Shadow Health Pharmacology Intermediate Patient Case Exam
Prep Document 2026/2027 | Clinical Pharmacology, Medication
Management & Clinical Judgment | 30 Verified Questions with
Detailed Rationales
Scored Items -ANSWER-Patient Data
Chief Complaint: Established chief complaint -ANSWER-• Reports pain
• Reports blood in urine
• Reports increased frequency of urination
Orientation: Asked about orientation -ANSWER-• Oriented to own person
• Oriented to place
• Oriented to situation
• Oriented to time
History of Present Illness: Asked about onset and duration of symptoms -ANSWER-•
Reports pain began 3 days ago
• Reports pain has gradually increased since onset
• Reports increased urinary frequency began 3 days ago
• Reports pinkish urine starting early thi smorning
• Reports pain has been constant
History of Present Illness: Followed up on urinary frequency -ANSWER-• Reports
urinating about once an hour
• Reports waking up to use the bathroom
• Reports waking up four to five times a night to use the bathroom
History of Present Illness: Asked about location of pain -ANSWER-• Reports pain is
lower in left side (flank pain)
• Denies radiating pain
History of Present Illness: Asked about characteristics of pain -ANSWER-• Describes
pain as sharp and shooting
History of Present Illness: Asked about aggravating factors of pain -ANSWER-• Reports
nothing makes the pain worse
History of Present Illness: Asked about treatment and relieving factors of pain -
ANSWER-• Denies home treatment of pain
Prep Document 2026/2027 | Clinical Pharmacology, Medication
Management & Clinical Judgment | 30 Verified Questions with
Detailed Rationales
Scored Items -ANSWER-Patient Data
Chief Complaint: Established chief complaint -ANSWER-• Reports pain
• Reports blood in urine
• Reports increased frequency of urination
Orientation: Asked about orientation -ANSWER-• Oriented to own person
• Oriented to place
• Oriented to situation
• Oriented to time
History of Present Illness: Asked about onset and duration of symptoms -ANSWER-•
Reports pain began 3 days ago
• Reports pain has gradually increased since onset
• Reports increased urinary frequency began 3 days ago
• Reports pinkish urine starting early thi smorning
• Reports pain has been constant
History of Present Illness: Followed up on urinary frequency -ANSWER-• Reports
urinating about once an hour
• Reports waking up to use the bathroom
• Reports waking up four to five times a night to use the bathroom
History of Present Illness: Asked about location of pain -ANSWER-• Reports pain is
lower in left side (flank pain)
• Denies radiating pain
History of Present Illness: Asked about characteristics of pain -ANSWER-• Describes
pain as sharp and shooting
History of Present Illness: Asked about aggravating factors of pain -ANSWER-• Reports
nothing makes the pain worse
History of Present Illness: Asked about treatment and relieving factors of pain -
ANSWER-• Denies home treatment of pain
