UKMLA PLAB AMC USMLE Prometric MCQ

Question Number 0736

Question:
The surgical senior house officer is called to see a 56 year old male with abdominal pain and shortness of breath. The man has a history of an abdominal aortic aneurysm that has just been repaired four days previously. On examination he is noted to be tachypneic, restless and his PR 220 per minute, BP is 140/90. An ECG reveals a sinus taccyhcardia and inverted T waves in the right precordial leads. What is the investigation of choice in this patient?

a) clotting studies
b) abdominal ultrasound
c) trans-esophageal echocardiogram
d) immediate surgery
e) ventilation-perfusion scan