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Postoperative pulmonary embolism — USMLE Step 3 MCQ

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ModerateSurgery (post-operative, follow-up)Postoperative pulmonary embolismUSMLE Step 3

A 58-year-old woman develops pleuritic chest pain and dyspnea 5 days after abdominal surgery. Heart rate is 118/min and oxygen saturation is 90%. ECG shows sinus tachycardia. Chest x-ray is clear. Which of the following is the most likely diagnosis?

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Correct answer: DPulmonary embolism

Recent surgery, tachycardia, pleuritic pain, hypoxemia, and clear chest x-ray suggest pulmonary embolism.

Reference: CHEST Venous Thromboembolism Guideline