A 55-year-old man with a 40 pack-year smoking history presents with a chronic cough and new haemoptysis. He has lost 5 kg in 3 months. Chest X-ray sho...

Question

A 55-year-old man with a 40 pack-year smoking history presents with a chronic cough and new haemoptysis. He has lost 5 kg in 3 months. Chest X-ray shows a right upper lobe mass. What is the appropriate next step under suspected cancer guidance?

Accepted Answer

Urgent 2-week-wait referral to a lung cancer multidisciplinary team

Answer

Arrange non-urgent CT scan within 6 months

Answer

Start empirical antibiotics for 1 month before referral

Answer

Observe and repeat chest X-ray in 3 months

Answer

Reassure and discharge

uk-plab-1 MCQ (SBA): Lung cancer suspicion

A 55-year-old man with a 40 pack-year smoking history presents with a chronic cough and new haemoptysis. He has lost 5 kg in 3 months. Chest X-ray shows a right upper lobe mass. What is the appropriate next step under suspected cancer guidance?