Practice questions › Medicine › Pulmonary embolism
Pulmonary embolism
A practice question in the style of the MCCQE MCQ exam. Choose your answer to see the explanation.
A 70-year-old woman with massive PE and a systolic of 72 had a hemorrhagic stroke 2 months ago. What is the most appropriate treatment?
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The answer is A: Surgical or catheter-directed clot removal.
A recent intracranial hemorrhage is an absolute contraindication to systemic thrombolysis. For massive PE with contraindications, surgical embolectomy or catheter-directed therapy is the alternative where available, along with anticoagulation when it is judged safe.
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