APEA Predictor Exam For Nurse Practitioners

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A 45-year-old male presents with tearing chest pain radiating to the back, unequal blood pressures between arms, and a widened mediastinum on CXR. The most critical diagnosis to evaluate for is:

Acute STEMI requiring immediate cardiac catheterization Aortic dissection — a vascular emergency requiring emergent CT aortography and immediate blood pressure control Costochondritis with referred back pain Pulmonary embolism requiring anticoagulation

Correct Answer:

Aortic dissection — a vascular emergency requiring emergent CT aortography and immediate blood pressure control

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