4 Hours Of Acute in Medicine / Internal Medicine — 62yo Man | Respiratory / Pulmonology | SMLE Q#2560

SMLE Question #2560

Medicine / Internal Medicine Respiratory / Pulmonology

Objective: OBJ-123

Last updated: February 2026
A 62-year-old man presents to the emergency department with 4 hours of acute dyspnea and right-sided pleuritic chest pain. He underwent open hemorrhoidectomy 2 weeks ago and has been mostly sedentary since. Lung examination is clear, and there is no unilateral leg swelling. Pulmonary embolism is suspected. What is the most appropriate confirmatory diagnostic test?

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