Florida State Paramedic Practice Exam

What is a characteristic vital sign pattern associated with Cushing's triad?

1. Bradycardia and hypotension

2. Hypertension and tachycardia

3. Vasodilation and hyperthermia

4. Tachycardia and hypertension

The correct answer is: Bradycardia and hypotension

Cushing's triad is recognized as a clinical syndrome that indicates increased intracranial pressure (ICP) and typically consists of three key vital sign changes: hypertension, bradycardia, and irregular or abnormal respiratory patterns. In this context, the presentation includes bradycardia, which is the slow heart rate, often a compensatory mechanism resulting from increased ICP, and hypotension, which can sometimes be observed when the body is struggling to maintain proper blood flow due to elevated intracranial pressure. The other patterns of vital signs listed are not characteristic of Cushing's triad. Hypertension, while present in Cushing's triad, is commonly associated with bradycardia rather than tachycardia. Similarly, vasodilation and hyperthermia do not align with the classic presentation of Cushing's triad and would suggest different underlying conditions. Thus, recognizing bradycardia and hypotension within the context of elevated blood pressure allows for the appropriate identification and understanding of this vital sign pattern indicative of serious neurological issues, guiding critical management decisions.