Emergency Medical Technician (EMT) Intermediate Practice Exam

What is a hallmark sign of stroke in patients?

1. Sudden severe headache

2. Gradual confusion

3. Tachycardia

4. Chest pain

The correct answer is: Sudden severe headache

A sudden severe headache is recognized as a hallmark sign of stroke, particularly in cases of a hemorrhagic stroke, which occurs when there is bleeding in or around the brain. This type of stroke often presents abruptly and does not typically develop gradually. The intensity of the headache can be striking and is commonly described by patients as the "worst headache of their life." In contrast, gradual confusion can indicate a variety of conditions and is not a specific sign of a stroke. Tachycardia, or an increased heart rate, may occur due to many factors including anxiety or pain but is not definitive for a stroke. Lastly, chest pain is more commonly associated with cardiac events rather than strokes, even though it can occur in the context of other medical emergencies. Thus, the sudden severe headache stands out as a clear and indicative symptom of a stroke, warranting immediate medical attention.