Question

A 45-year-old woman has a likely pre-test probability of pulmonary embolism (two-level Wells 'PE likely'). What is the next best step?

Accepted Answer

CTPA urgently

Answer

D-dimer test then CTPA if positive

Answer

V/Q scan only

Answer

Start anticoagulation and discharge without imaging

Answer

Repeat Wells score in 24 hours

Practice question

A 45-year-old woman has a likely pre-test probability of pulmonary embolism (two-level Wells 'PE likely'). What is the next best step?