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Wells' Criteria for Pulmonary Embolism

Scoring

Clinical Symptoms of DVT (+3)

In the case of a suspected pulmonary embolism, how many points are added to the score for Wells' criteria in a patient with clinical symptoms of a DVT?

Pulmonary Embolism Most Likely Diagnosis (+3)

In Wells' criteria, how many points are added to the score if pulmonary embolism is the most likely diagnosis?

Tachycardia (+1.5)

In the case of a suspected pulmonary embolism, how many points are added to the score for Wells' criteria in a patient with tachycardia?

Immobilization > 3 Days (+1.5)

What is the most appropriate description of how immobilization is scored with the Wells' criteria?

Previous DVT or PE (+1.5)

In Wells' criteria, how many points are added to the score in a patient with a previous DVT or PE?

Hemoptysis (+1)

In the case of a suspected pulmonary embolism, how many points are added to the score for Wells' criteria in a patient with hemoptysis?

Malignancy (+1)

In the case of a suspected pulmonary embolism, how many points are added to the score for Wells' criteria in a patient with a malignancy?

Probability

> 6 = High

In Wells' criteria, which score best represents the threshold for a high probability of a pulmonary embolism?

2-6 = Moderate

In Wells' criteria, which score indicates a moderate probability of a pulmonary embolism?

< 2 = Low

In Wells' criteria, which score indicates a low probability of a pulmonary embolism?

Pulmonary Embolism Causes

Causes

FAT BAT Mnemonic

Which of the following acronyms or mnemonics is most useful for recalling the causes of pulmonary embolism?

Which of the following is most likely a cause associated with pulmonary embolism?

Deep Vein Thrombosis (DVT)

Bacteria

Amniotic Fluid

Tumor

Risk Factors

Hypercoagulable

Which kind of patients are most likely at increased risk for developing a pulmonary embolism?

Central Venous Lines

Which of the following can most likely increase the risk of developing a pulmonary embolism?

Immobilized

Pulmonary Embolism Presentation and Diagnosis

Presentation

Sudden onset Shortness of Breath (S.O.B.)

During your assessment of a patient with suspected pulmonary embolism, which of the following is most likely to be seen?

Tachypnea

Pleuritic Chest Pain

Hemoptysis

Hypoxemia

Sudden Death

Diagnosis

Gold Standard: CT Pulmonary Angiography

Which of the following tests is most appropriate during the workup of suspected pulmonary embolism?

X-Ray

D-Dimer

V/Q Scan

Pulmonary Circulation

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