The following quiz question is based on the article, “Decoding Pulmonary Embolism Evaluation During Pregnancy,” published in ACEP Now in May of 2022. Test your understanding!
The diagnosis of pulmonary embolism (PE) during pregnancy can be tricky. Although uncommon, its symptoms may overlap with normal symptoms of pregnancy. Moreover, D-dimer levels normally increase during pregnancy; imaging with CT pulmonary angiogram (CTPA) or ventilation-perfusion scans imparts ionizing radiation to both the mother and fetus.
The author of the article provides an easy to use algorithm on the management of the pregnant patient in need of evaluation for possible pulmonary embolism.
Which of the following does the author of the article argue is the MOST reasonable approach to assessing such pregnant patients with potential PE, based on new data?