Which of the following cardiac problems mimics anxiety with symptoms of tachycardia, chest pain, dizziness, and panic?
Cardiomegaly
Mitral valve prolapse (MVP)
Pheochromocytoma
Congestive heart failure
The Correct Answer is B
Choice A reason: Cardiomegaly is structural enlargement of the heart and typically presents with fatigue, dyspnea, or edema, not panic-like symptoms.
Choice B reason: This is correct. Mitral valve prolapse can cause palpitations, chest pain, dizziness, and panic-like symptoms due to autonomic nervous system overactivity, often mimicking anxiety.
Choice C reason: Pheochromocytoma presents with episodic hypertension, sweating, headache, and palpitations but is less common and not specifically mimicking anxiety in most presentations.
Choice D reason: Congestive heart failure is associated with dyspnea, fatigue, and fluid retention, not panic-like episodes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While oral health can reflect overall health, the primary concern in pregnancy is minimizing maternal cariogenic bacteria to reduce early childhood caries risk in the infant.
Choice B reason: Proper maternal oral care reduces cariogenic bacteria and supports healthy dental development in the infant. This advice is evidence-based and directly addresses the patient’s question about pregnancy-specific importance.
Choice C reason: This statement is vague and fear-based. While avoiding untreated dental problems is important, it does not provide the direct rationale linking maternal oral health to fetal outcomes.
Choice D reason: General dental care advice does not address the pregnancy-specific benefit, making it less precise for this patient.
Correct Answer is A
Explanation
Choice A reason: This is correct. The patient exhibits preoccupation with a perceived defect in her appearance that is not noticeable to others, accompanied by repetitive behaviors (hair-pulling) to correct the perceived flaw, consistent with body dysmorphic disorder.
Choice B reason: Delusional disorder, somatic type involves fixed false beliefs about bodily functions or appearance. In this case, the belief is not delusional; the patient’s concern is excessive but recognized as distressing, fitting body dysmorphic disorder.
Choice C reason: Trichotillomania involves hair-pulling without associated preoccupation with appearance. Here, the hair-pulling is directly related to perceived appearance defects.
Choice D reason: Age-appropriate concerns would not include severe distress or scarring from repetitive hair-pulling.
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