Who is most at risk for developing a pulmonary embolism?
  1. A 37 year old woman 6 weeks after an appendectomy
  2. A patient with atrial fibrillation and one day post operative a total knee replacement
  3. A 27 marathon runner who has been in the hospital for two days for an exacerbation of asthma
  4. A 80 year old patient who is been admitted for chest pain, rule out myocardial infarction
Explanation
Answer: B - The person who is most likely to develop a pulmonary embolism is the patient who has atrial fibrillation and has had surgery two days ago. Atrial fibrillation, recent surgery and immobility are all risk factors for pulmonary embolism.
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