Hi Vincen,
Whenever a GMAT question appears to involve adding or multiplying a large group of numbers together, there is almost certain to be a 'shortcut' in terms of how to get to the solution. In this case, adding up all of the numbers in order cannot possibly be what we're supposed to do here (it would take far too long).
Since we're summing all of the integers from -203 to +200, inclusive, you should notice that ALL of the positive terms get 'cancelled out' by a negative term (for example, +1 and -1 cancel out). The only terms that are not cancelled out are -203, -202 and -201. The sum of those terms is -606.
Final Answer: A
GMAT assassins aren't born, they're made,
Rich