In a closed musculoskeletal injury, the EMR expects all of the following EXCEPT ________.

In the context of a closed musculoskeletal injury, the expectation is that while there may be internal damage, the skin remains intact, which generally means that external bleeding is not present. Closed injuries, such as fractures or sprains, often present symptoms like swelling, bruising, and pain due to the body's response to the injury and the underlying damage to tissues, such as muscles, tendons, ligaments, and bone.

Swelling results from inflammation as the body sends fluid to the injured area, while bruising occurs due to blood vessels being damaged internally, leading to discoloration visible on the skin’s surface. Pain is a common symptom as well, signaling the body's protective response to potential injury. Thus, the absence of external bleeding aligns with the characteristics unique to closed musculoskeletal injuries, making it the exception among the options listed.