The Master Surgeon | Free Multiple Choice Questions (MCQs)

QUESTION NO

170

It is 9pm on a Sunday evening. A 55 years old man presents with chest pain and breathlessness. He is normally fit and well. He has recently got back from a holiday in Australia. Observations: temp 37.3, HR 89bpm, BP125/98, sats 98% on air, RR18 His D dimer level is 1500. All other blood results are unremarkable. What is the most appropriate management plan?

Please select one of the following:

Admit, give analgesia and await CTPA scan
Admit, give low molecular weight heparin and await CTPA scan
Try to arrange an urgent echocardiogram
Give low molecular weight heparin, send him home and ask him to return tomorrow for a CTPA scan
Give some analgesia and tell him to see his GP for further investigation

Question By Dr Ley Taing Chan MBBS, BA.