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Ruptured abdominal aortic aneurysm — RCPSC EM MCQ

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HardCardiovascular emergenciesRuptured abdominal aortic aneurysmRCPSC EM

A 79-year-old man collapses with abdominal and back pain. BP is 84/48 mmHg, HR 118/min, and a pulsatile abdominal mass is felt. POCUS shows a 7.8 cm abdominal aortic aneurysm with free intraperitoneal fluid. What is the most appropriate next step?

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

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Correct answer: B — Activate vascular surgery with permissive resuscitation and emergency transfer to theatre

Activate vascular surgery with permissive resuscitation and emergency transfer to theatre is correct: the clues indicate Ruptured abdominal aortic aneurysm and this option addresses the immediate ED priority. The distractors delay care, target a less likely problem, or are unsafe in this physiology.

Reference: Canadian vascular emergency practice; ATLS principles