Question

A 45-year-old man presents with chest pain and dyspnoea after a high-speed motor vehicle collision. He is tachycardic and hypotensive with distended neck veins and muffled heart sounds. Trachea is central. What is the most likely diagnosis?

Accepted Answer

Cardiac tamponade

Answer

Tension pneumothorax

Answer

Massive pulmonary embolism

Answer

Aortic dissection

Answer

Simple pneumothorax

Practice question

A 45-year-old man presents with chest pain and dyspnoea after a high-speed motor vehicle collision. He is tachycardic and hypotensive with distended neck veins and muffled heart sounds. Trachea is central. What is the most likely diagnosis?