Question

A 50-year-old woman presents with fatigue and pallor. Full blood examination shows Hb 85 g/L, MCV 70 fL and ferritin 5 µg/L. She reports heavy menstrual bleeding. What is the most appropriate initial management?

Accepted Answer

Oral ferrous sulfate and investigate the cause of blood loss

Answer

Immediate blood transfusion only

Answer

Start erythropoietin injections

Answer

No treatment is required

Answer

Long-term oral vitamin B12

Practice question

A 50-year-old woman presents with fatigue and pallor. Full blood examination shows Hb 85 g/L, MCV 70 fL and ferritin 5 µg/L. She reports heavy menstrual bleeding. What is the most appropriate initial management?