A 29-year-old woman presents with fatigue and shortness of breath on exertion. Blood tests show Hb 88 g/L, MCV 70 fL and ferritin 7 micrograms/L. She ...

Question

A 29-year-old woman presents with fatigue and shortness of breath on exertion. Blood tests show Hb 88 g/L, MCV 70 fL and ferritin 7 micrograms/L. She has heavy menstrual bleeding but no red-flag gastrointestinal symptoms. What is the most appropriate initial treatment for her anaemia?

Accepted Answer

Oral ferrous sulfate 200 mg once daily for at least 3 months after haemoglobin normalises

Answer

Oral ferrous sulfate 200 mg twice daily for 1 month

Answer

Intravenous iron infusion immediately

Answer

Red blood cell transfusion to Hb >120 g/L

Answer

No treatment; repeat blood tests in 6 months

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

A 29-year-old woman presents with fatigue and shortness of breath on exertion. Blood tests show Hb 88 g/L, MCV 70 fL and ferritin 7 micrograms/L. She has heavy menstrual bleeding but no red-flag gastrointestinal symptoms. What is the most appropriate initial treatment for her anaemia?