A 32-year-old vegan woman complains of fatigue and dyspnoea on exertion. Hb is 8.9 g/dL, MCV 70 fL, ferritin 8 micrograms/L. There is no overt bleedin...

Question

A 32-year-old vegan woman complains of fatigue and dyspnoea on exertion. Hb is 8.9 g/dL, MCV 70 fL, ferritin 8 micrograms/L. There is no overt bleeding. According to NICE CKS, what is the most appropriate initial treatment for her anaemia?

Accepted Answer

Oral ferrous sulfate 200 mg once daily for at least 3 months after normalisation of Hb.

Answer

Immediate intravenous iron infusion for all cases.

Answer

Blood transfusion to correct anaemia rapidly.

Answer

Vitamin B12 injections.

Answer

Stop all iron-rich foods and monitor.

uk-plab-1 MCQ (SBA): Iron deficiency anaemia

A 32-year-old vegan woman complains of fatigue and dyspnoea on exertion. Hb is 8.9 g/dL, MCV 70 fL, ferritin 8 micrograms/L. There is no overt bleeding. According to NICE CKS, what is the most appropriate initial treatment for her anaemia?