New York State Emergency Medical Technician (EMT) Practice Exam

What is a characteristic symptom that might be associated with intra-abdominal bleeding?

1. Bruising around the umbilicus

2. Rapid pulse rate

3. Extreme anxiety

4. Acute respiratory distress

The correct answer is: Bruising around the umbilicus

A characteristic symptom associated with intra-abdominal bleeding is bruising around the umbilicus, often referred to as Cullen's sign. This discoloration is a result of blood tracking from the abdominal cavity to the superficial tissues surrounding the umbilicus. It specifically indicates that bleeding has occurred within the abdomen, which could potentially involve organs such as the liver or spleen. Identifying this sign can help EMTs and other healthcare providers recognize serious intra-abdominal injuries that may require immediate medical intervention. Other symptoms related to intra-abdominal bleeding may include changes in vital signs, such as a rapid pulse rate, which is a response to blood loss and can indicate shock, but the bruising around the umbilicus directly signifies a specific injury. Extreme anxiety may accompany severe conditions, but it is not a definitive characteristic symptom of intra-abdominal bleeding. Acute respiratory distress could arise from various causes, including severe hypoxia or fluid accumulation in the lungs, but again, it is not specifically linked to intra-abdominal bleeding, making bruising around the umbilicus the most direct and indicative symptom in this context.