A 50-year-old teacher presents with a 3-month history of hoarseness. She denies sore throat, dysphagia, weight loss, or smoking history. She uses her ...

Question

A 50-year-old teacher presents with a 3-month history of hoarseness. She denies sore throat, dysphagia, weight loss, or smoking history. She uses her voice extensively at work. Examination reveals a normal appearing larynx on indirect laryngoscopy performed in clinic. What is the most appropriate next step?

Accepted Answer

Voice therapy referral (Speech and Language Therapy)

Answer

Trial of empirical proton pump inhibitor therapy

Answer

Microlaryngoscopy under general anaesthesia

Answer

CT scan of neck and thorax

Answer

Reassurance and follow-up in 3 months

ukmla MCQ (SBA): Hoarseness