A 28-year-old woman on oral contraceptives has sudden pleuritic chest pain and tachycardia, and her chest radiograph is normal. What is the best initial test if she is haemodynamically stable?

Answer and explanation

Correct answer: D. CT pulmonary angiography

  1. Step 1: CT pulmonary angiography is the usual diagnostic test for suspected pulmonary embolism. Answer: CT pulmonary angiography. Why not the others: Ventilation-perfusion scan with no prior imaging, Bronchoscopy and Pulmonary function testing don't fit.

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