A 70-year-old vegan man presents with progressive numbness in his feet, gait disturbance and a sore tongue. Examination shows loss of vibration sense ...

Question

A 70-year-old vegan man presents with progressive numbness in his feet, gait disturbance and a sore tongue. Examination shows loss of vibration sense in both legs and a positive Romberg sign. Blood tests reveal macrocytosis, low haemoglobin and low vitamin B12. What is the most appropriate initial treatment?

Accepted Answer

Intramuscular Hydroxocobalamin

Answer

Oral Ferrous sulphate

Answer

Oral Folic acid

Answer

Prednisolone

Answer

Oral Cyanocobalamin only

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