Question

A 45-year-old woman presents with fatigue and dyspnoea on exertion. Hb is 90 g/L with microcytosis, low ferritin and low transferrin saturation. What is the most appropriate next step?

Accepted Answer

Start oral iron therapy and investigate for sources of blood loss

Answer

Recommend multivitamins only

Answer

Arrange immediate blood transfusion in all cases

Answer

Start erythropoietin without iron

Answer

Ignore results and repeat in 12 months

Practice question

A 45-year-old woman presents with fatigue and dyspnoea on exertion. Hb is 90 g/L with microcytosis, low ferritin and low transferrin saturation. What is the most appropriate next step?