North Carolina EMT State Practice Exam

Who are the top candidates for hemorrhagic strokes?

1. People with low blood pressure

2. Individuals under high stress or exertion

3. Those with a history of migraines

4. Individuals with high cholesterol levels

The correct answer is: Individuals under high stress or exertion

Individuals under high stress or exertion are considered top candidates for hemorrhagic strokes due to the physiological effects that stress and intense physical activity can have on the vascular system. High stress can lead to elevated blood pressure and can increase the likelihood of blood vessel rupture, particularly in individuals with pre-existing vascular weaknesses. During periods of extreme exertion, such as heavy lifting or vigorous sports, rapid increases in blood pressure can occur, particularly in those with underlying conditions that predispose them to vascular damage or dysfunction, like hypertension. The combination of stress and physical exertion creates a scenario where the likelihood of a hemorrhagic event, wherein a blood vessel bursts and causes bleeding in or around the brain, is significantly heightened. In contrast, while low blood pressure, migraines, and high cholesterol can contribute to overall vascular health issues, they do not possess the same direct correlation to the acute risk factors leading to hemorrhagic strokes as high stress and exertion do. Understanding these connections highlights the importance of managing stress and being cautious with exertion for at-risk individuals to reduce the chances of stroke occurrence.