Vascular Disease USMLE Step 1 Practice Question
A 62-year-old man with poorly controlled hypertension presents with sudden-onset tearing chest pain radiating to the back. Vital signs show BP 180/110 mmHg (right arm) and 150/95 mmHg (left arm), HR 98/min, RR 18/min, temp 37.2°C. Chest radiograph demonstrates mediastinal widening. Troponin is normal. He denies dyspnea. Which of the following is the most likely diagnosis?
Answer choices
- AEsophageal rupture
- BAortic dissectionCorrect answer
- CAcute myocardial infarction
- DStable angina
- EPulmonary embolism
- FAcute pericarditis with cardiac tamponade
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