Physiological Adaptation Q 29

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Which of the following signs and symptoms usually signifies rapid expansion and impending rupture of an abdominal aortic aneurysm?

  

     A. Abdominal pain

     B. Absent pedal pulses

     C. Chest pain

     D. Lower back pain

    

    

Correct Answer: D. Lower back pain

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Lower back pain results from the expansion of an aneurysm. The expansion applies pressure in the abdomen, and the pain is referred to the lower back.

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Option A: Abdominal pain is the most common symptom resulting from impaired circulation.

Option B: Absent pedal pulses are a sign of no circulation and would occur after a ruptured aneurysm or in peripheral vascular disease.

Option C: Chest pain usually is associated with coronary artery or pulmonary disease.

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