A 70-year-old man presents with sudden tearing chest pain radiating to the back, blood pressure 190/110 mmHg and unequal blood pressures between arms....

Question

A 70-year-old man presents with sudden tearing chest pain radiating to the back, blood pressure 190/110 mmHg and unequal blood pressures between arms. He is diaphoretic and distressed. ECG is normal. What is the most likely diagnosis?

Accepted Answer

Acute aortic dissection

Answer

ST-elevation myocardial infarction

Answer

Acute pericarditis

Answer

Pulmonary embolism

Answer

Stable angina

uk-plab-1 MCQ (SBA): Acute aortic dissection

A 70-year-old man presents with sudden tearing chest pain radiating to the back, blood pressure 190/110 mmHg and unequal blood pressures between arms. He is diaphoretic and distressed. ECG is normal. What is the most likely diagnosis?