SAQ 858 – O+G – suspected pulmonary embolism in pregnancy

A 34-year-old woman who is 32 weeks pregnant, G3P2, presents with sudden-onset shortness of breath. Her vital signs are shown below.

An ECG and two CTPA images are provided with this question.

Observation	Value
HR	120 bpm
BP	145/95 mmHg
RR	28/min
SpO2	93% on room air
Temp	37.6 deg C

List two ECG abnormalities.

(Marked out of 2.0)

/ 2

Pulmonary embolism is your provisional diagnosis. For each investigation, list one advantage and one disadvantage in this patient.

(Marked out of 8.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Investigation</th> <th>Advantage</th> <th>Disadvantage</th> </tr> </thead> <tbody> <tr> <td>D-dimer</td> <td></td> <td></td> </tr> <tr> <td>Lower-limb Doppler ultrasound</td> <td></td> <td></td> </tr> <tr> <td>V/Q scan</td> <td></td> <td></td> </tr> <tr> <td>CTPA</td> <td></td> <td></td> </tr> </tbody> </table> <p>

/ 8

List one abnormal finding from each CTPA image.

(Marked out of 2.0)

/ 2

Total Score: 0 / 12

Percentage: 0%