nA. Opening the abdomen, B. Ligation of left adrenal vein, C. Ligation of right adrenal vein, D. Excision of both adrenal glands', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Steroids are not given pre-operatively because these patients are already hypercoisolemic. Instead hydrocoisone 100 mg IV is given after the removal of second hyperplastic adrenal gland', 'role': 'assistant'}]