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Type B aortic dissection — USMLE Step 3 MCQ

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HardEmergency MedicineType B aortic dissectionUSMLE Step 3

A 45-year-old man has sudden tearing chest pain radiating to the back. Blood pressure is 190/110 mm Hg in the right arm and 160/92 mm Hg in the left. CT angiography shows Stanford type B aortic dissection without rupture or malperfusion. Which of the following is the most appropriate at this time?

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

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Correct answer: A — Intravenous beta-blockade and blood pressure control

Uncomplicated type B aortic dissection is initially managed medically with IV beta-blockade and blood pressure control.

Reference: ACC/AHA aortic disease guideline