Question

A 50-year-old woman with sudden onset pleuritic chest pain and dyspnea is suspected of having a pulmonary embolism. She has a Wells score indicating a PE is likely. According to NICE guidelines what is the next best diagnostic step?

Accepted Answer

CT pulmonary angiogram

Answer

Ventilation-perfusion scan

Answer

D-dimer test

Answer

Lower limb Doppler ultrasound

Answer

Immediate anticoagulation without imaging

Practice question

A 50-year-old woman with sudden onset pleuritic chest pain and dyspnea is suspected of having a pulmonary embolism. She has a Wells score indicating a PE is likely. According to NICE guidelines what is the next best diagnostic step?