Question

A 65-year-old man presents with fatigue and pallor. Hb is 90 g/L, MCV 70 fL, ferritin 5 µg/L. He denies overt bleeding. What is the most appropriate next step in evaluating the cause of his anaemia?

Accepted Answer

Order colonoscopy and consider upper GI endoscopy

Answer

Start oral iron and recheck in 6 months without further investigation

Answer

Bone marrow biopsy

Answer

Test for G6PD deficiency

Answer

Order serum vitamin B12 and folate only

Practice question

A 65-year-old man presents with fatigue and pallor. Hb is 90 g/L, MCV 70 fL, ferritin 5 µg/L. He denies overt bleeding. What is the most appropriate next step in evaluating the cause of his anaemia?