drdg
Forum Senior
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A 49-year-old man has had presistent peptic uclear disease for 7 years. He was originally diagnosed by upper GI series 6 years ago, and was poorly complaint with medical management. For the past 1 year he has also been complaining of watery diarrhea. At this time all tests for H. Pylori are negetive. Upper GI endoscopy at this time confirms the presence of two duodenal uclears and it also shows multiple submucosal gastric tumors, ranging in size from 1 to 2 cm. Biopsies of these masses are read as carcinoid tumors. Determinations of serum levels of which of the following substances would most likely help establish the diagnosis?
A. Epinephrine
B. 5-Hydroxyindoleacetic acid
C. Gastrin
D. Secretin
E. Uric acid
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| neuroblastoma
Forum Guru
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B. 5-Hydroxyindoleacetic acid
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| cool doctor
Forum Junior
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I think this is a part of ZES(zollinger ..) so the gastrin will be elevated also
but the answer is B
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| drdg
Forum Senior
Topics: 31
Posts: 176
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| neuroblastoma
Forum Guru
Topics: 100
Posts: 1,018
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C GASTRIN
secretin stimulation test, which measures gastrin levels in response to secretin
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| cool doctor
Forum Junior
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then C: ZES
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| darkhorse
Forum Elite
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hmmmm...easy one?? .....C?
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When going gets tough, the tough gets going
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| drdg
Forum Senior
Topics: 31
Posts: 176
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sorry, I should label as " easy one?"
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