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free120/Block 2/Question#19 (reveal difficulty score)
A 73-year-old woman comes to the physician ...
Vitamin B12 (cyanocobalamin) πŸ” / πŸ“Ί / 🌳

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submitted by βˆ—benwhite_dotcom(622),
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aetucSub dbniceom ennrioteagde rp(sesvoigre arepplhire ssryeon dna otomr )ossl si a tale insg fo 21B f,dncycieei iwhhc si oocnmm ni dol nO ,msaex a igrtaicre ittnpea who seilv elano dan yam ehav a β€œaet nda oatst” etdi si lkiley to hvea iiavmnt scfeie,enidic cauyrlatpirl of lotfea dan 1B.2

submitted by βˆ—bharatpillai(34),
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aecubtuS dibmceon edgeeiornatn neerv orcuesdp aedgxeerta ref.exsel I'ts neo fo eht acssue of ibkbnias + hwit eatnsb lenka ee.lrfx

melchior  From googling it, it seems that B12 deficiency can produce either hyperreflexia or hyporeflexia. This makes sense, because it causes both UMN lesions (causing hyperreflexia), but it also affects the afferent pathways. +3  

submitted by βˆ—jbrito718(19),
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erolcSlapenbire attcr -- ocnnocUuis rtopciiorpvepe lgin. teannsiots''nig

tarlLea iaCtcponilsor tartc -- snolCrot peisllirtaa lmib infe .innewo'as eosmkt of tenerssxo nad xerofl .ssluecm rgeeeatxagd es'efxerl

rasDol nulCmo -- htWei mtrtae in erips.toro deMa of aircllge nda cnestauu lc.acuisfi a ieclGr si for lwreo dybo osysren and uctaene is pruep obyd seac.seeo nder'dsyr sniosatne ot rivonbtia nda oiso'pnit

linyi-aitl i tpu 6B auecebs fo norpciedtiss of eihpperlra oahnpyrut,e tbu eth eddereacs n/ppirtvoroicotrinoeapib saw eht eky rfeeodraftiint

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