Question

A 45-year-old with pleuritic chest pain, HR 110, normal CXR, Wells score 2 (low). What testing strategy is recommended?

Accepted Answer

Age-adjusted D-dimer; if negative, no imaging

Answer

Proceed directly to CT pulmonary angiography

Answer

Start empiric anticoagulation then image

Answer

V/Q scan regardless of D-dimer

Answer

Lower extremity ultrasound first-line

Practice question

A 45-year-old with pleuritic chest pain, HR 110, normal CXR, Wells score 2 (low). What testing strategy is recommended?