JDMS CME Article—SDMS CME Credit

Article: Massive Pulmonary Embolism and Thrombolytic

Therapy: Case Study

Authors: Nicole Carpenter, AS, RVT

Category: Vascular [VT]

Credit: 0.75 SDMS CME Credit

Objectives: After studying the article entitled “Massive Pulmonary Embolism and Thrombolytic Therapy: Case Study,” you will be able to:

1. Describe the signs and symptoms of pulmonary embolism

2. Determine the appropriate treatment options for pulmonary embolism

3. Describe the role of ultrasound in the diagnosis and management of pulmonary embolism

1. The most common symptom of acute pulmonary embolism is

2. Syncope

3. Extremity swelling

4. Shortness of breath or dyspnea

By echocardiography, the normal limit of systolic excursion of the tricuspid annular plane is

0.6 cm

1.6 cm

4.2 cm

6.1 cm

Spectral Doppler evaluation of the right ventricular outflow tract suggests pulmonary hypertension by demonstrating

Regurgitant flow

To-fro flow

A “dagger-like” velocity spectrum

Turbulent flow patterns

A massive acute pulmonary embolism is one that obstructs more than _____ of the pulmonary circulation.

50%

60%

70%

75%

A test commonly ordered to supplement CT angiography for pulmonary embolism is

Echocardiography

Ventilation/perfusion scan

Contrast pulmonary angiogram

Magnetic resonance pulmonary angiogram