A 48-year-old woman presents with tiredness and shortness of breath on exertion. FBC shows Hb 9.2 g/dL, MCV 74 fL, ferritin 7 µg/L. She reports heavy ...

Question

A 48-year-old woman presents with tiredness and shortness of breath on exertion. FBC shows Hb 9.2 g/dL, MCV 74 fL, ferritin 7 µg/L. She reports heavy periods. What is the most appropriate initial management?

Accepted Answer

Start oral ferrous iron supplementation and investigate for gynaecological cause of menorrhagia.

Answer

Arrange urgent haematology referral for bone marrow biopsy.

Answer

Start erythropoietin injections and oral iron.

Answer

Offer blood transfusion to correct anaemia immediately.

Answer

Start oral vitamin B12 and folate supplementation.

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

A 48-year-old woman presents with tiredness and shortness of breath on exertion. FBC shows Hb 9.2 g/dL, MCV 74 fL, ferritin 7 µg/L. She reports heavy periods. What is the most appropriate initial management?