Gastritis Quiz: Ace Your Exams
Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!
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A 58-year-old woman presents to the clinic for evaluation of epigastric pain that she has been experiencing daily over the past two months. She also reports progressive fatigue and tingling in the lower extremities. Her medical history is significant for Hashimoto thyroiditis, diagnosed 10 years ago for which she currently takes levothyroxine. She does not use NSAIDs, alcohol or tobacco. She has not traveled recently and has no recent history of gastrointestinal infections. Vitals are within normal limits. On physical examination, the patient appears pale. Oral examination shows glossitis. There is decreased sensation to light touch and vibration in the bilateral lower extremities and diminished reflexes in the bilateral lower extremities. Cardiovascular and pulmonary examinations are unremarkable. Epigastric tenderness to palpation is present. Laboratory results are shown below. Which of the following is the most likely diagnosis?
| Laboratory Test | Result |
| Hemoglobin | 9.0 g/dL |
| Mean corpuscular volume (MCV) | 112 fL |
| Vitamin B12 | 145 pg/mL |
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