q......................? nbme 1 section 1 no 50 - solomoo

[ArchivalUser]

A 55 year old man with a long history of poorly controlled hypertension suddenly develops severe retrosternal chest pain that radiates into the upper back between the scapulae .On examination he has diaphoresis and severe shortness of breath. pulse is 125/ min and regular BP 130/60 in the left arem and 80/50 in the right arm there are diffuse wet inspiratory crackles in both lung fields ,distant heart sounds ,and a previously undetected grade 2/6 blowing early diastolic murmur in the second right and third left intercostal spaces adjacent the sternum,th most likely diagnosis is
a. dissecting aortic aneurysm
b. myocardia infarction
c. pericarditis with tamponade
d. rupture chordae tendinea
e. ventricular septal rupure

[ArchivalUser]

aa

[ArchivalUser]

can u plz explain why it is not c?

[ArchivalUser]

differences in BP(arms). In pericarditis you'll have a frictional rub, and no differences in BP