A 67-year-old with massive PE is hypotensive (SBP 74), tachycardic, hypoxemic. Management to rapidly reduce mortality?...

Question

A 67-year-old with massive PE is hypotensive (SBP 74), tachycardic, hypoxemic. Management to rapidly reduce mortality?

Accepted Answer

Immediate systemic thrombolysis unless contraindicated

Answer

IVC filter placement then anticoagulation

Answer

Catheter-directed thrombectomy for all patients

Answer

Anticoagulation only

Answer

Surgical embolectomy in all cases

us-usmle-step-2 MCQ (SBA): Pulmonary Embolism