Iron deficiency anemia Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 70-year-old man presents to the office for evaluation of fatigue that he has been experiencing for the past 8 months. He used to walk 2 miles a day but now becomes tired after less than half a mile and experiences shortness of breath while walking up one flight of stairs. His medical history is significant for hypertension and osteoarthritis. His medications include lisinopril, tylenol as needed for pain, and aspirin. He has no weight loss, bright red blood in his stools or urine, and no dark stools. His last colonoscopy was 8 years ago, with findings of benign polyps that were removed. Temperature is 37.2°C (98.9°F), pulse is 110/minute, respiratory rate is 16/minute, and blood pressure is 132/87 mmHg. Physical examination shows conjunctival pallor, pale nail beds, and dry skin. Cardiac examination shows tachycardia and a regular rhythm. The lungs are clear to auscultation bilaterally. Abdominal examination is unremarkable. Laboratory tests are shown below. Which of the following is the best next step in management?  

 Laboratory value  Result
 Hemoglobin  8.5 g/dL 
 Hematocrit    32 % 
 MCV  72 fL 
 Fecal occult blood test  Negative 
 Iron  38 μg/dL 
 Ferritin  12 ng/mL 

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