A 70-year-old man presents with fatigue and exertional dyspnoea. Hb is 86 g/L, MCV is 70 fL and ferritin is 5 µg/L. Stool occult blood test is positiv...

Question

A 70-year-old man presents with fatigue and exertional dyspnoea. Hb is 86 g/L, MCV is 70 fL and ferritin is 5 µg/L. Stool occult blood test is positive. What is the most appropriate investigation?

Accepted Answer

Refer for colonoscopy to evaluate for colorectal malignancy

Answer

Start oral iron and reassess in 6 months without further testing

Answer

Refer for upper endoscopy only

Answer

Order CT abdomen and pelvis only

Answer

Attribute anaemia to dietary deficiency and observe

ca-mccqe1 MCQ (SBA): Iron deficiency anaemia in older adult

A 70-year-old man presents with fatigue and exertional dyspnoea. Hb is 86 g/L, MCV is 70 fL and ferritin is 5 µg/L. Stool occult blood test is positive. What is the most appropriate investigation?