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Abdominal aortic aneurysm rupture — ABEM Board MCQ

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HardCardiovascular emergenciesAbdominal aortic aneurysm ruptureABEM Board

A 73-year-old man arrives with syncope and severe back pain. Triage acuity is ESI 1; BP 86/48 mm Hg, HR 124/min, skin cool and clammy. He has a tender pulsatile abdominal mass. A bedside ultrasound machine is immediately available. Which of the following is the most appropriate imaging study?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: BBedside abdominal aortic ultrasound during resuscitation

In unstable suspected ruptured AAA, bedside ultrasound can rapidly confirm aneurysm while resuscitation and surgical activation proceed.

Reference: ACEP bedside ultrasound guidance; vascular emergency guidance