A 68-year-old man with long-standing smoking history presents with new-onset hoarseness, weight loss and a neck mass. He has not seen a physician in y...

Question

A 68-year-old man with long-standing smoking history presents with new-onset hoarseness, weight loss and a neck mass. He has not seen a physician in years. As his new family physician, what is the most appropriate initial action?

Accepted Answer

Order urgent imaging and refer to ENT/head and neck oncology for suspected malignancy

Answer

Start corticosteroids and reassess in 6 months

Answer

Treat with antibiotics and review in 3 months

Answer

Reassure him it is likely reflux

Answer

Order only a chest radiograph

ca-mccqe1 MCQ (SBA): Suspected head and neck cancer

A 68-year-old man with long-standing smoking history presents with new-onset hoarseness, weight loss and a neck mass. He has not seen a physician in years. As his new family physician, what is the most appropriate initial action?