Question

A 64-year-old woman presents with fatigue and shortness of breath. Hb is 86 g/L, MCV 70 fL, ferritin 5 µg/L. She denies heavy menses. Faecal occult blood test is positive. What is the most appropriate next step?

Accepted Answer

Arrange colonoscopy and upper GI endoscopy

Answer

Start oral iron and review in 6 months

Answer

Give blood transfusion only

Answer

Order CT abdomen instead of endoscopy

Answer

Reassure and repeat FOBT

Practice question

A 64-year-old woman presents with fatigue and shortness of breath. Hb is 86 g/L, MCV 70 fL, ferritin 5 µg/L. She denies heavy menses. Faecal occult blood test is positive. What is the most appropriate next step?