Question

A 46-year-old office worker presents with fatigue and dyspnoea on exertion. Hb is 90 g/L, MCV 72 fL, ferritin is 6 µg/L. He denies overt bleeding. What is the most appropriate next diagnostic step?

Accepted Answer

Arrange coeliac serology and colonoscopy to investigate occult blood loss

Answer

Start oral iron and no further workup

Answer

Bone marrow biopsy

Answer

Repeat FBC in 12 months

Answer

Check serum vitamin B12 and folate only

Practice question

A 46-year-old office worker presents with fatigue and dyspnoea on exertion. Hb is 90 g/L, MCV 72 fL, ferritin is 6 µg/L. He denies overt bleeding. What is the most appropriate next diagnostic step?