Aortic dissection Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 63-year-old woman presents to the emergency department due to severe chest pain radiating to her back for 1 hour. Past medical history is significant for uncontrolled hypertension and a 40-pack-year smoking history. Temperature is 36.3°C (°F), blood pressure is 210/120 mmHg in both arms, pulse is 108/min, respirations 18/min, and oxygen saturation is 96% on room air. On physical examination, the patient appears in pain. ECG shows sinus tachycardia with voltage criteria for left ventricular hypertrophy. Chest radiograph reveals a widened mediastinum. CT angiogram of the chest demonstrates a double lumen separated by an intraluminal flap in the aorta extending from the left subclavian artery to the abdominal aorta. Which of the following is the most appropriate next step in management?  

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