Florida State Paramedic Practice Exam

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What are the potential symptoms of a patient with a symptomatic Abdominal Aortic Aneurism (AAA)?

Sudden onset of chest pain
Gradual increase of lower back pain
Sudden abdominal or back pain
Constant headache with vertigo

The correct answer is: Sudden abdominal or back pain

A symptomatic abdominal aortic aneurysm (AAA) often presents with sudden abdominal or back pain due to the high tension and pressure in the aneurysm. This pain can be severe and is typically acute, often described by patients as a ripping or tearing sensation. The abdominal aorta, being the largest artery in the body, can stretch and cause discomfort, especially if it is expanding rapidly or if there is a risk of rupture. The intensity and sudden onset of this pain are key indicators that can help differentiate it from other conditions. Moreover, patients might also experience other symptoms such as hypotension or signs of shock if the aneurysm is leaking or ruptured. Recognizing the nature of the pain is crucial for proper diagnosis and prompt treatment. The other choices refer to symptoms that are either more vague or not directly associated with AAA, highlighting why sudden abdominal or back pain is the hallmark symptom of a symptomatic AAA.