5-7.Use this case to answer the following questions.A 55-year-old male consulted his physician because of weakness,lightheadedness,vertigo,and angina.The patient also complained of sores on his tongue.The physical examination revealed jaundice.The pulse rate was increased,and the spleen and liver were slightly enlarged.The tongue appeared smooth and bright red in color.Family history revealed no clues.Neurological exam revealed quickening of reflex responses.Patient history indicated a total gastrectomy five years earlier for stomach cancer and intermittent heart problems that had not required surgery.The physician ordered the following tests:
-All of the following are expected laboratory findings of PA except:
A) Decreased vitamin B₁₂ levels
B) Increased MMA in the urine
C) Part I of Schilling test = 5%;part II of Schilling test = 10%
D) Part I of Schilling test = 2.5%;part II of Schilling test = 2.5%
Correct Answer:
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