skip to main content

Pulmonary embolism in pregnancy — RCPSC IM MCQ

Instant feedback + full explanation. One question, done properly.

HardRespirologyPulmonary embolism in pregnancyRCPSC IM

A 31-year-old woman at 28 weeks gestation presents with pleuritic chest pain and dyspnea. Heart rate is 116/min and oxygen saturation is 94%. Leg ultrasound is negative. Chest radiograph is normal. She has no renal impairment and no contrast allergy. What is the most appropriate investigation?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Ventilation-perfusion scan

In pregnancy with suspected PE, negative leg ultrasound and a normal chest radiograph, V/Q scanning is commonly preferred to limit maternal breast radiation while providing diagnostic imaging.

Reference: Thrombosis Canada venous thromboembolism clinical guides