Audio Qbank – Q45 – A 54M with chest pain

 

A 54-year-old man is brought to hospital 20 minutes after acute-onset chest pain radiating to his back. He has a history of scoliosis treated with vertebral fusion surgery. Vitals are: temperature 99.0F, HR 110, RR 20, BP 95/60. Physical examination shows diminished pulses in the right arm. Which of the following is the most likely diagnosis?

  Aortic aneurysm
  Aortic coarctation
  Aortic dissection
  Aortic obstruction
  Aortic stenosis

Cut-to-the-chase Answer (0:44):

HY USMLE Answer (3:35):