A chronic alcohol abuser goes to the er with weakness, a sore, beefy red tongue, loss of vibration and position sense, arm and leg dystaxia, elevated levels of methylmalonic acid in the urine, and anemia with mcv above 105 fl. What is your diagnosis, and how will you monitor his response to treatment?

🎲 Try a Random Question  |  Total Questions in Quiz: 8685  |  🧠 Study this quiz with Flashcards
This question is part of a full practice quiz:
USMLE Step 1 Exam Practice Questions — practice the complete quiz, review flashcards, or try a random question.

There are more than 8000 USMLE Step 1 questions for you to practice!


1. A chronic alcohol abuser goes to the er with weakness, a sore, beefy red tongue, loss of vibration and position sense, arm and leg dystaxia, elevated levels of methylmalonic acid in the urine, and anemia with mcv above 105 fl. What is your diagnosis, and how will you monitor his response to treatment?