A 48-year-old man presents with a 2-week history of cough productive of small amounts of blood-streaked sputum. He is a 30-pack-year smoker and has lo...

Question

A 48-year-old man presents with a 2-week history of cough productive of small amounts of blood-streaked sputum. He is a 30-pack-year smoker and has lost 4 kg in 3 months. Chest X-ray shows a left upper lobe mass. What is the most appropriate next step?

Accepted Answer

Urgent two-week wait referral to lung cancer clinic

Answer

Start empirical antibiotics and repeat X-ray in 6 weeks

Answer

Reassure and review in 3 months

Answer

Start inhaled steroids and bronchodilators

Answer

Order CT pulmonary angiogram for suspected PE

uk-plab-1 MCQ (SBA): Suspected lung cancer

A 48-year-old man presents with a 2-week history of cough productive of small amounts of blood-streaked sputum. He is a 30-pack-year smoker and has lost 4 kg in 3 months. Chest X-ray shows a left upper lobe mass. What is the most appropriate next step?