Question

A 68-year-old man with new macrocytic anaemia (MCV 108 fL) has neuropathy and glossitis. What is the correct initial treatment if B12 deficiency is confirmed?

Accepted Answer

IM hydroxocobalamin 1 mg alternate days for 2 weeks then maintenance

Answer

Oral cyanocobalamin 50 micrograms daily

Answer

IM hydroxocobalamin monthly from the start

Answer

Folic acid alone

Answer

No treatment if asymptomatic

Practice question

A 68-year-old man with new macrocytic anaemia (MCV 108 fL) has neuropathy and glossitis. What is the correct initial treatment if B12 deficiency is confirmed?