Emergency Medical Technician (EMT) Trauma Practice Test

Patients with heart disease are at a higher risk of severe bleeding because the heart disease may impair the body's ability to effectively pump blood to the tissues. This inefficient circulation can lead to more significant internal or external bleeding as the blood may not clot properly or reach the necessary areas to assist in the clotting process. This is why internal or external bleeding would be especially severe in a patient with heart disease. In contrast, options B, C, and D are not as directly related to a higher risk of severe bleeding compared to heart disease. Taking aspirin may increase bleeding risk but does not necessarily result in more severe bleeding. Hypotension and hemophilia may also lead to bleeding issues but are not as specifically linked to severe bleeding as heart disease.