Question:
A patient with known carcinoma of the bladder presents with dyspnoea, clinical signs of deep vein thrombosis, and tachycardia. According to the Wells score, the risk of this patient developing pulmonary embolism is:
A patient with known carcinoma of the bladder presents with dyspnoea, clinical signs of deep vein thrombosis, and tachycardia. According to the Wells score, the risk of this patient developing pulmonary embolism is:
Show Hint
Add up DVT signs, tachycardia and malignancy, then place the total in the 2 to 6 band.
Updated On: Jun 23, 2026
- High
- Medium (moderate)
- Low
- Cannot comment without D-dimer values
Show Solution
Verified By Collegedunia
The Correct Option is B
Solution and Explanation
Correct option: Medium (moderate) risk.
Step 1: Apply the original Wells PE criteria. Clinical signs of DVT score 3 points and tachycardia (heart rate > 100) scores 1.5 points. The active malignancy also adds 1 point.
Step 2: The three-tier original Wells cut-offs are: low < 2.0, moderate 2.0 to 6.0, and high > 6.0. The score here sits well inside the 2.0 to 6.0 band, placing the patient in the moderate (medium) risk group.
Why not the others: The score does not reach > 6.0, so it is not high, and it is clearly above 2.0, so it is not low. D-dimer is not part of the Wells score itself, so option D is wrong; D-dimer is used after risk stratification, not to compute it.
Ref: Bailey and Love, Short Practice of Surgery, 27th edition, 2018.
Step 1: Apply the original Wells PE criteria. Clinical signs of DVT score 3 points and tachycardia (heart rate > 100) scores 1.5 points. The active malignancy also adds 1 point.
Step 2: The three-tier original Wells cut-offs are: low < 2.0, moderate 2.0 to 6.0, and high > 6.0. The score here sits well inside the 2.0 to 6.0 band, placing the patient in the moderate (medium) risk group.
Why not the others: The score does not reach > 6.0, so it is not high, and it is clearly above 2.0, so it is not low. D-dimer is not part of the Wells score itself, so option D is wrong; D-dimer is used after risk stratification, not to compute it.
Ref: Bailey and Love, Short Practice of Surgery, 27th edition, 2018.
Was this answer helpful?
0
0
Top NEET PG Medicine Questions
- Identify the condition associated with the murmur in the image below
- A young man came to the medical OPD with complaints of early morning backache and stiffness, which improves on exercise, and persistent red eyes. On examination, lung expansion was less than 3 cm. X-ray is shown in the image given below.
What is the most probable diagnosis? - A patient with hyperkalemia and elevated urea levels underwent dialysis. Towards the end of the session, she became drowsy and had a sudden seizure episode. On examination, thepatient was hypotensive. What is the treatment for this condition?
- A female patient presents to the emergency department with severe restlessness, palpitations, and tremors. She is a known case of bronchial asthma. On examination, the neck looksswollen. Blood pressure is elevated, and tachycardia is noted. ECG shows atrial fibrillation.Which of the following drugs is used for immediate management in this patient?
- A 30-year-old male is found to be positive for HBsAg and HBeAg and is diagnosed with chronic hepatitis B. The patient’s viral load was 2x 100000 and SGPT is found to be doubled. What is the appropriate management in this patient? SGPT-Serum glutamate pyruvate transaminase
View More Questions
Top NEET PG Pulmonary embolism (Wells score) Questions
Top NEET PG Questions
- A patient hailing from Delhi presents with fever, arthralgia, and extensive petechial rash for 3 days. Lab investigations revealed a hemoglobin of 9 g/ dL, a white blood cell count of 9000 cells/mm3, a platelet count of 20000 cells/mm3, and a prolonged bleeding time. The clotting time was normal. What is the most likely diagnosis?
- Which of the following statements is true about Trichomonas vaginalis?
- A lady from West Rajasthan presented with an ulcer surrounded by erythema on the right leg. Microscopy of the biopsy from the edge of the ulcer showed organisms with dark staining nuclei and kinetoplast. What is the most likely causative agent?
- A child presents with a fever and a rash. Urine examination showed cells with owl's eye appearance. What is the most likely diagnosis?
- Infection with Clonorchis sinensis is associated with an increased risk of__?
View More Questions