Long-standing Hypertension Reports Several in Medicine / Internal Medicine — 50yo Woman | Respiratory / Pulmonology | SMLE Q#12365
SMLE Question #12365
Medicine / Internal Medicine
Respiratory / Pulmonology
Objective: OBJ-123
Last updated: February 2026
A 50-year-old woman with long-standing hypertension reports several months of progressive exertional dyspnea and reduced exercise tolerance. Two years ago, after prolonged hospitalization with lower-limb immobilization, she developed sudden pleuritic chest pain and was told she may have had a pulmonary embolism but did not complete follow-up. Examination shows mild bilateral ankle edema and a loud P2; lungs are clear. She is being evaluated for suspected chronic thromboembolic pulmonary hypertension. Which investigation has the highest diagnostic value for detecting chronic thromboembolic disease?
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