A 65-year-old woman presents with fatigue. Blood tests show: Hb 90 g/L (115-165), MCV 70 fL (80-100). Ferritin 12 µg/L (30-300). She has no overt blee...

Question

A 65-year-old woman presents with fatigue. Blood tests show: Hb 90 g/L (115-165), MCV 70 fL (80-100). Ferritin 12 µg/L (30-300). She has no overt bleeding or GI symptoms. What is the most appropriate management according to NICE guidelines?

Accepted Answer

Urgent referral (2-week wait) for upper and lower GI endoscopy

Answer

Start oral iron replacement and review in 4 weeks

Answer

Routine referral for upper and lower GI endoscopy

Answer

Coeliac serology testing only

Answer

Haemoglobin electrophoresis

ukmla MCQ (SBA): Iron Deficiency Anaemia

A 65-year-old woman presents with fatigue. Blood tests show: Hb 90 g/L (115-165), MCV 70 fL (80-100). Ferritin 12 µg/L (30-300). She has no overt bleeding or GI symptoms. What is the most appropriate management according to NICE guidelines?