Question

A 62-year-old male smoker presents with pleuritic chest pain and low Wells score; age 68 with D-dimer 520 ng/mL (FEU). Which is correct?

Accepted Answer

Use age-adjusted D-dimer threshold (age ×10) = 680 ng/mL; PE can be excluded

Answer

PE ruled out because D-dimer <500 ng/mL for all ages

Answer

CTPA is mandatory

Answer

Start anticoagulation before imaging in low-risk

Answer

V/Q scan is required in all low-risk patients

Practice question

A 62-year-old male smoker presents with pleuritic chest pain and low Wells score; age 68 with D-dimer 520 ng/mL (FEU). Which is correct?