Vascular Disease USMLE Step 1 Practice Question
A 62-year-old man with hypertension and hyperlipidemia presents with acute onset of severe, tearing chest pain radiating to the back. He is diaphoretic with blood pressure 180/110 mmHg in the right arm and 140/90 mmHg in the left arm. Chest X-ray shows widened mediastinum. Which of the following is the most likely diagnosis?
Answer choices
- AAcute myocardial infarction
- BSpontaneous esophageal rupture
- CPulmonary embolism
- DAcute pericarditis
- EAortic dissectionCorrect answer
- FAcute tension pneumothorax
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