RUHS, Jaipur, M.Sc Nursing Entrance Exam-2019
Mental Health Nursing
Medium
Which of the following symptoms is not a characteristic manifestation of anorexia nervosa?
Appeared in: RUHS, Jaipur, M.Sc Nursing Entrance Exam-2019
Explanation
- Menorrhagia, which is abnormally heavy or prolonged menstrual bleeding, is incorrect. It is not a symptom of anorexia nervosa.
- The characteristic reproductive symptom in females with anorexia nervosa is amenorrhea (the absence of menstruation) or oligomenorrhea (infrequent periods).
- Amenorrhea results from the body's response to severe weight loss and malnutrition, which suppresses the hormones (LH, FSH, estrogen) necessary for the menstrual cycle.
Why Other Options Were Wrong
- Option A: Hypotension (low blood pressure) is a very common and characteristic cardiovascular finding in anorexia nervosa, resulting from starvation's effects on the heart muscle and fluid balance.
- Option C: Pallor (paleness) is a frequent sign in individuals with anorexia nervosa. It is typically caused by anemia resulting from deficiencies in iron, folate, or vitamin B12.
- Option D: Constipation is one of the most common gastrointestinal complaints in anorexia nervosa. It is caused by slowed gut motility due to decreased food intake and dehydration.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Clinical manifestations of Anorexia Nervosa as background academic context rather than a clinical decision trigger.
- Nurses play a crucial role in the early identification of eating disorders by assessing for physical signs like hypotension, bradycardia, lanugo, and inquiring about menstrual history during routine check-ups.
- A comprehensive physical assessment is vital. Monitoring vital signs, especially for orthostatic hypotension, and assessing skin, hair, and GI function can reveal the severity of malnutrition.
- Management of anorexia nervosa requires a multidisciplinary team approach, including medical, psychological, and nutritional support. The nurse is often the central coordinator of this care.
How to Approach the Question
- First, identify the keyword 'NOT' in the question stem. This indicates you are looking for the option that is an exception or does not fit with the others.
- The core subject is 'anorexia nervosa'. Recall the key physiological effects of starvation and severe malnutrition on the body's systems.
- Evaluate each option: A) Hypotension, C) Pallor, and D) Constipation are all plausible consequences of a low-energy, malnourished state.
- Consider option B) Menorrhagia (heavy bleeding). Contrast this with what you know about the reproductive effects of low body weight. Severe malnutrition shuts down non-essential functions, including the reproductive cycle, leading to the absence of periods (amenorrhea).
- Conclude that menorrhagia is the opposite of the expected symptom, making it the correct answer to this 'NOT' question.
Concept Tested & Keywords
- Concept Tested: Clinical manifestations of Anorexia Nervosa
- Stem keywords: anorexia nervosa, symptoms, characteristic manifestation
- Lead-in keywords: not
- Negative lead-in flag: This question uses negative framing ('NOT'), asking the test-taker to identify the option that does not belong.
Question ID
QHB41CZG_LwTMZNYLBzZCz
Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 6936-6938
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 1501-1503
Practise the full RUHS, Jaipur, M.Sc Nursing Entrance Exam-2019
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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