130. A patient with an acute asthma exacerbation presents with “pulsus paradoxus” (a decrease in systolic blood pressure during inspiration). What is the critical clinical urgency in assessing this sign?

  • It indicates a mild exacerbation.
  • It signifies severe airway obstruction and impending respiratory failure.
  • It suggests cardiac tamponade.
  • It is a normal physiological response.
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