NABP Exam NAPLEX Topic 3 Question 80 Discussion

Actual exam question for NABP's NAPLEX exam

Question #: 80
Topic #: 3

A 67-year-old female presents to your clinic complaining of fatigue, diarrhea, headaches and a loss of appetite. Upon examination you find that she is having some cognitive difficulty. Laboratory results reveal: MCV: 109fL; Hgb: 9g/dL; MMA and homocystine are both elevated. Shilling test is positive.

What is the next best step in the management of this patient?

ALifelong folic acid supplementation

BLifelong Vitamin B12 supplementation

CIron supplementation for 4-6 months

DObtain a Coomb's test

EGive corticosteroids and iron supplementation

Show Suggested Answer

Suggested Answer: C

A fasting blood glucose level of greater than 7 mmol/L (or greater than 126mg/dL) is an indicator of type 2 diabetes.

by Odette at Apr 27, 2024, 05:21 PM

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Stephaine

11 hours ago

This is clearly a case of pernicious anemia. The elevated MMA and homocystine, along with the positive Shilling test, point to a vitamin B12 deficiency. Lifelong B12 supplementation is the way to go.

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