Question

A 63-year-old presents with chest pain and tearing to the back; BP 200/110. Which initial medication sequence is recommended?

Accepted Answer

Start IV beta-blocker first, then add vasodilator if needed

Answer

Start nitroprusside alone to reduce BP rapidly

Answer

Start ACE inhibitor infusion

Answer

Start high-dose diuretics

Answer

Delay therapy until CT confirmed

Practice question

A 63-year-old presents with chest pain and tearing to the back; BP 200/110. Which initial medication sequence is recommended?