QuestionSBA
QuestionChoice
Laryngeal cancer should be suspected in patients who are 45 years and over with persistent and unexplained hoarseness. The smoking history also adds to the suspicion of laryngeal cancer.
10028026
a
Urgent 2-week wait cancer referral
QuestionChoice
Whilst referral to ENT is necessary, an urgent referral is more appropriate in this case due to the red flag symptoms and risk factors.
10028027
b
Routine referral to ENT
QuestionChoice
Referral to a smoking cessation service is important, but it is not the most important management at this point in time. Immediate evaluation for laryngeal cancer is the priority.
10028029
d
Refer to a smoking cessation service
QuestionChoice
Discharging the patient without a referral for further evaluation could lead to a delay in cancer diagnosis and a poorer prognosis.
10028028
c
Send the patient home
QuestionChoice
Admission to hospital is not the first step for a patient presenting with hoarseness. An outpatient referral for evaluation is more appropriate.
10028030
e
Admit to hospital
Concept
Chapter
2693
6026
Hoarseness
Topic
138
Ear, Nose & Throat
18003
A 53-year-old man presents to the GP with a 1-month history of hoarseness. He has no other symptoms. He does not drink alcohol but has a 5-pack-year smoking history.

What is the most appropriate management?
a