A 75-year-old man presents with sudden onset, severe, tearing chest pain radiating to his back. His blood pressure is 190/110 mmHg in the right arm an...

Question

A 75-year-old man presents with sudden onset, severe, tearing chest pain radiating to his back. His blood pressure is 190/110 mmHg in the right arm and 140/85 mmHg in the left arm. ECG shows sinus tachycardia. Chest X-ray shows a widened mediastinum. What is the most likely diagnosis?

Accepted Answer

Aortic Dissection

Answer

Acute Coronary Syndrome (STEMI)

Answer

Pulmonary Embolism

Answer

Oesophageal Rupture (Boerhaave syndrome)

Answer

Tension Pneumothorax

ukmla MCQ (SBA): Aortic Dissection

A 75-year-old man presents with sudden onset, severe, tearing chest pain radiating to his back. His blood pressure is 190/110 mmHg in the right arm and 140/85 mmHg in the left arm. ECG shows sinus tachycardia. Chest X-ray shows a widened mediastinum. What is the most likely diagnosis?