A 56-year-old woman is known case of pernicious anemia. She refuses to take hydroxycobalamin IM as she is needle shy. She asks for oral medication. Wh

Subject
Medicine
System
Allergy & Immunology

Kathryn

Member
Jul 29, 2020
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Singapore
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A 56-year-old woman is known case of pernicious anemia. She refuses to take hydroxycobalamin IM as she is needle shy. She asks for oral medication. Why will oral meds be not effective?
(A) Intrinsic factor deficiency
(B) Malabsorption
(C) Irritated gastric mucosa
(D) Lack of gastric acidity