Virtual Patient: Mark – Assessment (SLP) – 200 Practice
Questions
SimuCase Mark: 62YearOld Admitted to Critical Care Unit
(Complete Transcript) | Updated Latest Fall 2025/26
Questions 1–50: Case File, Demographics, and Medical History
1. What is Mark's age and admitting unit?
A) 58 years old, admitted to the MedicalSurgical Unit
B) 62 years old, admitted to the Critical Care Unit (CCU)
C) 65 years old, admitted to the Intensive Care Unit (ICU)
D) 60 years old, admitted to the Cardiac StepDown Unit
Answer: B) 62 years old, admitted to the Critical Care Unit (CCU)
Explanation: Mark is a 62yearold patient who was admitted to the Critical Care Unit following his
surgery.
2. What was Mark's primary surgery?
A) Appendectomy
B) Coronary Artery Bypass Grafting (CABG) x 3 vessels
C) Hip replacement
D) Cholecystectomy
Answer: B) Coronary Artery Bypass Grafting (CABG) x 3 vessels
,Explanation: Mark underwent CABG x 3 vessels, which is a significant cardiac surgery requiring
postoperative monitoring in the CCU.
3. On what postoperative day was the SLP consult placed?
A) Postoperative day 1 (POD1)
B) Postoperative day 2 (POD2)
C) Postoperative day 3 (POD3)
D) Postoperative day 5 (POD5)
Answer: B) Postoperative day 2 (POD2)
Explanation: The speechlanguage pathology consult was requested on POD2, indicating early
identification of swallowing and cognitive concerns.
4. Who referred Mark to SpeechLanguage Pathology?
A) The physical therapist
B) The occupational therapist
C) The cardiology/ICU attending physician
D) The patient's wife
Answer: C) The cardiology/ICU attending physician
Explanation: The referral came from the cardiology/ICU attending physician, which is typical for
postsurgical patients with suspected dysphagia or cognitive changes.
,5. What is the primary reason for the SLP consultation?
A) Aphasia following surgery
B) Dysphagia, weak cough, wet vocal quality, and possible cognitive changes
C) Hearing loss assessment
D) Speech articulation difficulties
Answer: B) Dysphagia, weak cough, wet vocal quality, and possible cognitive changes
Explanation: The SLP was consulted for multiple concerns including swallowing difficulties, weak cough,
voice changes, and cognitive changes following surgery.
6. Which of the following is NOT part of Mark's past medical history (PMH)?
A) Hypertension × 15 years
B) Hyperlipidemia
C) Type 2 Diabetes Mellitus (controlled on metformin)
D) Chronic Obstructive Pulmonary Disease (COPD)
Answer: D) Chronic Obstructive Pulmonary Disease (COPD)
Explanation: Mark's PMH includes HTN, hyperlipidemia, Type 2 DM, CAD with 3vessel disease, and mild
OSA, but not COPD.
7. What is Mark's smoking history?
A) Never smoked
, B) 0.5 pack per day × 20 years
C) 1.5 packs per day × 40 years (quit 6 months ago)
D) 2 packs per day × 30 years (still smoking)
Answer: C) 1.5 packs per day × 40 years (quit 6 months ago)
Explanation: Mark has a significant smoking history of 1.5 packs per day for 40 years but quit 6 months
ago, which is important for his pulmonary and surgical risk profile.
8. What is Mark's alcohol consumption history?
A) None
B) 2–3 beers/week (stopped postop)
C) Daily heavy drinking
D) Occasional wine with dinner
Answer: B) 2–3 beers/week (stopped postop)
Explanation: Mark consumed 2–3 beers per week but stopped after surgery, which is relevant for
medication interactions and overall health status.
9. What is Mark's occupation?
A) School teacher
B) Retired construction worker
C) Accountant
D) Truck driver
Questions
SimuCase Mark: 62YearOld Admitted to Critical Care Unit
(Complete Transcript) | Updated Latest Fall 2025/26
Questions 1–50: Case File, Demographics, and Medical History
1. What is Mark's age and admitting unit?
A) 58 years old, admitted to the MedicalSurgical Unit
B) 62 years old, admitted to the Critical Care Unit (CCU)
C) 65 years old, admitted to the Intensive Care Unit (ICU)
D) 60 years old, admitted to the Cardiac StepDown Unit
Answer: B) 62 years old, admitted to the Critical Care Unit (CCU)
Explanation: Mark is a 62yearold patient who was admitted to the Critical Care Unit following his
surgery.
2. What was Mark's primary surgery?
A) Appendectomy
B) Coronary Artery Bypass Grafting (CABG) x 3 vessels
C) Hip replacement
D) Cholecystectomy
Answer: B) Coronary Artery Bypass Grafting (CABG) x 3 vessels
,Explanation: Mark underwent CABG x 3 vessels, which is a significant cardiac surgery requiring
postoperative monitoring in the CCU.
3. On what postoperative day was the SLP consult placed?
A) Postoperative day 1 (POD1)
B) Postoperative day 2 (POD2)
C) Postoperative day 3 (POD3)
D) Postoperative day 5 (POD5)
Answer: B) Postoperative day 2 (POD2)
Explanation: The speechlanguage pathology consult was requested on POD2, indicating early
identification of swallowing and cognitive concerns.
4. Who referred Mark to SpeechLanguage Pathology?
A) The physical therapist
B) The occupational therapist
C) The cardiology/ICU attending physician
D) The patient's wife
Answer: C) The cardiology/ICU attending physician
Explanation: The referral came from the cardiology/ICU attending physician, which is typical for
postsurgical patients with suspected dysphagia or cognitive changes.
,5. What is the primary reason for the SLP consultation?
A) Aphasia following surgery
B) Dysphagia, weak cough, wet vocal quality, and possible cognitive changes
C) Hearing loss assessment
D) Speech articulation difficulties
Answer: B) Dysphagia, weak cough, wet vocal quality, and possible cognitive changes
Explanation: The SLP was consulted for multiple concerns including swallowing difficulties, weak cough,
voice changes, and cognitive changes following surgery.
6. Which of the following is NOT part of Mark's past medical history (PMH)?
A) Hypertension × 15 years
B) Hyperlipidemia
C) Type 2 Diabetes Mellitus (controlled on metformin)
D) Chronic Obstructive Pulmonary Disease (COPD)
Answer: D) Chronic Obstructive Pulmonary Disease (COPD)
Explanation: Mark's PMH includes HTN, hyperlipidemia, Type 2 DM, CAD with 3vessel disease, and mild
OSA, but not COPD.
7. What is Mark's smoking history?
A) Never smoked
, B) 0.5 pack per day × 20 years
C) 1.5 packs per day × 40 years (quit 6 months ago)
D) 2 packs per day × 30 years (still smoking)
Answer: C) 1.5 packs per day × 40 years (quit 6 months ago)
Explanation: Mark has a significant smoking history of 1.5 packs per day for 40 years but quit 6 months
ago, which is important for his pulmonary and surgical risk profile.
8. What is Mark's alcohol consumption history?
A) None
B) 2–3 beers/week (stopped postop)
C) Daily heavy drinking
D) Occasional wine with dinner
Answer: B) 2–3 beers/week (stopped postop)
Explanation: Mark consumed 2–3 beers per week but stopped after surgery, which is relevant for
medication interactions and overall health status.
9. What is Mark's occupation?
A) School teacher
B) Retired construction worker
C) Accountant
D) Truck driver
