SAQ 407 – Obstetrics and Gynaecology – suspected pulmonary embolism

A 24-year-old woman who is 26 weeks pregnant presents with dyspnoea and right lower pleuritic chest pain. She has no fever, cough, or haemoptysis. Her calves are soft and non-tender.

List four (4) differential diagnoses.

(Marked out of 4.0)

/ 4

For V/Q scanning and CTPA in pregnancy, outline one (1) benefit and two (2) risks for each.

(Marked out of 6.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Test</th> <th>Benefit</th> <th>Risks</th> </tr> </thead> <tbody> <tr> <td>V/Q scan</td> <td></td> <td></td> </tr> <tr> <td>CTPA</td> <td></td> <td></td> </tr> </tbody> </table> <p>

/ 6

Outline your approach to investigating suspected pulmonary embolism in this patient.

(Marked out of 6.0)

/ 6

One week later, while on low-molecular-weight heparin, she returns with a non-blanching rash on her legs. State the condition you are concerned about and how you would investigate it.

(Marked out of 2.0)

/ 2

Total Score: 0 / 18

Percentage: 0%