]> 2026-07-31T11:50:51+00:00 WBR0963 0 en Vitamin B12 ''' Incorrect ''' : Vitamin B12 is used to treat megaloblastic anemia caused by its deficiency. Folic acid ''' Incorrect ''' : Folic acid is used to treat megaloblastic anemia caused by its deficiency. Ferrous sulphate Folinic acid Intrinsic factor ''' Incorrect ''' : Intrinsic factor is used to treat megaloblastic anemia caused by its deficiency. Primary Care Office A 66 year old female presents to the office with a 1 month history of fatigue and weakness. On further review of history, she says she has been feeling very weak even to do minor household work. She denies any change in appetite or weight. She attained menopause at the age of 54 and is not taking any estrogen pills. Her past history is significant for carcinoma breast and is on chemotherapy for the past 1 year. Her family history is unremarkable. She does not smoke and drink. Her vitals are temperature: 36.7 C, blood pressure: 120/80 mmHg, pulse: 102/min and respiration: 16/min. All system examinations are normal except pallor. Her laboratory values are : Hb : 7 g/dl RBC’s : 2 million/cmm WBC’s : 6000/cmm Platelets : 300,000/ cmm Segmented neutrophils : 68 % Bands : 2 % Eosinophils : 2 % Lymphocytes : 32 % Monocytes : 6 % MCHC : 34 % MCV : 115 fl Which of the following is the most appropriate treatment in this patient ? D Hematology 2020-10-28T02:13:04Z 2459150.5924074 WBR0963