Approach to back pain 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 70-year-old man presents to the emergency department with sudden onset of severe back pain that he describes as a "tearing" sensation. He reports that the pain initially started in his abdomen earlier in the day and has since migrated to his back. He has a history of uncontrolled hypertension, smoking, and hyperlipidemia. His medications include atenolol, lisinopril, and atorvastatin. Temperature is 37°C (98.6°F), pulse is 112/min, respiratory rate is 22/min, blood pressure is 106/74 mmHg, and oxygen saturation is 99% on room air. The patient is diaphoretic with pallor. There is a pulsatile palpable mass in the abdomen. Femoral pulses are weak compared to brachial pulses. Electrocardiogram (ECG) shows sinus tachycardia with no ST-segment changes. Intravenous fluids are started. Which of the following is the best next step in management? 

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