A 55-year-old hypertensive male develops a sudden onset of excruciating pain beginning in the anterior chest and then radiating to the back. Over the next 2 hours, the pain moves downward toward the abdomen. Which of the following is the most likely diagnosis?

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Question 1 of 5

A 55-year-old hypertensive male develops a sudden onset of excruciating pain beginning in the anterior chest and then radiating to the back. Over the next 2 hours, the pain moves downward toward the abdomen. Which of the following is the most likely diagnosis?

Correct Answer: A

Rationale: Aortic dissection presents with tearing chest pain radiating to the back, common in hypertension.

Question 2 of 5

What is the clinical term for angina caused by coronary artery spasm?

Correct Answer: C

Rationale: Prinzmetal angina is caused by coronary artery spasm.

Question 3 of 5

All of these structures can be identified in the ventricles EXCEPT___

Correct Answer: C

Rationale: Pectinate muscles are found in the atria, not the ventricles.

Question 4 of 5

Major Risk factor for Aortic dissection is:

Correct Answer: B

Rationale: Hypertension is the most common risk factor for aortic dissection, causing chronic stress on the aortic wall leading to a tear.

Question 5 of 5

A newborn child develops dyspnea, tachypnea, intercostal muscle retractions, and cyanosis 4 hours after birth. The mother developed gestational diabetes mellitus and was in poor glycemic control throughout the pregnancy. A chest x-ray reveals a "ground glass" appearance in both lungs. The primary mechanism for this patient's respiratory problem is...

Correct Answer: D

Rationale: Respiratory distress syndrome (RDS) in newborns, linked to maternal diabetes, results from surfactant deficiency, causing a ground-glass X-ray pattern and respiratory distress.

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