Medical Emergencies · single question

A patient describes a hypertensive crisis. Which is a possible complication?

  1. Cerebral aneurysm
  2. Vasovagal syncope
  3. Myocardial infarction
  4. Orthostatic hypotension
Show answer and explanation

Correct answer: A. Cerebral aneurysm

  • A. CORRECT. Severely elevated pressure can rupture a cerebral aneurysm, causing hemorrhagic stroke. Myocardial infarction is also a recognized complication, but this set keys the cerebrovascular outcome.
  • B. INCORRECT. Vasovagal syncope results from low pressure and bradycardia.
  • C. INCORRECT. MI is a true crisis complication, but the keyed answer here is cerebral aneurysm.
  • D. INCORRECT. Orthostatic hypotension is the opposite, a fall in pressure.

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