A 45-year-old patient presents to the emergency department with a sudden onset of severe headache described as…

Question

A 45-year-old patient presents to the emergency department with a sudden onset of severe headache described as "the worst headache of my life." Which assessment finding would be most indicative of a ruptured cerebral aneurysm?

Accepted Answer

보기 3: Nuchal rigidity with positive Kernig's sign

Nuchal rigidity with positive Kernig's sign indicates meningeal irritation from blood in the subarachnoid space, classic for SAH due to ruptured aneurysm. Other findings (hypertension with bradycardia, gradual confusion, unilateral pupil dilation) are less specific or suggest other complications.

Answer

보기 1: Blood pressure of 180/110 mmHg with bradycardia

Answer

보기 2: Gradual onset of confusion over several hours

Answer

보기 4: Unilateral pupil dilation with decreased light response

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A 45-year-old patient presents to the emergency department with a sudden onset of severe headache described as "the worst headache of my life." Which assessment finding would be most indicative of a ruptured cerebral aneurysm?

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