But I was under the impression that exchanges in very rural areas aren�t equipped for FTTx services and instead rural fibre lines terminate at the nearest head end exchange which can be many many miles away
Generally yes
The head-end can still be very rural though.
Most assume all small rural exchanges are fed by larger urban exchanges but that's a massive over simplification.
Some areas of the country OpenReach has smaller "child" exchanges that link to a larger "parent" head-end exchange.
Some areas it's the opposite and larger exchanges are fed from a smaller head-end.
OpenReach haven't used the 1 size fits all for the whole country. That makes sense as every area is different.
I think Aggregation Nodes cater for around 1400 homes?
Maybe in more rural areas the exchange is a more central location for an Agg Node than near a distant cabinet? or if there's nowhere near 1400 homes perhaps they do things different? I'm Speculating here, I don't know the specifics.
It's not impossible that the poster above is being fed his fibre from NGA equipment at/near his exchange, as he was advised a number of times.
The Agg Node might simply be in a chamber outside the exchange.