20566420
Description
Quiz by IPLINUIGEDIT EDIT, updated more than 1 year ago
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Created by IPLINUIGEDIT EDIT
almost 5 years ago
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Question 1
Question
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?
Answer
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Age adjusted D-dimers
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Non age adjusted D-dimers
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High resolution CT Thorax
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CT Pulmonary Angiogram
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Troponin
Question 2
Question
All of the below are criteria of the Modified Wells Score EXCEPT:
Answer
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History of Deep Vein Thrombosis
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Oral Contraceptive Pill
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Chemotherapy for colon cancer 2 days ago
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Total Hip replacement 2 weeks ago
Question 3
Question
Deep Vein Thrombosis Risk is significant after how many kilometers of travel?
Answer
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50,000
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5,000
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1,000
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10,000
Question 4
Answer
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Nothing, this is a normal CT PA
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RIght main stem filling defect
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Left main stem filling defect
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Bilateral filling defects
Question 5
Question
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?
Answer
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Age adjusted d-dimer
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Non age adjusted d-dimer
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High resolution CT Thorax
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CT Pulmonary Angiogram
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Pro-BNP
Question 6
Question
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
Answer
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CT Pulmonary Angiogram
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Chest X-ray
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No treatment
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Thrombolysis with Apixiban
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