A 65-year-old woman is found to have microcytic anaemia on routine bloods (Hb 92 g/L, MCV 70 fL). She reports fatigue and occasional change in bowel h...

Question

A 65-year-old woman is found to have microcytic anaemia on routine bloods (Hb 92 g/L, MCV 70 fL). She reports fatigue and occasional change in bowel habit. What is the most appropriate next step in management?

Accepted Answer

Investigate for gastrointestinal blood loss with urgent bidirectional endoscopy

Answer

Start oral iron and repeat FBC in 6 months only

Answer

Reassure and prescribe multivitamins

Answer

Attribute the anaemia to ageing and monitor

Answer

Refer to haematology only after iron therapy fails

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

A 65-year-old woman is found to have microcytic anaemia on routine bloods (Hb 92 g/L, MCV 70 fL). She reports fatigue and occasional change in bowel habit. What is the most appropriate next step in management?