Question

A 66-year-old man presents with a 3-month history of hoarseness. He is a lifelong smoker of 20 cigarettes per day and drinks 30 units of alcohol per week. He denies dysphagia, odynophagia, or weight loss. What is the most appropriate next step in his management?

Accepted Answer

Urgent referral to an ENT specialist for laryngoscopy (2-week wait pathway)

Answer

Voice rest and reassurance

Answer

Empirical trial of a proton pump inhibitor (PPI)

Answer

Chest X-ray

Answer

Spirometry

Practice question

A 66-year-old man presents with a 3-month history of hoarseness. He is a lifelong smoker of 20 cigarettes per day and drinks 30 units of alcohol per week. He denies dysphagia, odynophagia, or weight loss. What is the most appropriate next step in his management?