Which symptom set is typical of a stable abdominal aortic aneurysm?

• A. Back pain, abdominal pain, pulsating mass.
• B. Back pain only.
• C. Shortness of breath.
• D. Chest pain.

Answer: (D)

The most typical pattern for a stable abdominal aortic aneurysm is abdominal or back pain accompanied by a pulsatile abdominal mass. Many AAAs are asymptomatic, but when symptoms do appear, this combination is classically described. Chest pain and shortness of breath are not characteristic features of a stable AAA and would suggest other conditions such as cardiac or pulmonary problems. So, back pain with abdominal pain and a pulsatile mass best fits the presentation of a stable abdominal aortic aneurysm.