Question

A 60-year-old man with long-standing hypertension presents with severe tearing chest pain radiating to the back. Blood pressure is 190/110 mmHg and there is a difference of 25 mmHg between arms. What is the most likely diagnosis?

Accepted Answer

Aortic dissection

Answer

Acute myocardial infarction

Answer

Pulmonary embolism

Answer

Pericarditis

Answer

Pneumothorax

Practice question

A 60-year-old man with long-standing hypertension presents with severe tearing chest pain radiating to the back. Blood pressure is 190/110 mmHg and there is a difference of 25 mmHg between arms. What is the most likely diagnosis?