Q:

A 50 year old woman returned by air to the UK from Australia. 3days later she presented with sharp chest pain and breathlessness. Her CXR and ECG are normal. What is the single most appropriate investigation?

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A 50 year old woman returned by air to the UK from Australia. 3days later she presented with sharp chest pain and breathlessness. Her CXR and ECG are normal. What is the single most appropriate investigation?


  1. Bronchoscopy
  2. Cardiac enzymes
  3. CT
  4. MRI
  5. Pulse oximetry
  6. V/Q scan
  7. CTPA

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The key is G. CTPA. This is wrong key. Correct key is f. V/Q scan. [Wells score is <4. So next step is to do d-dimer which is not in option. Here most nearer answer is V/Q scan].

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