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Question
a patient has multiple ulcers throughout the duodenum and extending into the jejunum. what is the most likely cause of the problem presenting in this patient? insulinoma peptic ulcer disease zollinger - ellison syndrome paraneoplastic syndrome glucocorticoid administration question 29 (mandatory) (2 points)
Insulinoma is related to insulin - secreting tumors and not directly to duodenal and jejunal ulcers. Peptic ulcer disease usually affects the stomach and duodenum but multiple ulcers extending to jejunum are less typical. Paraneoplastic syndromes are a group of diverse disorders not typically the main cause of such extensive upper - gastrointestinal ulcers. Glucocorticoid administration can cause ulcers but usually not multiple ones extending to the jejunum. Zollinger - Ellison syndrome is characterized by excessive gastrin secretion leading to multiple peptic ulcers throughout the duodenum and sometimes extending into the jejunum.
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C. Zollinger - Ellison syndrome