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NBME 16 Answers

nbme16/Block 4/Question#35

A 51-year-old woman comes to the physician because ...

Area labeled by the letter 'B'

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submitted by zincy7(1),
  • Burning Abdominal Pain that occurs hours after eating = Gastric Ulcer

  • Sweating profusely and orthostatic hypotension

  • Epigastric tenderness

  • 2-cm mass = most likely a GASTRINOMA\

This is confirmed by the question stating the tumor cells release gastrin but requires you to understand what parietal cells and basic gastric mucosal histology looks like

REFERENCE: ZOLLINGER-ELLISON SYNDROME