A 64-year-old man with longstanding tobacco use presents with hoarseness lasting more than 6 weeks and a 5 kg unintentional weight loss. According to ...

Question

A 64-year-old man with longstanding tobacco use presents with hoarseness lasting more than 6 weeks and a 5 kg unintentional weight loss. According to Canadian head and neck cancer guidelines, what is the most appropriate next step?

Accepted Answer

Arrange urgent referral to an otolaryngologist for laryngoscopy.

Answer

Treat with proton pump inhibitor for presumed reflux and review in 6 months.

Answer

Reassure the patient that hoarseness is common in smokers.

Answer

Start inhaled corticosteroids for suspected asthma.

Answer

Order a screening chest radiograph only.

ca-mccqe1 MCQ (SBA): Suspected laryngeal cancer

A 64-year-old man with longstanding tobacco use presents with hoarseness lasting more than 6 weeks and a 5 kg unintentional weight loss. According to Canadian head and neck cancer guidelines, what is the most appropriate next step?