Q:

A 70 year old lady on Raloxifene for osteoporosis has recently to the UK from Australia. She now presents with severe chest pain, SOB and suddenly collapsed in the emergency department. What is the single most appropriate diagnosis?

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A 70 year old lady on Raloxifene for osteoporosis has recently to the UK from Australia. She now presents with severe chest pain, SOB and suddenly collapsed in the emergency department. What is the single most appropriate diagnosis?


  1. MI
  2. Aortic dissection
  3. Pulmonary embolism
  4. Costochondritis
  5. Pneumothorax

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The key is C. Pulmonary embolism. [Prolonged air travel is a risk factor for pulmonary embolism].

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