A 49-year-old woman presents with fatigue and exertional dyspnoea. Her haemoglobin is 9.2 g/dL, mean corpuscular volume 72 fL, and ferritin is low. Sh...

Question

A 49-year-old woman presents with fatigue and exertional dyspnoea. Her haemoglobin is 9.2 g/dL, mean corpuscular volume 72 fL, and ferritin is low. She has no obvious dietary issues. What is the most appropriate next investigation?

Accepted Answer

Arrange colonoscopy and upper GI endoscopy

Answer

Start oral iron and review in 3 months with no further investigations

Answer

Order haemoglobin electrophoresis

Answer

Test for intrinsic factor antibodies

Answer

Request a bone marrow biopsy

uk-plab-1 MCQ (SBA): Iron deficiency anaemia

A 49-year-old woman presents with fatigue and exertional dyspnoea. Her haemoglobin is 9.2 g/dL, mean corpuscular volume 72 fL, and ferritin is low. She has no obvious dietary issues. What is the most appropriate next investigation?