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Iron-deficiency anaemia — RCPSC IM MCQ

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ModerateGastroenterology/HepatologyIron-deficiency anaemiaRCPSC IM

A 62-year-old woman has iron-deficiency anaemia with hemoglobin 88 g/L and ferritin 8 micrograms/L. She is postmenopausal, has no overt bleeding, and takes no anticoagulant. Celiac serology is negative. What is the most appropriate investigation?

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Correct answer: EBidirectional endoscopy

Postmenopausal iron-deficiency anaemia warrants evaluation for gastrointestinal blood loss, usually with colonoscopy and upper endoscopy before small-bowel testing.

Reference: Canadian Association of Gastroenterology IDA guidance