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A 32-Year-Old Woman Comes to the Emergency Department Due to Chest

question 929

Multiple Choice

A 32-year-old woman comes to the emergency department due to chest pain and shortness of breath that woke her up this morning. The chest pain is sharp and worsens with inspiration. The patient has had no fever or cough but has had worsening right leg swelling over the past several days. Review of systems is positive for myalgias, joint pains, and facial rash brought on by sun exposure. Medical history includes 2 miscarriages at 12 and 16 weeks gestation. She takes no medications and does not use tobacco, alcohol, or illicit drugs. Temperature is 37.2 C (99 F) , blood pressure is 152/86 mm Hg, pulse is 98/min, and oxygen saturation is 95% on room air. Physical examination shows clear lungs, normal heart sounds, and no abdominal organomegaly. The right lower extremity is swollen and tender to touch. CT angiography of the chest reveals pulmonary emboli. Which of the following additional laboratory findings is most likely to be present in this patient?

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Definitions:

Self-Fulfilling Prophecies

Self-fulfilling prophecies are predictions that, once made, influence behaviors and actions in a way that causes the prediction to come true.

Inherited Weaknesses

Genetic or hereditary vulnerabilities passed from parents to their offspring, which may predispose individuals to certain conditions or diseases.

Environmental Conditions

The various physical and biological factors that affect the survival and development of organisms.

Chronological Age

The actual age of a person measured in years from the date of birth.