Question

A 45-year-old woman presents with pleuritic chest pain and dyspnea. Her Wells score for suspected pulmonary embolism is 5. According to NICE guidelines, which is the most appropriate next investigation?

Accepted Answer

CT pulmonary angiogram (CTPA)

Answer

D-dimer test

Answer

Ventilation-perfusion (V/Q) scan

Answer

Lower limb Doppler ultrasound

Answer

Echocardiogram

Practice question

A 45-year-old woman presents with pleuritic chest pain and dyspnea. Her Wells score for suspected pulmonary embolism is 5. According to NICE guidelines, which is the most appropriate next investigation?