Signs and symptoms of congestive heart failure include each of the following EXCEPT one. Which one is the EXCEPTION?

Question

BlackTom AI · Accepted Answer

The question asks to identify which item is NOT a sign or symptom of congestive heart failure (CHF) among the listed choices, i.e., the EXCEPTION.
First, take note that the provided data shows the answer as "Low blood sugar" and that there are no other answer options given in the field for analysis. Without the full list of options, we cannot analyze each alternative individually, but we can reason about the typical clinical picture of CHF.
In CHF, common signs and symptoms include things like shortness of breath ( dyspnea ), orthopnea, paroxysmal nocturnal dyspnea, tachycardia, edema (peripheral and/or hepatic), jugular venous distension, fatigue, reduced exercise tolerance, and crackles on lung auscultation. These reflect fluid overload, poor cardiac output, and increased venous pressures.
Low blood sugar (hypoglycemia) is not a characteristic sign or symptom of CHF. It is a metabolic condition related to glucose regulation and has no direct pathophysiological link as a typical presentation of heart failure. While a patient with CHF might have comorbid conditions that affect glucose, hypoglycemia itself is not part of the heart failure symptom cluster.
Because the other typical CHF signs are driven by fluid overload, decreased perfusion, and pulmonary congestion, any option describing such features would be consistent with CHF, whereas hypoglycemia would stand out as unrelated to the heart failure symptomatology.
If future, the analysis would benefit from having the full list of answer options to explicitly compare each one against the CHF symptom profile and clearly justify why each is either a plausible CHF sign or not. In this case, given the commonly accepted clinical signs of CHF, low blood sugar is the item that does not fit the pattern and serves as the EXCEPTION.

OC_DHYG402_202501SPI_1 National Board Practice Exam #1

Signs and symptoms of congestive heart failure include each of the following EXCEPT one. Which one is the EXCEPTION?

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