Diagnostic Workup for Pulmonary Embolism

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Questions and Answers

The V./Q. scan is considered more accurate than pulmonary angiography.

False (B)

Arterial blood gas analysis is not required for diagnosing PE.

False (B)

Chest x-ray findings are more reliable for diagnosing PE than MDCTA.

False (B)

A specially trained team is not necessary for performing a V./Q. scan.

<p>False (B)</p> Signup and view all the answers

ECG abnormalities are not associated with PE.

<p>False (B)</p> Signup and view all the answers

In a V./Q. scan, a catheter is threaded through the artery to inject dye into the lung.

<p>False (B)</p> Signup and view all the answers

MDCTA is less invasive than a V./Q. scan.

<p>True (A)</p> Signup and view all the answers

V./Q. scan evaluates the same regions of the lung for percentage of V./Q. in each area.

<p>False (B)</p> Signup and view all the answers

The sensitivity of a V./Q. scan is lower than that of an MDCTA.

<p>False (B)</p> Signup and view all the answers

IV administration of a contrast agent is not required for a V./Q. scan.

<p>False (B)</p> Signup and view all the answers

What is the most frequent ECG abnormality associated with PE?

<p>Nonspecific ST-T wave abnormalities (A)</p> Signup and view all the answers

Which diagnostic method is considered the criterion standard for diagnosing PE?

<p>MDCTA (B)</p> Signup and view all the answers

What may an arterial blood gas analysis show in a patient with PE?

<p>Hypoxemia and hypocapnia (B)</p> Signup and view all the answers

In what situation may arterial blood gas measurements be normal despite the presence of PE?

<p>When there is significant hypocapnia (A)</p> Signup and view all the answers

What does the chest x-ray help in excluding when diagnosing PE?

<p>Noncardiopulmonary causes of symptoms (A)</p> Signup and view all the answers

What is the advantage of MDCTA over other diagnostic methods for PE?

<p>High-quality visualization of lung parenchyma (A)</p> Signup and view all the answers

Which diagnostic method allows for direct visualization of arterial obstruction under fluoroscopy?

<p>Pulmonary angiography (A)</p> Signup and view all the answers

What would be seen on a chest x-ray that may suggest the presence of PE?

<p>Collapsed lung (atelectasis) (C)</p> Signup and view all the answers

Which ECG finding is typically NOT associated with PE?

<p>Asystole (D)</p> Signup and view all the answers

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