Thursday, August 28, 2014

Question 41

41.  Your patient is a 45 year old female who smokes cigarettes and is on birth control pills complaining of right sided chest pain and shortness of breath.  Her vital signs are as follows heart rate was 128, respiratory rate 28, temperature 99.1 F, blood pressure was 117/86.  Her BUN was 44 and creatinine was 2.3.  Which of the following is the best management plan?

A.  Order a CTA of the Chest for PE
B.  Order V/Q scan for PE
C.  Order Pulmonary Angiography
D.  Order TPA

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