Q:

A 55 year old patient presents with collapse and complains of abdominal pain that radiates to the back. An expansile abdominal mass is felt on examination and the patient is in shock. What is the single most likely diagnosis?

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A 55 year old patient presents with collapse and complains of abdominal pain that radiates to the back. An expansile abdominal mass is felt on examination and the patient is in shock. What is the single most likely diagnosis?


  1. Ruptured aortic aneurysm
  2. Renal colic
  3. Trauma
  4. Endocarditis
  5. Atheroma

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The key is A. Ruptured aortic aneurysm.

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