Question

A 50-year-old teacher presents with a 4-week history of hoarseness. She denies other symptoms like sore throat, cough, or weight loss. She is a non-smoker. Examination of her throat is unremarkable. What is the most appropriate next step in management?

Accepted Answer

Referral for direct laryngoscopy via ENT (urgent 2-week wait)

Answer

Voice rest and reassurance

Answer

Referral for urgent chest X-ray

Answer

Trial of proton pump inhibitor (PPI)

Answer

Speech therapy referral

Practice question

A 50-year-old teacher presents with a 4-week history of hoarseness. She denies other symptoms like sore throat, cough, or weight loss. She is a non-smoker. Examination of her throat is unremarkable. What is the most appropriate next step in management?