MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A client with a diagnosis of pernicious anemia comes to the clinic reporting of numbness and tingling in his arms and legs. What do these symptoms indicate?
A
Insufficient intake of dietary nutrients
B
Neurologic involvement
C
Severity of the disease
D
Loss of vibratory and position senses
Explanation: 

Detailed explanation-1: -People with pernicious anemia may have gastric polyps. They are also more likely to develop gastric cancer and gastric carcinoid tumors. People with pernicious anemia are more likely to have fractures of the back, upper leg, and upper forearm.

Detailed explanation-2: -These symptoms include nausea (feeling sick to your stomach) and vomiting, heartburn, abdominal bloating and gas, constipation or diarrhea, loss of appetite, and weight loss. An enlarged liver is another symptom. A smooth, thick, red tongue also is a sign of vitamin B12 deficiency and pernicious anemia.

Detailed explanation-3: -Typically, patients with pernicious anemia are described as having a stereotypic appearance: they have a lemon-yellow waxy pallor with premature whitening of the hair, and they appear flabby, with a bulky frame that is generally incongruent with the severe anemia and weakness.

Detailed explanation-4: -Diarrhea or constipation. Lightheadedness when standing up or with exertion. Loss of appetite. Pale skin (mild jaundice or yellowing of your eyes or skin). Shortness of breath (dyspnea), mostly during exercise. Heartburn. Swollen, red tongue or bleeding gums. 07-Feb-2022

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