Question

A 60-year-old man with long-haul flight immobility presents with pleuritic chest pain and hemoptysis. Wells score is 5.5 (moderate). Which next step is appropriate?

Accepted Answer

Obtain CT pulmonary angiography (or V/Q if contraindicated)

Answer

Apply PERC to avoid imaging

Answer

Send age‑adjusted D‑dimer only

Answer

Start thrombolysis immediately

Answer

Outpatient observation without imaging

Practice question

A 60-year-old man with long-haul flight immobility presents with pleuritic chest pain and hemoptysis. Wells score is 5.5 (moderate). Which next step is appropriate?