A 45-year-old man presents with retrosternal chest pain described as a "tearing" sensation radiating to the back, of sudden onset 1 hour ago. Blood pr...

Question

A 45-year-old man presents with retrosternal chest pain described as a "tearing" sensation radiating to the back, of sudden onset 1 hour ago. Blood pressure is 190/110 mm Hg in the right arm and 160/90 mm Hg in the left arm. There is a new early diastolic murmur. What is the most likely diagnosis?

Accepted Answer

Acute aortic dissection

Answer

Acute ST-elevation myocardial infarction

Answer

Pulmonary embolism

Answer

Pericarditis

Answer

Stable angina

ca-mccqe1 MCQ (SBA): Acute aortic dissection

A 45-year-old man presents with retrosternal chest pain described as a "tearing" sensation radiating to the back, of sudden onset 1 hour ago. Blood pressure is 190/110 mm Hg in the right arm and 160/90 mm Hg in the left arm. There is a new early diastolic murmur. What is the most likely diagnosis?