A 40-year-old teacher presents with a 3-month history of hoarseness. He is a non-smoker and drinks alcohol occasionally. He denies weight loss, dyspha...

Question

A 40-year-old teacher presents with a 3-month history of hoarseness. He is a non-smoker and drinks alcohol occasionally. He denies weight loss, dysphagia, or otalgia. Examination of his neck is unremarkable. According to NICE NG12 (Suspected Cancer), what is the most appropriate next step?

Accepted Answer

Refer for an urgent direct laryngoscopy (to be seen within 2 weeks)

Answer

Reassure and advise voice rest for 2 weeks

Answer

Prescribe a trial of a proton pump inhibitor for suspected GORD

Answer

Perform thyroid function tests

Answer

Chest X-ray

ukmla MCQ (SBA): Hoarseness

A 40-year-old teacher presents with a 3-month history of hoarseness. He is a non-smoker and drinks alcohol occasionally. He denies weight loss, dysphagia, or otalgia. Examination of his neck is unremarkable. According to NICE NG12 (Suspected Cancer), what is the most appropriate next step?