Impr. Pant. | Pet. Sis. -- which is expanded to --> Imprimir Pantalla | Petición a Sistema -- which translates to --> Prnt Scr | SysRq
So that binding makes the key actually useful for everyday activities.
(I don't remember what happens to the Alt key press when you use it to invoke SysRq - I suppose it just appears as normal and so the Alt+SysRq combination sort of doesn't exist.)
Interestingly the SysRq scan code is far easier to detect - there's just one value to watch for rather than (as with PrtSc) a whole sequence of them. Probably a legacy of its having its own key on older keyboards.
Even better, without Sys Rq, that 2nd function could be allocated to some other obscure thing, reducing the number of keys.
For Pause, it's useful in Visual Studio to interrupt the current build.
It did in 1984: https://en.wikipedia.org/wiki/System_request