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Radiology General 16aa9fea

A 55 year old man who has been on bed rest for the past 10 days, complain of breathlessness and chest pain. The chest x-ray is normal. The next step in investigation should be:

A
Lung ventilation - perfusion scan
B
Pulmonary aeriography
C
Pulmonary venous wedge angiography
D
Echocardiography
High-Yield Explanation
A i.e. Lung Ventilation Perfusion Scan The h/O breathlessness & chest pain after 10 days of bed rest points towards diagnosis of Pulmonary thromboembolism. So for diagnosing PTE the Vt screening investigation is Ventilation perfusion scanQ and the best/gold standard investigation is Pulmonary angiographyQ

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