A closed wound of the head may present with all of the signs below EXCEPT ________.

In the context of a closed wound to the head, the correct answer focuses on understanding the nature of such injuries. Closed head wounds typically do not involve the skin being broken, which usually means there won't be external bleeding from the scalp regardless of the severity of the injury.

Severe bleeding from the scalp is more characteristic of open wounds where the skin and underlying tissues have been penetrated. On the other hand, symptoms like pain or tenderness, swelling or a lump, and loss of consciousness can occur as a result of trauma to the head, even if there is no external bleeding. Therefore, while pain and swelling may be present due to the underlying damage to the tissues, severe bleeding is not typically associated with closed wounds. Understanding this distinction is critical in assessing head injuries accurately.