National Board of Chiropractic Examiners (NBCE) Practice Test

What is the typical symptom of a patient with aortic dissection?

1. Severe chest pain

2. Radiating arm pain

3. Shortness of breath

4. Persistent cough

The correct answer is: Severe chest pain

Aortic dissection is characterized by the tearing of the inner layer of the aorta, leading to severe and sudden pain. The typical symptom experienced by patients with aortic dissection is severe chest pain, often described as sharp or ripping in nature. This pain can also radiate to the back or shoulders, which is indicative of pain that results from the disruption and stretching of the aorta. The mechanism of the pain relates to the sudden onset of the condition, causing intense physiological stress and signaling that is perceived as pain. While patients may also experience other symptoms like radiating pain, shortness of breath, or even a persistent cough as secondary responses or complications, the hallmark symptom that stands out for aortic dissection is indeed the severe chest pain. This symptom is critical for prompt diagnosis and intervention, making it a key focus in assessing patients suspected of having this serious condition.