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Ruptured abdominal aortic aneurysm — PARA MCQ

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HardSurgery - VascularRuptured abdominal aortic aneurysmPARA

A 76-year-old man has sudden tearing abdominal and back pain. He is pale, pulse 118 beats/min and blood pressure 88/54 mmHg. A pulsatile abdominal mass is felt. What is the most important next step?

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Correct answer: D — Immediate vascular surgical and resuscitation team activation

Hypotension, back or abdominal pain and a pulsatile mass suggest ruptured abdominal aortic aneurysm. Immediate resuscitation and vascular surgical escalation are critical.

Reference: NICE NG156: Abdominal aortic aneurysm