A 62-year-old man with known abdominal aortic aneurysm has sudden severe abdominal and back pain, syncope, blood pressure 82/50 mm Hg, and a

Question

A 62-year-old man with known abdominal aortic aneurysm has sudden severe abdominal and back pain, syncope, blood pressure 82/50 mm Hg, and a pulsatile abdominal mass. Which of the following is the most appropriate next step?

Accepted Answer

Emergency vascular surgery activation and resuscitation

Answer

Repeat examination in 1 week

Answer

Start oral beta blocker and discharge

Answer

Colonoscopy

Answer

Schedule outpatient ultrasound

Ruptured abdominal aortic aneurysm — ABFM Board MCQ

A 62-year-old man with known abdominal aortic aneurysm has sudden severe abdominal and back pain, syncope, blood pressure 82/50 mm Hg, and a pulsatile abdominal mass. Which of the following is the most appropriate next step?