NR602 | Week 3 Pediatric Cough iHuman Case Study INSTRUCTOR VERSION - ANSWER KEY
Patient: Grady Turner | Time Limit: 120 minutes | Total Points: 100
NR602 — Week 3 Pediatric Cough iHuman Case Study
Patient: Grady Turner · 4-year-old male
Name: Date:
Student ID:
Exam Instructions
• This
exam contains 3 sections: Section A (15 MCQs, 30 pts), Section B (5 short-
answer, 40 pts), Section C (SOAP Note Completion, 30 pts). Total = 100 points.
• Time limit: 120 minutes. Budget your time approximately: 45 min MCQ, 40 min
short answer, 35 min SOAP.
• For multiple-choice questions, circle or write the single BEST answer (A, B, C, or D).
• For short-answer questions, write legibly in the space provided. Brief, specific
responses are preferred over long, vague ones.
• For the SOAP note, complete the Assessment (A) and Plan (P) sections in the
space provided using appropriate clinical terminology.
• Reference materials permitted: drug formulary / pharmacology handbook. NO
electronic devices, textbooks, or external resources.
INSTRUCTOR VERSION — includes answer key (Section D) with model responses and
grading rubric for each question.
Case Scenario — Patient Presentation
Patient Grady Turner
Age / Sex 4-year-old male
Presented by Mother (primary historian; reliable)
Setting Pediatric primary care clinic; mid-winter
Chief Complaint
NR602 Advanced Pharmacology & Primary Care Across the Lifespan Page 1
,NR602 | Week 3 Pediatric Cough iHuman Case Study INSTRUCTOR VERSION - ANSWER KEY
Patient: Grady Turner | Time Limit: 120 minutes | Total Points: 100
Cough for 3 days, getting worse at night.
History of Present Illness (HPI)
Grady was in his usual state of health until 3 days ago, when he developed clear nasal
drainage and a low-grade fever (Tmax 101.3 °F at home, treated with
acetaminophen).
On day 2 of illness, mother noted a daytime cough that worsened at night,
occasionally waking him from sleep. Cough is described as “dry, barking” in
character but has not produced sputum.
Today (day 3), mother reports the cough is more frequent, with mild noisy
breathing and intermittent “whistling” sound when he exhales. He has continued
oral intake (decreased from baseline), urine output normal, and remains playful
between coughing episodes.
NR602 Advanced Pharmacology & Primary Care Across the Lifespan Page 2
, NR602 | Week 3 Pediatric Cough iHuman Case Study INSTRUCTOR VERSION - ANSWER KEY
Patient: Grady Turner | Time Limit: 120 minutes | Total Points: 100
No vomiting, diarrhea, rash, ear pain, or sore throat. No known sick contacts at
home; mother states “a few kids at daycare have been coughing.”
Past Medical History Family History
• Born at 39 weeks via NSVD, no • Father: childhood asthma
NICU stay (resolved by adolescence)
• Immunizations UTD • Mother: seasonal allergic rhinitis
(received 4-year vaccines at • Maternal grandmother: hypothyroidism
last well-child visit) • No atopic dermatitis, food
• 2-3 viral URIs per year; no allergies, or autoimmune
prior wheezing episodes disease in first-degree family
documented
• No prior hospitalizations,
surgeries, or chronic
medications
• No known drug allergies;
tolerates acetaminophen and
ibuprofen without issue
Social History
• Lives with both parents and 18-month-old sister
• Attends daycare 3 days/week (class of ~12 children)
• No tobacco smoke exposure in the home; family has 1 cat
• Developmentally appropriate; meets all 4-year milestones
Review of Systems (Selected Pertinent Positives/Negatives)
• Constitutional: no weight loss, fatigued but easily arousable, no chills
• HEENT: no ear pulling, no eye discharge, no epistaxis
• Respiratory: as per HPI; no hemoptysis, no chest pain
• CV: no cyanosis, no palpitations
• GI: normal appetite decreased; no abdominal pain, no vomiting
• Skin: no new rashes
Vital Signs
NR602 Advanced Pharmacology & Primary Care Across the Lifespan Page 3
Patient: Grady Turner | Time Limit: 120 minutes | Total Points: 100
NR602 — Week 3 Pediatric Cough iHuman Case Study
Patient: Grady Turner · 4-year-old male
Name: Date:
Student ID:
Exam Instructions
• This
exam contains 3 sections: Section A (15 MCQs, 30 pts), Section B (5 short-
answer, 40 pts), Section C (SOAP Note Completion, 30 pts). Total = 100 points.
