Question

A 65-year-old man presents with tiredness and shortness of breath. FBC shows Hb 9.5 g/dL, MCV 72 fL, ferritin is low. What is the most appropriate initial management?

Accepted Answer

Start oral ferrous sulphate and investigate for sources of blood loss

Answer

Reassure; this is normal for age

Answer

Start vitamin B12 injections

Answer

Give immediate blood transfusion and no further work-up

Answer

Start erythropoietin injections

Practice question

A 65-year-old man presents with tiredness and shortness of breath. FBC shows Hb 9.5 g/dL, MCV 72 fL, ferritin is low. What is the most appropriate initial management?