Question

A 63-year-old woman with suspected acute aortic syndrome presents with tearing back pain and BP 190/100, HR 110. Which immediate medication strategy is preferred?

Accepted Answer

IV β‑blocker (e.g., esmolol) to reduce HR then add vasodilator if needed

Answer

IV nitroprusside to reduce BP first

Answer

Oral β‑blocker and observe

Answer

IV diltiazem only

Answer

High‑dose morphine as sole therapy

Practice question

A 63-year-old woman with suspected acute aortic syndrome presents with tearing back pain and BP 190/100, HR 110. Which immediate medication strategy is preferred?