Pulmonary Vascular Disorders

Question 1 of 6

1

A 29 year old female presented with a 2 day history of shortness of breath & right-sided pleuritic chest pain. She had one episode of haemoptysis.
She was on the COCP & had just returned from a weekend away in London
On examination, RR 26/min, HR 110bpm, BP 124/84mmHg, SpO2 94% on room air. There was no lower limb size discrepancy & chest examination was normal.
What is your diagnositic test of choice?

Select one of the following:

Age adjusted D-dimers
Non age adjusted D-dimers
High resolution CT Thorax
CT Pulmonary Angiogram
Troponin

Explanation

Question 2 of 6

1

All of the below are criteria of the Modified Wells Score EXCEPT:

Select one of the following:

History of Deep Vein Thrombosis
Oral Contraceptive Pill
Chemotherapy for colon cancer 2 days ago
Total Hip replacement 2 weeks ago

Explanation

Question 3 of 6

1

Deep Vein Thrombosis Risk is significant after how many kilometers of travel?

Select one of the following:

50,000
5,000
1,000
10,000

Explanation

Question 4 of 6

1

What does this CT PA show?

Select one of the following:

Nothing, this is a normal CT PA
RIght main stem filling defect
Left main stem filling defect
Bilateral filling defects

Explanation

Question 5 of 6

1

A 72 year old man presents with a 4 day history of right sided pleuritic chest pain, cough & sputum. There was one episode of haemoptysis.
He has a background of COPD, GOLD B & is on a LABA/LAMA. He is an ex-smoker, no other PMH
On examination, HR 88 bpm, RR 24/min, BP 130/78mmHg, SpO2 94% on RA, calves soft, scattered wheeze throughout chest
What Investigation will you order?

Select one of the following:

Age adjusted d-dimer
Non age adjusted d-dimer
High resolution CT Thorax
CT Pulmonary Angiogram
Pro-BNP

Explanation

Question 6 of 6

1

Patient is haemodynamically stable
There is no clinical evidence of PE or DVT
D-dimer is negative (ie low)
What is your next magament step

Select one of the following:

CT Pulmonary Angiogram
Chest X-ray
No treatment
Thrombolysis with Apixiban

	Created by IPLINUIGEDIT EDIT almost 5 years ago

PE Pulmonary HTN

Pulmonary Vascular Disorders

Question 1 of 6

Select one of the following:

Explanation

Question 2 of 6

All of the below are criteria of the Modified Wells Score EXCEPT:

Select one of the following:

Explanation

Question 3 of 6

Deep Vein Thrombosis Risk is significant after how many kilometers of travel?

Select one of the following:

Explanation

Question 4 of 6

What does this CT PA show?

Select one of the following:

Explanation

Question 5 of 6

Select one of the following:

Explanation

Question 6 of 6

Patient is haemodynamically stable There is no clinical evidence of PE or DVT D-dimer is negative (ie low) What is your next magament step

Select one of the following:

Explanation

Patient is haemodynamically stable
There is no clinical evidence of PE or DVT
D-dimer is negative (ie low)
What is your next magament step