A 70-year-old man has a pulsatile abdominal mass and sudden severe back pain with hypotension. What is the diagnosis?

Answer and explanation

Correct answer: C. Ruptured abdominal aortic aneurysm

  1. Step 1: A pulsatile mass with hypotension and back pain suggests a ruptured aortic aneurysm.
Answer
Ruptured abdominal aortic aneurysm.
Why not the others: Renal colic, Acute pancreatitis and Perforated duodenal ulcer with peritonitis do not fit.

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