Question

A 60-year-old woman presents with fatigue and shortness of breath. Blood tests show: Hb 90 g/L, MCV 72 fL, Ferritin 8 ng/L (Ref: 15-300). She has a history of peptic ulcer disease treated 10 years ago. What is the most appropriate next step in management?

Accepted Answer

Arrange upper GI endoscopy (OGD)

Answer

Start oral ferrous sulfate 200mg TDS

Answer

Arrange colonoscopy

Answer

Check B12 and folate levels

Answer

Prescribe dietary advice only

Practice question

A 60-year-old woman presents with fatigue and shortness of breath. Blood tests show: Hb 90 g/L, MCV 72 fL, Ferritin 8 ng/L (Ref: 15-300). She has a history of peptic ulcer disease treated 10 years ago. What is the most appropriate next step in management?