Emergency Medical Technician (EMT) Intermediate Practice Exam

When assessing a 70-year-old male with suspected internal bleeding, which finding is most pertinent?

1. Pain in the abdomen

2. Dizziness or syncope upon standing

3. Increased heart rate

4. Dark, tarry stools

The correct answer is: Dizziness or syncope upon standing

When assessing a 70-year-old male with suspected internal bleeding, dizziness or syncope upon standing is particularly significant because it suggests the presence of orthostatic hypotension. This condition occurs when a person's blood pressure drops significantly upon standing, often due to volume loss from internal bleeding. In older populations, this finding is especially critical, as they are more susceptible to cardiovascular issues and may have less physiological reserve to compensate for volume loss. While pain in the abdomen, increased heart rate, and dark, tarry stools are also relevant findings in the context of internal bleeding, the observation of dizziness or syncope upon standing directly indicates a potential compromise in hemodynamic stability. It highlights the urgency of the situation and may warrant immediate intervention, such as fluid resuscitation or advanced medical treatment. Understanding this relationship between vital signs and patient symptoms is essential for prioritizing care in emergency medical situations.