input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** A 63-year-old female complains of weakness, light-headedness, palpitations, and soreness of the tongue. She has a past medical history of Hashimoto’s thyroiditis. Her hematocrit is 29%. On peripheral blood smear, you notice neutrophils with 7 lobes and large oval-shaped red blood cells. On physical exam, you notice the patient has decreased position sense and a loss in vibratory sensation in her lower extremities. Which of the following is most likely present in this patient?   (A) Atrophy of G cells   (B) Anti-intrinsic factor antibodies   (C) Decreased methylmalonic acid levels   (D) Antithrombotic state
output: ['(B) Anti-intrinsic factor antibodies <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Atrophy of G cells  (B) Anti-intrinsic factor antibodies  (C) Decreased methylmalonic acid levels  (D) Antithrombotic state <> possible answers', '  A 63-year-old female complains of weakness, light-headedness, palpitations, and soreness of the tongue. She has a past medical history of Hashimoto’s thyroiditis. Her hematocrit is 29%. On peripheral blood smear, you notice neutrophils with 7 lobes and large oval-shaped red blood cells. On physical exam, you notice the patient has decreased position sense and a loss in vibratory sensation in her lower extremities. Which of the following is most likely present in this patient? <> context']