QuestionSBA
QuestionChoice
This is the incorrect answer. This would usually indicate the patient is suffering from a sinusitis.
10027522
b
Purulent nasal discharge
QuestionChoice
This is the correct answer. Unilateral polyps are concerning for nasopharyngeal carcinomas and require urgent referral.
10027521
a
Worsening unilateral nasal obstruction
QuestionChoice
This is incorrect. Although unilateral sinus pain is a red flag symptom, bilateral pain is more suggestive of sinusitis, and would not requite a 2 week wait suspected cancer referral.
10027524
d
Bilateral sinus pain
QuestionChoice
This is incorrect. Sneezing is a common symptom in allergic rhinitis, rhinosinusitis and nasal obstruction and does not in itself prompt an urgent ENT referral.
10027525
e
Sneezing
QuestionChoice
This is incorrect. Nasal pruritis is a common symptoms in seasonal allergies and allergic rhinitis. It often improves with anti-histamines, and does not requite a 2 week wait suspected cancer referral.
10027523
c
Nasal pruritis
Concept
Chapter
2693
5987
Red flag nasal symptoms
Topic
186
Ear, Nose and Throat
17902
A 52 year old male of Chinese descent presents to the GP with a feeling of persistent feeling of nasal congestion. They have tried over the counter allergy medications which have not improved their symptoms. As well as nasal congestion, the patient reports frequent sneezing and a tickly cough. He is otherwise well, with no past medical history and no regular medications, although he notes that his diet can be quite high in salt.

He has a family history of nasopharyngeal carcinoma, and is very worried about also having cancer.

Which of the following symptoms would prompt the GP to make a 2 week suspected cancer referral to Ear Nose and Throat (ENT)?
a