Sudden Pleuritic Chest Pain in Medicine / Internal Medicine — 28yo Woman | Respiratory / Pulmonology | SMLE Q#16465
SMLE Question #16465
Medicine / Internal Medicine
Respiratory / Pulmonology
Objective: OBJ-123
Last updated: February 2026
A 28-year-old woman, 26 weeks pregnant, presents with sudden pleuritic chest pain and dyspnea for 6 hours. She has no fever, wheeze, or cough. Examination shows clear chest and no unilateral leg swelling. ECG shows sinus tachycardia. Chest radiograph is normal. Compression ultrasonography of both lower limbs shows no deep vein thrombosis. She is hemodynamically stable. What is the most appropriate next diagnostic test?
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