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Iron deficiency anemia adult — USMLE Step 3 MCQ

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ModerateAmbulatory Medicine / Primary CareIron deficiency anemia adultUSMLE Step 3

A 58-year-old man is found to have hemoglobin 10.8 g/dL and mean corpuscular volume 72 fL at a routine visit. Ferritin is 8 ng/mL. He has no visible bleeding and takes no anticoagulants. Fecal immunochemical test last year was negative. Which of the following is the most appropriate next step in management?

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Correct answer: C — Perform bidirectional endoscopy

Iron deficiency anemia in an adult man requires evaluation for gastrointestinal blood loss, including upper and lower endoscopy.

Reference: AGA Guideline on Gastrointestinal Evaluation of Iron Deficiency Anemia