Question

A 34-year-old woman presents with sudden onset severe shortness of breath and pleuritic chest pain 5 days after a long-haul flight. Her heart rate is 115 bpm, respiratory rate 28/min, SpO2 92% on air. Her Wells score is calculated as 6. What is the most appropriate next diagnostic step?

Accepted Answer

CT Pulmonary Angiogram (CTPA)

Answer

D-dimer test

Answer

Chest X-ray

Answer

Ventilation/Perfusion (V/Q) scan

Answer

Arterial blood gas

Practice question

A 34-year-old woman presents with sudden onset severe shortness of breath and pleuritic chest pain 5 days after a long-haul flight. Her heart rate is 115 bpm, respiratory rate 28/min, SpO2 92% on air. Her Wells score is calculated as 6. What is the most appropriate next diagnostic step?