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Pulmonary Vascular Disorders

IPLINUIGEDIT EDIT 6 questions

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Questions in this quiz (6)

  1. 1A 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?
    1. AAge adjusted D-dimers
    2. BNon age adjusted D-dimers
    3. CHigh resolution CT Thorax
    4. DCT Pulmonary Angiogram
    5. ETroponin
  2. 2All of the below are criteria of the Modified Wells Score EXCEPT:
    1. AHistory of Deep Vein Thrombosis
    2. BOral Contraceptive Pill
    3. CChemotherapy for colon cancer 2 days ago
    4. DTotal Hip replacement 2 weeks ago
  3. 3Deep Vein Thrombosis Risk is significant after how many kilometers of travel?
    1. A50,000
    2. B5,000
    3. C1,000
    4. D10,000
  4. 4What does this CT PA show?Image for question 4
    1. ANothing, this is a normal CT PA
    2. BRIght main stem filling defect
    3. CLeft main stem filling defect
    4. DBilateral filling defects
  5. 5A 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?
    1. AAge adjusted d-dimer
    2. BNon age adjusted d-dimer
    3. CHigh resolution CT Thorax
    4. DCT Pulmonary Angiogram
    5. EPro-BNP
  6. 6Patient is haemodynamically stable
    There is no clinical evidence of PE or DVT
    D-dimer is negative (ie low)
    What is your next magament step
    1. ACT Pulmonary Angiogram
    2. BChest X-ray
    3. CNo treatment
    4. DThrombolysis with Apixiban

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PE Pulmonary HTN
Language
English
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