A 32-year-old woman at 30 weeks of gestation presents to the GP with sudden onset breathlessness, pleuritic chest pain, and tachycardia (pulse 112 bpm...

Question

A 32-year-old woman at 30 weeks of gestation presents to the GP with sudden onset breathlessness, pleuritic chest pain, and tachycardia (pulse 112 bpm). Her oxygen saturation is 93% on room air. She has no cough or fever. She had a long car journey yesterday. Which is the single most appropriate immediate action?

Accepted Answer

Administer oxygen if saturations fall below 94%, commence treatment-dose LMWH, and arrange emergency transfer to hospital

Answer

Prescribe oral amoxicillin for community-acquired pneumonia

Answer

Arrange a D-dimer test and await results

Answer

Arrange an outpatient chest X-ray within 48 hours

Answer

Prescribe salbutamol nebuliser for presumed asthma exacerbation

uk-drcog MCQ (SBA): Suspected Pulmonary Embolism in Pregnancy