MP NHM CHO-2024 (Shift-1)
Medical Surgical Nursing
Medium
Following are the symptoms of Angina except __________.
Appeared in: MP NHM CHO-2024 (Shift-1)
Explanation
- Sudden loss of hair (alopecia) is not a recognized symptom or sign of angina pectoris.
- Angina symptoms are the direct result of transient myocardial ischemia (reduced blood flow and oxygen to the heart muscle).
- Hair loss is typically related to dermatological, endocrine, autoimmune, or genetic factors and has no physiological link to an acute cardiac event like angina.
Why Other Options Were Wrong
- Option A: This is the most common and classic symptom of angina pectoris, often described as pressure, squeezing, or heaviness in the chest.
- Option B: Sweating (diaphoresis) is a common associated symptom. It is an autonomic response to the pain and physiological stress of a myocardial ischemic event.
- Option D: Dizziness, lightheadedness, or faintness can occur during an angina attack. It is caused by a temporary reduction in cardiac output and decreased blood perfusion to the brain.
Related Visual
- Visual 1: Diagram: Illustration showing the common sites of pain radiation in angina pectoris (chest, left arm, jaw, neck, and back).
- Visual 2: Infographic: A comparison of typical angina symptoms versus atypical symptoms, highlighting presentations more common in women and diabetic patients (e.g., fatigue, nausea, shortness of breath).
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Clinical manifestations of Angina Pectoris as background academic context rather than a clinical decision trigger.
- Nurses must be able to rapidly recognize the signs of angina to initiate critical interventions, as it is a warning sign for a potential heart attack.
- Prompt assessment and intervention, such as administering nitroglycerin and ensuring the patient rests, can prevent further myocardial damage and relieve symptoms.
- Patient education is a key nursing role, teaching patients to recognize their angina triggers and how to respond to an episode.
How to Approach the Question
- First, identify the core subject of the question, which is the symptoms of angina.
- Note the critical keyword 'except'. This signals that you must find the option that is NOT a true symptom of angina.
- Systematically review each option. Ask yourself, 'Is this a known symptom or associated sign of myocardial ischemia?'
- Recall that chest pain is the classic symptom. Sweating and dizziness are common associated autonomic and hemodynamic responses.
- Evaluate 'sudden loss of hair'. This condition has no established acute physiological connection to a cardiac ischemic event.
- Conclude that sudden loss of hair is the outlier and the correct answer because it does not fit the clinical picture of angina.
Concept Tested & Keywords
- Concept Tested: Clinical manifestations of Angina Pectoris
- Stem keywords: Angina, symptoms
- Lead-in keywords: except
- Negative lead-in flag: The question uses the word 'except', requiring identification of the option that is NOT a symptom of angina.
Question ID
Q0s_iT4GZJhK8er90btpHL
Practise the full MP NHM CHO-2024 (Shift-1)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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