1 Day Of Sudden in Obstetrics & Gynecology — 32yo Woman | General Gynecology | SMLE Q#1221

SMLE Question #1221

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 32-year-old woman at 28 weeks of gestation presents with 1 day of sudden shortness of breath and new painful swelling of the left calf. She denies fever or cough and has no history of asthma or heart disease. Examination shows unilateral pitting edema and tenderness of the left calf; lungs are clear and heart sounds are normal. Pulmonary embolism is suspected. What is the most appropriate next step in evaluation?

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