24 Hours Of Worsening in Medicine / Internal Medicine — 29yo Woman | Cardiology | SMLE Q#16854

SMLE Question #16854

Medicine / Internal Medicine Cardiology

Objective: OBJ-163

Last updated: February 2026
A 29-year-old woman, G2P1 at 22 weeks’ gestation, presents with 24 hours of worsening shortness of breath. She denies fever, cough, chest pain, or hemoptysis. Lung examination is clear. The right calf is swollen and tender compared with the left. Chest radiograph shows no acute abnormality. Pulmonary embolism is suspected. What is the most appropriate initial diagnostic test?

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