A patient with a pulsatile abdominal mass and sudden severe back pain with hypotension has what?

Answer and explanation

Correct answer: A. Ruptured abdominal aortic aneurysm

  1. Step 1: A ruptured aneurysm is a surgical emergency with a very high mortality.
Answer
Ruptured abdominal aortic aneurysm.
Why not the others: Renal colic, Acute pancreatitis and Perforated peptic ulcer do not fit this picture as well.

Practise more General Surgery and Acute Trauma Management.

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