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Haematology & Oncology — UKMLA MCQ

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MediumHaematology & OncologyUKMLAMRCGP AKTPARAMRCEM SBAMRCP Part 1PSA

A 70-year-old man is found to have microcytic anemia and a positive fecal occult blood test. Which condition must be excluded first according to NICE guidelines?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Colorectal cancer

NICE advises urgent referral for suspected colorectal cancer in individuals over 60 with iron deficiency anemia or a positive FIT. Colorectal cancer must be excluded as a possible cause of occult GI blood loss.

Reference: https://www.nice.org.uk/guidance