A 64-year-old smoker presents with haemoptysis and unintentional weight loss over 3 months. He has a chronic cough but no recent chest X-ray. What is ...

Question

A 64-year-old smoker presents with haemoptysis and unintentional weight loss over 3 months. He has a chronic cough but no recent chest X-ray. What is the most appropriate next step in primary care?

Accepted Answer

Make an urgent two-week-wait referral for suspected lung cancer

Answer

Order a routine chest X-ray and review in 6 weeks

Answer

Start oral antibiotics and review in 2 weeks

Answer

Arrange CT scan via routine pathway before referral

Answer

Reassure and arrange annual review

uk-plab-1 MCQ (SBA): Suspected lung cancer

A 64-year-old smoker presents with haemoptysis and unintentional weight loss over 3 months. He has a chronic cough but no recent chest X-ray. What is the most appropriate next step in primary care?