A 50-year-old man with long-standing poorly controlled hypertension presents with a sudden tearing chest pain radiating to the back. BP is 190/110 mmH...

Question

A 50-year-old man with long-standing poorly controlled hypertension presents with a sudden tearing chest pain radiating to the back. BP is 190/110 mmHg, pulse 95 bpm. CXR shows widened mediastinum. Suspecting aortic dissection, what is the most appropriate immediate medical management?

Accepted Answer

Lower BP and heart rate with IV beta blocker before CT angiography

Answer

Administer thrombolytics for presumed MI

Answer

Start high-dose steroids

Answer

Provide only analgesia and observe

Answer

Delay treatment until definitive imaging without BP control

ca-mccqe1 MCQ (SBA): Acute aortic dissection initial management

A 50-year-old man with long-standing poorly controlled hypertension presents with a sudden tearing chest pain radiating to the back. BP is 190/110 mmHg, pulse 95 bpm. CXR shows widened mediastinum. Suspecting aortic dissection, what is the most appropriate immediate medical management?