Question

A 46-year-old woman presents with fatigue and dyspnoea. FBC shows Hb 86 g/L, MCV 70 fL. She has heavy menstrual periods. What is the most appropriate initial investigation to identify the cause of her anaemia?

Accepted Answer

Iron studies and assessment for menstrual and gastrointestinal blood loss

Answer

Bone marrow biopsy

Answer

Serum B12 and folate levels only

Answer

Coeliac serology only

Answer

Erythropoietin level

Practice question

A 46-year-old woman presents with fatigue and dyspnoea. FBC shows Hb 86 g/L, MCV 70 fL. She has heavy menstrual periods. What is the most appropriate initial investigation to identify the cause of her anaemia?