Welcome to the next episode of The Reveal where we take you inside the mind of a test-taker to deconstruct and connect the dots of a board-style question so you can become a better student, transform how you learn, and excel not only on high-stakes exams, but also in your general medical knowledge. Let’s get started.

A 65-year-old man with a past medical history of hypertension presents to the Emergency Department with “tearing” chest and abdominal pain radiating towards his back. His blood pressure is 185/98 mm Hg. Which of the following medications should be administered first?

A) Aspirin

B) Esmolol

C) Heparin

D) Nitroprusside

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