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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Dorathy

1 days ago

I'm not sure, but I think A) Lifelong folic acid supplementation could also be a good option.

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Thora

3 days ago

I agree with Marcelle, Vitamin B12 supplementation is important for this patient.

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Marcelle

3 days ago

I think the next best step is B) Lifelong Vitamin B12 supplementation.

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