Answer:
"The condition is likely caused by a vitamin B12 deficiency."
Explanation:
Megaloblastic anemia is a condition caused by the reduction in the number of normal red blood cells that become large, immature and dysfunctional in the bone marrow. It occurs due to vitamin B12 and / or folic acid deficiency and the ingestion of drugs that impair DNA formation, such as some antibiotics and chemotherapy drugs.
This type of anemia is common in patients who have had the total gastrectomy procedure, since the stomach is the organ responsible for the absorption of vitamin B12. In case of withdrawal it is common that a deficiency develops in the body. The lack of vitamin B12 is related to hematological changes, especially anemia and neurological changes that can become severe. For this reason, replacement should be constant in these cases and only by injection, since digestive absorption of vitamin B12 is no longer possible.
There are choices for this question namely:
1. Pregnancy
2. Renal failure
3. Prolonged QT interval
4. <span>Adverse reaction to levothyroxine
</span>
The correct answer is "pregnancy". Methimazole is a potent teratogenic drug which means Methimazole readily crosses the blood-placenta barrier and affect the baby adversely such that it can lower the fetus' thyroid hormone levels and cause cretinism for instance. An adverse reaction to levothyroxine is inappropriate to assess because levothyroxine is a drug for hypothyroidism, not for hyperthyroidism. Methimazole is not associated with prolonged QT interval and renal failure.
Nodding your head would be the right answer. hoped this helped!!:-)
Vitamins are essential for bone health, and skin repair.
