Q1. A 69 yo male presents to the emergency department with severe chest pain and dyspnea. He mentions that the pain started suddenly, is tearing in nature and is radiating to the back. He has a history of hypertension and COPD. He is a smoker and is on a diuretic, albuterol and allopurinol. Exam reveals an anxious male with BP of 168/95, P 110, RR 28 and T 98.9. There is a 20 mmHg difference in BP between the 2 arms. Your preliminary diagnosis is?
a. Acute MI
b. Pericarditis
c. Aortic dissection
d. Aortic aneurysm
e. Subclavian artery occlusion
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