Question

A 64-year-old with abrupt severe tearing chest pain radiating to the back, unequal arm BPs, and widened mediastinum on CXR. Most appropriate initial diagnostic test?

Accepted Answer

CT angiography of chest/abdomen/pelvis with contrast

Answer

Exercise stress echocardiography

Answer

Myocardial perfusion scan

Answer

Coronary CTA only

Answer

Transthoracic echocardiography only

Practice question

A 64-year-old with abrupt severe tearing chest pain radiating to the back, unequal arm BPs, and widened mediastinum on CXR. Most appropriate initial diagnostic test?