A 47-year-old woman presents with new onset persistent cough and haemoptysis. She is a non-smoker but her father was diagnosed with lung cancer at 55....

Question

A 47-year-old woman presents with new onset persistent cough and haemoptysis. She is a non-smoker but her father was diagnosed with lung cancer at 55. Her chest X-ray is normal. What is the most appropriate next step regarding suspected cancer referral according to NICE five-year lung cancer risk pathway

Accepted Answer

Request an urgent CT chest and consider urgent suspected cancer referral

Answer

Reassure as the normal X-ray excludes cancer

Answer

Offer routine chest clinic referral in 3 months

Answer

Treat empirically for bronchitis and review in 6 months

Answer

Arrange sputum culture only

uk-plab-1 MCQ (SBA): Suspected lung cancer with normal X-ray