Wednesday, January 23, 2013

Question 1

1.  Your patient is a 27 year old female who presents with a several month history of progressively worsening fatigue.  Lab evaluation reveals a hemoglobin of 9.6, hematocrit of 28.1, and a guiac that is negative.  Her further workup reveals a macrocytic anemia.  She ensures us that she eats a health diet along with a vitamin supplement, despite having a low Vitamin B12 on lab evaluation.  What hormone may she be lacking?

A.  Gastrin
B.  Intrinsic Factor
C.  Cyclooxygenase
D.  HCO3




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