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10. A 32-year-old woman in her second trimester of pregnancy presented to the clinic for a check- up. The patient had a 5-year history of excessive alcohol intake and had been using cocaine frequently for the past 3 years. She appeared malnourished and had lost 5.4kgs during the first trimester, secondary to anorexia, nausea, and vomiting. Pertinent laboratory values were red blood cell count (RBC) 2.7 106/mm3 (norm al, fem ale 3.5-5.5 x 106/mm3), mean corpuscular volume 112 fl. (norm al 80-100 fl.), serum vitamin B12 350 pg/in L. (norm al 280 pg/mL), serum ferritin 200 ng/mL (norm al 30-300 ng/mL). Blood stain showed in acro- ovalocytic RBCs and hyper segmentation of neutrophils. Which of the following drugs would
be most appropriate for this patient a. Cyanocobalamin
Folic acid
c. Ferrous sulfate
d. Iron dextran
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