nbme3/b1/q36 - united123

[ArchivalUser]

36) A 61 year old woman with a long history of poorly controlled hypertension suddenly has a excruciating anterior upper sternal pain radiating to the neck and back. On admission to the emergency department, her BP is 210/110 mm hg. Fifteen min later, while lying down, it is 110/64. Transesophageal echocardiography shows aortic insufficiency, a suggestion of double lumen of the ascending aorta, and a pericardial effusion. She dies suddenly while awaiting an operation. Which of the following is the most likely cause of death?

A) Acute hemopericardium
B) Acute MI
C) Carebral Infarct
D) CHF
E) Massive retroperitoneal hemorrhage

explain your choice pls..

[ArchivalUser]

E....

[ArchivalUser]

anyone else??

[ArchivalUser]

A) she ripped the layers of her aorta due to longstanding/poorly controlled hypertension

[ArchivalUser]

ur right on with the answer choice mpowerag and thanks for definition.

[ArchivalUser]

ee aortic disection