A 62-year-old white female presents with sudden onset of crushing sub-sternal chest pain, shortness of breath, and hemoptysis. She underwent left hip arthroplasty two weeks ago. Electrocardiogram reveals sinus tachycardia at a rate of 115 beats per minute with no ST segment abnormality. Pulse oximetry reveals a level of 89% on room air. Laboratory findings include: Troponin level > 0.1D-dimer level 2.60Blood Urea Nitrogen 38Serum Creatinine 2.2GFR 52Which diagnostic study would you perform next and why?

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The material on the PANCE and PANRE is organized by the NCCPA into two dimensions, as indicated in the content blueprint for the examination. - Organ systems and the diseases, disorders and medical assessments physician assistants encounter within those systems; and - The knowledge and skills physician assistants should exhibit when confronted with those diseases, disorders and assessments. Medical Content Categories % Allocation: Cardiovascular System 13% Dermatologic System 5% Endocrine System 7% Eyes, Ears, Nose, and Throat 7% Gastrointestinal System/Nutrition 9% Genitourinary... Show more

A 62-year-old white female presents with sudden onset of crushing sub-sternal chest pain, shortness of breath, and hemoptysis. She underwent left hip arthroplasty two weeks ago. Electrocardiogram reveals sinus tachycardia at a rate of 115 beats per minute with no ST segment abnormality. Pulse oximetry reveals a level of 89% on room air. Laboratory findings include: Troponin level > 0.1<br>D-dimer level 2.60<br>Blood Urea Nitrogen 38<br>Serum Creatinine 2.2<br>GFR 52<br>Which diagnostic study would you perform next and why?






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