🏥 USMLE Exam Prep

A 55-year-old obese woman presents to the emergency department with acute onset dyspnea, pleuritic chest pain, and a cough. She recently underwent knee surgery. Her oxygen saturation is 92% on room air, and her heart rate is 105 bpm. Which diagnostic test is most appropriate to confirm the suspected diagnosis?

A D-dimer assay
B Chest X-ray
C Electrocardiogram (ECG)
D CT pulmonary angiography (CTPA)

✓ Correct Answer: Option D

Given the patient's high clinical suspicion for pulmonary embolism (post-surgery, dyspnea, pleuritic chest pain, hypoxia, tachycardia), CT pulmonary angiography (CTPA) is the most appropriate and definitive diagnostic test in a stable patient.

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