PAEA Surgery End Of Rotation (EOR) Practice Exam

What characteristic symptom is commonly associated with aortic dissection?

1. Sharp cramping pain

2. Abrupt tearing pain sensation

3. Dull aching pressure

4. Intermittent throbbing pain

The correct answer is: Abrupt tearing pain sensation

Aortic dissection is characterized by an abrupt tearing pain sensation, which is a hallmark symptom of this serious condition. The nature of the pain is particularly distinct and can often be described as severe and sudden in onset, emanating from the chest and sometimes radiating to the back. This tearing quality is related to the pathophysiology of aortic dissection, where the layers of the aorta's wall are compromised, allowing blood to flow between them and creating a false lumen. The suddenness and intensity of the pain can be alarming to patients and often leads them to seek immediate medical attention. Recognizing this pain as a potential indicator of aortic dissection is crucial for timely diagnosis and intervention, as this condition can lead to life-threatening complications if not addressed promptly. Understanding the nature of the pain associated with aortic dissection is essential for healthcare professionals to make informed decisions regarding diagnosis and management.