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Toddler iron deficiency anaemia — MCCQE Part 1 MCQ

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EasyFatigueToddler iron deficiency anaemiaMCCQE Part 1

A 14-month-old girl drinks 1L cow's milk daily with limited solids. Pale. Hb 85, MCV 62. Most appropriate management?

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Correct answer: B — Limit cow's milk to 500 mL/day and start oral iron

Excessive cow's milk (>500 mL/d) = common cause of iron deficiency anaemia in toddlers. CPS: limit to 500 mL/d, increase iron-rich foods, oral iron 3-6 mg/kg/d. Monitor response: Hb rise of 10-20 g/L in 4 weeks.

Reference: CPS Iron Deficiency Statement