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USMLE · Question #442

A 55-year-old hypertensive man develops sudden onset of excruciating pain beginning in the anterior chest, and then radiating to the back. Over the next 2 hours, the pain moves downward toward the abd

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Abnormal Processes

Question

A 55-year-old hypertensive man develops sudden onset of excruciating pain beginning in the anterior chest, and then radiating to the back. Over the next 2 hours, the pain moves downward toward the abdomen. Which of the following is the most likely diagnosis?

Options

  • AAortic dissection
  • BSyphilitic aneurysm
  • CAortic valve stenosis
  • DAtherosclerotic aneurysm
  • EMyocardial infarction

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Topics

#aortic dissection#hypertension#tearing chest pain#pain migration
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