Page 69 - Demo

Question 5A 55-year-old woman with breast cancer on tamoxifen presents with sudden onset of calf pain and swelling. What is the most appropriate initial investigation?A.D-dimer testB.VenographyC.Duplex ultrasound of the legD.CT pulmonary angiogramE.MRI of the legAnswer:%u2022Duplex ultrasound of the legExplanation:%u2022 The presentation suggests deep vein thrombosis (DVT), a common complication in cancer patients, especially those on tamoxifen. Duplex ultrasound is the initial investigation of choice for suspected DVT.