1 Day Of Sudden-onset in Medicine / Internal Medicine — 45yo Man | Cardiology | SMLE Q#11786

SMLE Question #11786

Medicine / Internal Medicine Cardiology

Objective: OBJ-163

Last updated: February 2026
A 45-year-old man presents to the emergency department with 1 day of sudden-onset shortness of breath and pleuritic chest pain. He has no cough or fever. ECG shows right axis deviation and right bundle branch block. He has no known iodinated contrast allergy, and renal function is normal. What is the most helpful next investigation to confirm pulmonary embolism?

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