Pharmacology · single question

Chronic or recreational nitrous oxide exposure is associated with deficiency/inactivation of:

  1. Vitamin B12 (cobalamin)
  2. Vitamin C
  3. Iron
  4. Folate via methotrexate
Show answer and explanation

Correct answer: A. Vitamin B12 (cobalamin)

  • A. Correct. Nitrous oxide irreversibly oxidizes the cobalt in vitamin B12, inactivating it; chronic exposure causes B12 deficiency with neurologic (subacute combined degeneration) and hematologic effects.
  • B. Nitrous oxide does not deplete vitamin C.
  • C. It does not directly deplete iron.
  • D. Folate metabolism is affected indirectly via B12, but the direct target is vitamin B12.

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