A 62-year-old woman with a 30-pack-year smoking history presents with new-onset hoarseness, dysphagia and 8 kg weight loss over 3 months. According to...

Question

A 62-year-old woman with a 30-pack-year smoking history presents with new-onset hoarseness, dysphagia and 8 kg weight loss over 3 months. According to CTFPHC and Choosing Wisely principles, what is the most appropriate initial investigation?

Accepted Answer

Urgent referral for laryngoscopy and imaging to evaluate for laryngeal cancer

Answer

Empiric proton pump inhibitor therapy for 8 weeks without investigation

Answer

CT scan of the neck and chest without laryngoscopy

Answer

Reassurance and voice rest

Answer

Antibiotics for presumed laryngitis

ca-mccqe1 MCQ (SBA): Hoarseness and suspected laryngeal cancer

A 62-year-old woman with a 30-pack-year smoking history presents with new-onset hoarseness, dysphagia and 8 kg weight loss over 3 months. According to CTFPHC and Choosing Wisely principles, what is the most appropriate initial investigation?