Certified Medical-Surgical Registered Nurse (CMSRN) Practice Exam 2025 – All-in-One Guide to Master Your Certification!

Question: 1 / 400

Which symptom may indicate the presence of an ulcer and possibly mimic heart attack symptoms?

Hoarseness in the morning

Persistent heartburn

Transient headache

Chest pain

Chest pain can be a key symptom that suggests the presence of an ulcer, especially when it mimics the symptoms of a heart attack. This overlap occurs because both conditions can cause discomfort or pain in the chest area. An ulcer may lead to irritation or inflammation that can manifest as pain in the abdomen and potentially radiate to the chest, creating confusion in diagnosis. This is particularly concerning in clinical practice, as distinguishing between gastrointestinal issues and cardiac events is critical for appropriate treatment.

In contrast, symptoms like hoarseness in the morning, persistent heartburn, and transient headaches may not convey the urgency or the specific risk associated with an ulcer compared to chest pain. Hoarseness may relate to other respiratory or vocal cord issues, persistent heartburn typically indicates gastroesophageal reflux rather than an ulcer per se, and transient headaches are nonspecific and often linked to various non-urgent causes. Therefore, chest pain stands out as a significant indicator that warrants immediate evaluation to rule out both ulcers and potential cardiac events.

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