• Time limit: 120 minutes. Budget your time approximately: 45 min MCQ, 40 min
short answer, 35 min SOAP.
• For multiple-choice questions, circle or write the single BEST answer (A, B, C, or D).
• For short-answer questions, write legibly in the space provided. Brief, specific
responses are preferred over long, vague ones.
• For the SOAP note, complete the Assessment (A) and Plan (P) sections in the
space provided using appropriate clinical terminology.
• Reference materials permitted: drug formulary / pharmacology handbook. NO
electronic devices, textbooks, or external resources.
INSTRUCTOR VERSION — includes answer key (Section D) with model responses and
grading rubric for each question.
Case Scenario — Patient Presentation
Patient Grady Turner
Age / Sex 4-year-old male
Presented by Mother (primary historian; reliable)
Setting Pediatric primary care clinic; mid-winter
Chief Complaint
NR602 Advanced Pharmacology & Primary Care Across the Lifespan Page 1
,NR602 | Week 3 Pediatric Cough iHuman Case Study INSTRUCTOR VERSION - ANSWER KEY
Patient: Grady Turner | Time Limit: 120 minutes | Total Points: 100
Cough for 3 days, getting worse at night.
History of Present Illness (HPI)
Grady was in his usual state of health until 3 days ago, when he developed clear nasal
drainage and a low-grade fever (Tmax 101.3 °F at home, treated with
acetaminophen).
On day 2 of illness, mother noted a daytime cough that worsened at night,
occasionally waking him from sleep. Cough is described as “dry, barking” in
character but has not produced sputum.
Today (day 3), mother reports the cough is more frequent, with mild noisy
breathing and intermittent “whistling” sound when he exhales. He has continued
oral intake (decreased from baseline), urine output normal, and remains playful
between coughing episodes.
NR602 Advanced Pharmacology & Primary Care Across the Lifespan Page 2
, NR602 | Week 3 Pediatric Cough iHuman Case Study INSTRUCTOR VERSION - ANSWER KEY
Patient: Grady Turner | Time Limit: 120 minutes | Total Points: 100
No vomiting, diarrhea, rash, ear pain, or sore throat. No known sick contacts at
home; mother states “a few kids at daycare have been coughing.”
Past Medical History Family History
• Born at 39 weeks via NSVD, no • Father: childhood asthma
NICU stay (resolved by adolescence)
• Immunizations UTD • Mother: seasonal allergic rhinitis
(received 4-year vaccines at • Maternal grandmother: hypothyroidism
last well-child visit) • No atopic dermatitis, food
• 2-3 viral URIs per year; no allergies, or autoimmune
prior wheezing episodes disease in first-degree family
documented
• No prior hospitalizations,
surgeries, or chronic
medications
• No known drug allergies;
tolerates acetaminophen and
ibuprofen without issue
Social History
• Lives with both parents and 18-month-old sister
• Attends daycare 3 days/week (class of ~12 children)
• No tobacco smoke exposure in the home; family has 1 cat
• Developmentally appropriate; meets all 4-year milestones
Review of Systems (Selected Pertinent Positives/Negatives)
• Constitutional: no weight loss, fatigued but easily arousable, no chills
• HEENT: no ear pulling, no eye discharge, no epistaxis
• Respiratory: as per HPI; no hemoptysis, no chest pain
• CV: no cyanosis, no palpitations
• GI: normal appetite decreased; no abdominal pain, no vomiting
• Skin: no new rashes
Vital Signs
NR602 Advanced Pharmacology & Primary Care Across the Lifespan Page 3
