A 54 year old business man complains of a three year history of chronic hoarseness that is worse in the morning and improves during the day

Question Number 0687

Question:
A 54 year old business man complains of a three year history of chronic hoarseness that is worse in the morning and improves during the day. He also complains of a sensation of a lump in his throat that he describes as 'mucous sticking in my throat' and an excessive desire to clear his throat that interferes with his morning business meetings. The most appropriate test is

a) Gastroscopy
b) magnetic resonance imaging of the brain
c) allergy evaluation
d) with 24-h Ambulatory Ph Monitoring
e) chest x-ray


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