Question

A 68-year-old vegetarian woman presents with numbness in her feet and unsteady gait. Examination shows reduced vibration sense in the lower limbs and a positive Romberg’s test. Blood tests show haemoglobin 94 g/L, MCV 112 fL and low vitamin B12. What is the most appropriate treatment?

Accepted Answer

Intramuscular vitamin B12 injections

Answer

Oral iron supplementation

Answer

Oral folic acid only

Answer

Blood transfusion alone

Answer

No treatment is required

Practice question

A 68-year-old vegetarian woman presents with numbness in her feet and unsteady gait. Examination shows reduced vibration sense in the lower limbs and a positive Romberg’s test. Blood tests show haemoglobin 94 g/L, MCV 112 fL and low vitamin B12. What is the most appropriate treatment?