Question

A 50-year-old man with a 40-pack-year smoking history presents with a chronic cough and haemoptysis. He lives in a remote community several hours from the nearest tertiary centre. Chest X-ray performed in the local hospital shows a right upper lobe mass. What is the most appropriate next step in management?

Accepted Answer

Arrange urgent referral to a lung cancer multidisciplinary team and CT chest

Answer

Reassure and repeat chest X-ray in 12 months

Answer

Start empirical antibiotics and review in 6 weeks without referral

Answer

Treat with inhaled corticosteroids for suspected asthma

Answer

Start long-term oral steroids in the community

Practice question