QuestionSBA
QuestionChoice
According to local antimicrobial guidelines, this antibiotic would be first-line for a community-acquired pneumonia. However, provided the lack of chest sounds and pyrexia, this is a less likely diagnosis.
10005300
e
Amoxicillin
QuestionChoice
Scottish Referral Guidelines for Suspected Cancer stipulate that an urgent suspicion of cancer chest x-ray should be arranged for anyone with unexplained haemoptysis or unexplained and persistent (more than three weeks) weight loss.
10005296
a
Urgent suspicion of cancer chest x-ray
QuestionChoice
This is an investigation usually requested by specialist doctors and would be indicated if a chest x-ray reported ambiguous findings or for planning of biopsy and/or surgery.
10005297
b
CT Chest
QuestionChoice
This is a scan which images the pulmonary arteries, often reserved to diagnose or exclude pulmonary emboli - a less likely diagnosis here.
10005299
d
CT Pulmonary Angiogram
QuestionChoice
Bronchoscopy is the primary procedure a doctor will perform to obtain a biopsy. Initially though, a suspicious lesion or area must be identified from chest x-ray and CT.
10005298
c
Bronchoscopy
Concept
Chapter
2693
3702
Lung Cancer
Topic
132
Respiratory
13606
A 45-year-old male presents to his GP. He reports five weeks of daily small amounts of haemoptysis along with unintentional significant weight loss over the last six months. He is a lifelong smoker. On examination he is apyrexial and his chest sounds are clear.

Which of the following is the best next step in the management of this patient?
a