A 45-year-old woman presents with sudden onset pleuritic chest pain and shortness of breath. She has recently undergone knee replacement surgery. Her ...

Question

A 45-year-old woman presents with sudden onset pleuritic chest pain and shortness of breath. She has recently undergone knee replacement surgery. Her respiratory rate is 24/min, heart rate 110/min, blood pressure 118/76 mmHg, and oxygen saturation 95% on air. Her Wells score suggests an intermediate probability of pulmonary embolism. What is the most appropriate next investigation according to NICE?

Accepted Answer

CT pulmonary angiography

Answer

D-dimer test

Answer

Ventilation–perfusion scan in all cases

Answer

Echocardiogram

Answer

Lower limb venous Doppler ultrasound only

uk-plab-1 MCQ (SBA): Pulmonary embolism