A 62-year-old man with poorly controlled hypertension presents to the Emergency Department with sudden onset 'tearing' central chest pain radiating th...

Question

A 62-year-old man with poorly controlled hypertension presents to the Emergency Department with sudden onset 'tearing' central chest pain radiating through to his back. His blood pressure is 210/120 mmHg in the right arm and 170/100 mmHg in the left arm. An ECG shows sinus tachycardia with left ventricular hypertrophy but no acute ST changes. What is the most likely diagnosis?

Accepted Answer

Aortic dissection

Answer

Acute myocardial infarction

Answer

Pulmonary embolism

Answer

Pericarditis

Answer

Oesophageal rupture

mrcp part 1 MCQ (SBA): Aortic Dissection