Best of Five 21

 

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BOF: 21

A 33-year-old female who has had multiple resections of the small bowel has been left with 90 cms of jejunum anastamosed to the colon. She is maintained on a diet high in polysaccharides and manages well on this diet.  She is admitted to the ward with ataxia, blurred vision, ophthalmoplegia and nystagmus.

The likely cause of this complication is

a)      Thiamine deficiency

b)      Vitamin B 12 deficiency

c)      Magnesium deficiency

d)      L (+) lactic acidosis

e)      D (-) Lactic acidosis

 

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