A 71-year-old man with a long history of smoking presents with chronic productive cough and recent haemoptysis. Chest radiograph shows a mass in the r...

Question

A 71-year-old man with a long history of smoking presents with chronic productive cough and recent haemoptysis. Chest radiograph shows a mass in the right upper lobe. According to lung cancer diagnostic pathways, what is the most appropriate next step?

Accepted Answer

Immediate referral to a lung cancer diagnostic assessment programme for CT and tissue diagnosis

Answer

Start empiric antibiotics and repeat chest radiograph in 6 months

Answer

Schedule follow-up in 3 months to see if symptoms persist

Answer

Order only sputum cytology

Answer

Treat as COPD exacerbation and ignore mass

ca-mccqe1 MCQ (SBA): Lung cancer suspicion

A 71-year-old man with a long history of smoking presents with chronic productive cough and recent haemoptysis. Chest radiograph shows a mass in the right upper lobe. According to lung cancer diagnostic pathways, what is the most appropriate next step?