A 25-year-old female presents with pale skin, fatigue, and numbness in her hands and feet. She reports that she exercises three times a week and eats a healthy vegan diet, though she does not take vitamin supplements. You suspect that her diet is depriving her of essential nutrients, which is causing mild megaloblastic anemia and possible nerve damage. Which nutrient is most likely missing from this patient’s diet?

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The material on the PANCE and PANRE is organized by the NCCPA into two dimensions, as indicated in the content blueprint for the examination. - Organ systems and the diseases, disorders and medical assessments physician assistants encounter within those systems; and - The knowledge and skills physician assistants should exhibit when confronted with those diseases, disorders and assessments. Medical Content Categories % Allocation: Cardiovascular System 13% Dermatologic System 5% Endocrine System 7% Eyes, Ears, Nose, and Throat 7% Gastrointestinal System/Nutrition 9% Genitourinary... Show more

A 25-year-old female presents with pale skin, fatigue, and numbness in her hands and feet. She reports that she exercises three times a week and eats a healthy vegan diet, though she does not take vitamin supplements. You suspect that her diet is depriving her of essential nutrients, which is causing mild megaloblastic anemia and possible nerve damage. Which nutrient is most likely missing from this patient’s diet?