A 55-year-old woman presents with fatigue and dyspnoea on exertion. Laboratory tests show Hb 84 g/L, MCV 72 fL, ferritin 6 µg/L and low transferrin sa...

Question

A 55-year-old woman presents with fatigue and dyspnoea on exertion. Laboratory tests show Hb 84 g/L, MCV 72 fL, ferritin 6 µg/L and low transferrin saturation. She denies menorrhagia. What is the most appropriate next diagnostic step?

Accepted Answer

Order colonoscopy to evaluate for occult gastrointestinal blood loss

Answer

Start oral iron and no further investigations

Answer

Order bone marrow biopsy

Answer

Test for sickle cell disease

Answer

Schedule CT scan of the abdomen and pelvis only

ca-mccqe1 MCQ (SBA): Iron deficiency anaemia

A 55-year-old woman presents with fatigue and dyspnoea on exertion. Laboratory tests show Hb 84 g/L, MCV 72 fL, ferritin 6 µg/L and low transferrin saturation. She denies menorrhagia. What is the most appropriate next diagnostic step?