Emergency Medical Technician (EMT) Basic Certification Practice Exam

Which of the following symptoms indicates a possible abdominal aortic aneurysm?

1. Severe headache

2. Gradual onset of pain

3. Pulsating mass

4. Persistent cough

The correct answer is: Pulsating mass

The identification of a pulsating mass as a symptom indicates a possible abdominal aortic aneurysm because an aneurysm often involves the abnormal dilation of the aorta, creating a bulging area that can be palpated as a pulsation. This pulsating sensation is typically felt in the abdomen, particularly when the aneurysm is at an advanced stage. Recognizing this symptom is crucial for emergency medical responders, as it could indicate a life-threatening situation requiring immediate intervention. Other symptoms, although they may be associated with different conditions, do not specifically indicate an abdominal aortic aneurysm. A severe headache might point towards neurological disorders or issues such as migraines or subarachnoid hemorrhage. Gradual onset of pain often suggests less acute issues, such as chronic conditions, while a persistent cough could indicate respiratory or pulmonary complications rather than vascular ones. Therefore, the presence of a pulsating mass is a distinctive sign that warrants concern for an abdominal aortic aneurysm.