JBL EMT Practice Exam

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Identifying a patient with a ruptured cerebral artery, what symptomatic detail is critical?

Blood pressure at 190/94 mm Hg, pulse at 50 beats/minute
Experiencing a gradual decline in consciousness
Presence of hyperventilation and hypersalivation
Reporting of sudden, severe headache followed by unconsciousness

The correct answer is: Blood pressure at 190/94 mm Hg, pulse at 50 beats/minute

For a patient with a ruptured cerebral artery, the critical symptomatic detail to pay attention to is the elevated blood pressure (190/94 mm Hg) and low pulse rate (50 beats/minute) described in option A. This combination can be indicative of increased intracranial pressure due to bleeding in the brain, which is a serious condition requiring immediate medical attention. Options B, C, and D do not specifically address the cardiovascular symptoms associated with a ruptured cerebral artery. Gradual decline in consciousness (B) could be indicative of other conditions, while hyperventilation and hypersalivation (C) are not typically associated with this specific medical issue. Lastly, a sudden, severe headache followed by unconsciousness (D) could be seen in various situations and does not specifically point towards a ruptured cerebral artery.