If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

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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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