A 45-year-old teacher presents with hoarseness that has persisted for 8 weeks. He is a non-smoker and drinks alcohol occasionally. He denies weight lo...

Question

A 45-year-old teacher presents with hoarseness that has persisted for 8 weeks. He is a non-smoker and drinks alcohol occasionally. He denies weight loss, dysphagia, or haemoptysis. Examination of the neck is unremarkable. According to NICE NG12, what is the most appropriate action?

Accepted Answer

Urgent referral to ENT (2-week wait pathway)

Answer

Reassure and review in 4 weeks

Answer

Voice therapy referral

Answer

Trial of proton pump inhibitor (PPI)

Answer

Chest X-ray

ukmla MCQ (SBA): Hoarseness

A 45-year-old teacher presents with hoarseness that has persisted for 8 weeks. He is a non-smoker and drinks alcohol occasionally. He denies weight loss, dysphagia, or haemoptysis. Examination of the neck is unremarkable. According to NICE NG12, what is the most appropriate action?