A 35-year-old man presents with acute chest pain radiating to the back; BP 190/100; CT confirms Stanford type B aortic dissection without complication...

Question

A 35-year-old man presents with acute chest pain radiating to the back; BP 190/100; CT confirms Stanford type B aortic dissection without complications. Initial medical management priority?

Accepted Answer

IV beta-blocker to reduce heart rate and shear stress

Answer

Immediate thrombolysis

Answer

Aggressive IV fluids

Answer

High-dose aspirin

Answer

Start heparin drip

us-abem MCQ (SBA): Aortic Dissection (Type B)

A 35-year-old man presents with acute chest pain radiating to the back; BP 190/100; CT confirms Stanford type B aortic dissection without complications. Initial medical management priority?