Certified in Public Health (CPH) Practice Exam

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Which of the following is the main risk factor for a hemorrhagic stroke?

  1. Atherosclerosis

  2. High blood pressure

  3. High blood sugar

  4. Blood clot in the heart

The correct answer is: High blood pressure

High blood pressure is recognized as the primary risk factor for hemorrhagic stroke. This type of stroke occurs when a blood vessel in the brain bursts, leading to bleeding in or around the brain. Chronic high blood pressure, or hypertension, weakens the blood vessels over time, making them more susceptible to rupture under the pressure of blood flow. Unlike atherosclerosis, which primarily contributes to ischemic strokes by causing blockages in arteries, high blood pressure directly affects the structural integrity of blood vessels in the brain. High blood sugar can contribute to other health issues, and although blood clots in the heart may lead to ischemic strokes, they do not pose the same direct risk for hemorrhagic strokes as high blood pressure does. Thus, managing and controlling blood pressure is crucial in reducing the risk of hemorrhagic strokes.