70 year oldmale in icu

You are asked to see a 70-year-old male admitted to the ICU with anterior chest pain radiating to the back described as “a tearing sensation.” The pain reached maximum intensity within 30 minutes. The patient has a history of hypertension (noncompliant with medications). His BP in the ICU is 170/110 mm Hg, HR = 110/min. Physical examination reveals a 2/6 diastolic murmur and unequal femoral pulses. A CXR of this patient was normal and the CT chest, which was obtained, is shown in Fig. 1–2. Which of the following statements regarding his treatment and prognosis are correct?
(A) The patient will require nitroprusside and beta blockade, but will not require surgical intervention.
(B) The patient will require only nitroprusside but will not require surgical intervention.
(C) The patient will require nitroprusside and b-blockade prior to emergency surgical intervention.
(D) Neither nitroprusside nor b-blockade isrequired prior to surgical intervention
E) Nitroprusside and b-blockade are required initially, but surgery may be done electively within 4–6 weeks.

A tearing chest pain
He is a non-compliant hypertensive.
BP =170/110 but what was the ER figure we don't know
Diastolic murmur and unequal pulses
to me these are the clues