Question

A 45-year-old woman presents with pleuritic chest pain and shortness of breath. Her Wells score is 5 (intermediate probability) and she has no contraindication to contrast. D-dimer has not been performed. What is the most appropriate next investigation?

Accepted Answer

CT pulmonary angiography

Answer

D-dimer assay

Answer

Ventilation-perfusion scan

Answer

Lower limb venous Doppler ultrasound only

Answer

Echocardiography

Practice question

A 45-year-old woman presents with pleuritic chest pain and shortness of breath. Her Wells score is 5 (intermediate probability) and she has no contraindication to contrast. D-dimer has not been performed. What is the most appropriate next investigation?