PANCE Exam Practice Questions: Quiz 93 January 21, 2016 By Aamir Khan Leave a Comment A 50-year-old female presents with acute onset of dyspnea and pleuritic chest pain. She is recovering from hip replacement surgery performed 3 weeks ago. Heart rate is 106. The right leg is swollen and there is pain with palpation of the deep veins. Which of the following diagnostic studies is the best next step to secure diagnosis? A. D-dimer blood level B. perfusion–ventilation scintigraphy C. pulmonary angiography D. spiral CT of the chest Δ
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