The From PDF toolset contains tools that will export a PDF file to a Tagged Image File Format (TIFF).
Exports an existing PDF file to a Tagged Image File Format (TIFF). If the PDF has georeference information, the TIFF can be a GeoTIFF. These TIFFs can be used as a source for heads-up digitizing and viewing in ArcMap. Both GeoPDF and ISO standards of georeferenced PDFs are supported.