A 72-year-old vegan woman presents with numbness in her feet and unsteady gait. Examination reveals loss of vibration sense in the lower limbs and a p...

Question

A 72-year-old vegan woman presents with numbness in her feet and unsteady gait. Examination reveals loss of vibration sense in the lower limbs and a positive Romberg’s sign. Hb is 8.8 g/dL, MCV 112 fL and vitamin B12 level is low. What is the most appropriate management?

Accepted Answer

Start intramuscular hydroxocobalamin injections

Answer

Start oral cyanocobalamin tablets only

Answer

Give folic acid alone

Answer

Reassure and repeat bloods in 6 months

Answer

Start iron supplements only

uk-plab-1 MCQ (SBA): Vitamin B12 deficiency anaemia

A 72-year-old vegan woman presents with numbness in her feet and unsteady gait. Examination reveals loss of vibration sense in the lower limbs and a positive Romberg’s sign. Hb is 8.8 g/dL, MCV 112 fL and vitamin B12 level is low. What is the most appropriate management?