Question

A 62-year-old lifelong smoker presents with a 3-week history of persistent cough and new haemoptysis. He has lost 3 kg unintentionally. Examination is unremarkable. What is the most appropriate next step in primary care?

Accepted Answer

Request an urgent chest X-ray

Answer

Treat as chest infection and review in 2 weeks

Answer

Order routine sputum cytology

Answer

Arrange a non-urgent respiratory outpatient appointment

Answer

Reassure and advise smoking cessation only

Practice question

A 62-year-old lifelong smoker presents with a 3-week history of persistent cough and new haemoptysis. He has lost 3 kg unintentionally. Examination is unremarkable. What is the most appropriate next step in primary care?