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Multiple Choice

Which description best represents the Cushing reflex?

The Cushing reflex is the brain’s protective response to rising intracranial pressure, aiming to maintain cerebral perfusion. It produces a recognizable triad: hypertension, bradycardia, and irregular respirations. Hypertension helps squeeze blood into the brain when ICP is high; bradycardia comes from the baroreceptor reflex reacting to that high blood pressure; irregular breathing results from brainstem disturbance affecting respiratory control. So describing bradycardia with hypertension and irregular breathing best matches this reflex. Tachycardia would not fit the reflex pattern, hypotension implies decompensation rather than this protective response, and regular breathing clashes with the typical irregular pattern seen.

The Cushing reflex is the brain’s protective response to rising intracranial pressure, aiming to maintain cerebral perfusion. It produces a recognizable triad: hypertension, bradycardia, and irregular respirations. Hypertension helps squeeze blood into the brain when ICP is high; bradycardia comes from the baroreceptor reflex reacting to that high blood pressure; irregular breathing results from brainstem disturbance affecting respiratory control. So describing bradycardia with hypertension and irregular breathing best matches this reflex. Tachycardia would not fit the reflex pattern, hypotension implies decompensation rather than this protective response, and regular breathing clashes with the typical irregular pattern seen.