A 52-year-old man with hypertension presents with sudden, severe, tearing chest pain radiating to the back. Blood pressure is 190/110 mm Hg, and he ha...

Question

A 52-year-old man with hypertension presents with sudden, severe, tearing chest pain radiating to the back. Blood pressure is 190/110 mm Hg, and he has unequal arm pressures. According to Canadian emergency cardiovascular care recommendations, what is the most appropriate immediate diagnostic test?

Accepted Answer

CT angiography of the aorta

Answer

Chest radiograph alone

Answer

Coronary angiography

Answer

Exercise stress test

Answer

Abdominal ultrasound

ca-mccqe1 MCQ (SBA): Acute aortic dissection

A 52-year-old man with hypertension presents with sudden, severe, tearing chest pain radiating to the back. Blood pressure is 190/110 mm Hg, and he has unequal arm pressures. According to Canadian emergency cardiovascular care recommendations, what is the most appropriate immediate diagnostic test?