A 60-year-old woman presents with fatigue and pallor. Haemoglobin is 85 g/L, MCV 70 fL, ferritin 5 µg/L, and transferrin saturation is low. She has no...

Question

A 60-year-old woman presents with fatigue and pallor. Haemoglobin is 85 g/L, MCV 70 fL, ferritin 5 µg/L, and transferrin saturation is low. She has no obvious bleeding. What is the most appropriate next step in management?

Accepted Answer

Oral iron supplementation and investigation for occult blood loss, including colonoscopy

Answer

Blood transfusion only, with no investigation

Answer

Vitamin B12 injections

Answer

Reassurance; this pattern is normal in older adults

Answer

Start erythropoiesis-stimulating agent

ca-mccqe1 MCQ (SBA): Iron deficiency anaemia

A 60-year-old woman presents with fatigue and pallor. Haemoglobin is 85 g/L, MCV 70 fL, ferritin 5 µg/L, and transferrin saturation is low. She has no obvious bleeding. What is the most appropriate next step in management?