A 40-year-old woman presents to the emergency department with pleuritic chest pain and dyspnoea. Her Wells score for pulmonary embolism is 2 (PE unlik...

Question

A 40-year-old woman presents to the emergency department with pleuritic chest pain and dyspnoea. Her Wells score for pulmonary embolism is 2 (PE unlikely). She is haemodynamically stable with normal observations. What is the most appropriate next investigation?

Accepted Answer

D-dimer test

Answer

Immediate CT pulmonary angiography

Answer

Ventilation–perfusion scan without further risk assessment

Answer

Start full-dose anticoagulation without imaging

Answer

Lower limb venous Doppler ultrasound immediately

uk-plab-1 MCQ (SBA): Suspected pulmonary embolism

A 40-year-old woman presents to the emergency department with pleuritic chest pain and dyspnoea. Her Wells score for pulmonary embolism is 2 (PE unlikely). She is haemodynamically stable with normal observations. What is the most appropriate next investigation?