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Lung Cancer (suspected) — MRCGP AKT MCQ

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HardRespiratory/OncologyLung Cancer (suspected)MRCGP AKTUKMLAPARA

A 61-year-old smoker has haemoptysis and weight loss. Chest radiograph shows a new right upper-lobe mass. What should the GP do next?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Make an urgent suspected lung cancer referral

A radiographic lung mass with haemoptysis and weight loss requires urgent suspected-cancer referral for diagnostic CT and specialist assessment. Screening is for asymptomatic people and is not the route for a known abnormality. Empirical antibiotics must not create a prolonged delay when the radiograph is suspicious.

Reference: NICE NG12: suspected lung cancer recognition and referral. https://www.nice.org.uk/guidance/ng12/chapter/1-Recommendations-organised-by-site-of-cancer#lung-and-pleural-cancers; NHS: lung cancer diagnosis. https://www.nhs.uk/conditions/lung-cancer/diagnosis/