Question

A 29-year-old woman on COCP presents with pleuritic chest pain and dyspnoea. Wells score suggests likely PE. Which is the best initial management?

Accepted Answer

Start therapeutic anticoagulation with a DOAC while awaiting imaging

Answer

Immediate CT pulmonary angiography without anticoagulation

Answer

D-dimer test first

Answer

Lower limb ultrasound only

Answer

Observe and repeat Wells in 24 hours

Practice question

A 29-year-old woman on COCP presents with pleuritic chest pain and dyspnoea. Wells score suggests likely PE. Which is the best initial management?