Vascular Disease USMLE Step 1 Practice Question
A 62-year-old man with a 20-year history of poorly controlled hypertension presents with sudden onset of severe, tearing chest pain radiating to the back. Vital signs show BP 180/110 mmHg, HR 98/min, RR 20/min, and a new diastolic murmur is appreciated on auscultation. Chest X-ray demonstrates a widened mediastinum. He denies leg pain or weakness. Which of the following is the most likely diagnosis?
Answer choices
- ASpontaneous pneumothorax
- BAcute myocardial infarction
- CAcute pericarditis
- DPulmonary embolism
- EAcute aortic dissectionCorrect answer
- FThoracic aortic aneurysm rupture with contained hematoma
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