General Anesthetics · Pharmacology

Prolonged exposure to nitrous oxide can cause megaloblastic anemia because the gas irreversibly oxidizes and inactivates which vitamin?

  1. Vitamin B1 (Thiamine)
  2. Vitamin B6 (Pyridoxine)
  3. Vitamin B12 (Cobalamin)
  4. Vitamin C (Ascorbic acid)
Show answer and explanation

Correct answer: Vitamin B12 (Cobalamin)

Nitrous oxide inactivates methionine synthase, an enzyme that requires Vitamin B12. Chronic exposure (or use in patients with B12 deficiency) can lead to impaired DNA synthesis and neuropathy.

Difficulty: Medium Question 17 of 20

Practice all 20 General Anesthetics questions

Keep practicing

More General Anesthetics questions