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Medicine General 50ddc107

Best provocative test for diagnosis of Gastrinoma is:

A
Ca++ infusion test
B
Secretin injection test
C
ACTH stimulation test
D
Steroid assay
High-Yield Explanation
Answer is B (Secretin injection test) Gastrinomas (Zollinger Ellison Syndrome) are characterized by peptic ulceration due to hypersecretion of gastrin by a non-beta cell tumor. Secretin injection test is the most valuable provocative test in identifying patients with ZES.

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