A 48-year-old woman presents with tiredness and shortness of breath. Blood tests show Hb 9.0 g/dL, MCV 70 fL and low ferritin. She reports no menorrha...

Question

A 48-year-old woman presents with tiredness and shortness of breath. Blood tests show Hb 9.0 g/dL, MCV 70 fL and low ferritin. She reports no menorrhagia. What is the most appropriate next step in management?

Accepted Answer

Arrange urgent endoscopic investigation for possible gastrointestinal blood loss

Answer

Start oral iron and reassure without further investigation

Answer

Arrange haemoglobin electrophoresis only

Answer

Refer to haematology for bone marrow biopsy

Answer

Repeat full blood count in 6 months with no further action now

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

A 48-year-old woman presents with tiredness and shortness of breath. Blood tests show Hb 9.0 g/dL, MCV 70 fL and low ferritin. She reports no menorrhagia. What is the most appropriate next step in management?