Abstract
A 61-year-old man attends the surgery complaining of a hoarse voice for the last 4 weeks. He smokes 30 cigarettes/day and drinks 40 U of alcohol/week. Clinical examination is unremarkable.
According to current National Institute for Health and Clinical Excellence (NICE) guidelines, what is the SINGLE MOST appropriate INITIAL management for this patient? Select ONE option only.
Arrange an urgent chest X-ray
Observe and review in 2 weeks
Prescribe erythromycin and review in 2 weeks
Refer urgently to a respiratory physician
Refer urgently to an ear, nose and throat (ENT) surgeon