NBME question on cardio - resident07

[ArchivalUser]

yes but where is the tearing chest pain radiating to the back?

[ArchivalUser]

there is no dissection, this is why I was confused. I also didn't know that marfan caused AR

[ArchivalUser]

yes it does,,which NBME is this?

[ArchivalUser]

1.

[ArchivalUser]

in marfan aortic root dilatation occurs and this causes aortic regurgitation, so it may occur without dissection. root dilatation may also predispose aortic dissectrion. mvp and mitral regurg is another possible valve pathology in marfan .

so ans is A.

[ArchivalUser]

marfan is recognized cause for AR