Pleuritic Chest Pain in Medicine / Internal Medicine — 32yo Woman | Respiratory / Pulmonology | SMLE Q#11426

SMLE Question #11426

Medicine / Internal Medicine Respiratory / Pulmonology

Objective: OBJ-123

Last updated: February 2026
A 32-year-old woman at 30 weeks’ gestation has 2 days of painful swelling of the left calf and 3 hours of acute shortness of breath with pleuritic chest pain. Examination shows unilateral pitting edema and calf tenderness; lungs are clear. She is hemodynamically stable, and pulmonary embolism is suspected. What is the most appropriate next diagnostic test?

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