SHADOW HEALTH – TINA JONES
MUSCULOSKELETAL EXAM 300 ACTUAL
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALE LATEST UPDATE ALREADY GRADED A+
BRAND NEW!!!!!!!!!!!!!!!!!!!
The Shadow Health Tina Jones Musculoskeletal exam is a virtual clinical
simulation assessing a focused musculoskeletal assessment. Tina Jones, a 28-year-
old female, presents with low back pain that began three days ago after lifting a
heavy box. The pain is localized to her low back and bilateral buttocks, non-
radiating, sharp at onset but now aching. Sitting aggravates it; lying flat relieves it.
You are graded on subjective data collection (OLDCARTS interview), objective
data collection (inspection, palpation, range of motion, strength, special tests), and
documentation of findings in a professional SOAP note format.
Section 1: Chief Complaint and History of Present Illness
(Questions 1–40)
1. What is Tina Jones's chief complaint regarding the musculoskeletal system?
A. Headache and dizziness
B. Rash on arms
C. Low back pain after lifting a box
D. Blurry vision
Correct Answer: C
Rationale: Tina explicitly states she injured her back three days ago while lifting a
heavy box at work, describing it as a "tweak." This is her primary musculoskeletal
complaint.
2. When did Tina's back pain begin?
A. Gradually over several months
B. Suddenly 3 days ago
,C. After a car accident 10 years ago
D. Since childhood
Correct Answer: B
Rationale: The subjective data collection indicates a sudden onset of pain
associated with a specific incident (lifting) occurring three days prior to the
assessment.
3. Where is Tina's pain located?
A. Radiating down her left leg to her foot
B. Only in her neck and shoulders
C. In her low back and buttocks, without radiation
D. In her right knee only
Correct Answer: C
Rationale: Tina localizes the pain to the low back and buttocks. A key finding is
that she denies radiation, numbness, or tingling down the legs, which helps rule out
nerve root involvement.
4. How does Tina rate her current pain level on a 0–10 scale?
A. 0/10
B. 5/10
C. 10/10
D. 2/10
Correct Answer: B
Rationale: When asked, Tina rates her current pain as "pretty bad," specifically a
5/10. She notes that the initial injury was a 6 or 7 out of 10.
5. How does Tina describe the quality of her pain at onset?
A. Burning and tingling
B. Sharp
C. Dull and throbbing
D. Cramping
Correct Answer: B
Rationale: Tina reports that at the moment of injury, the pain was sharp. Currently,
she describes it as an "aching" pain accompanied by stiffness.
6. How does Tina describe the quality of her current pain?
,A. Burning
B. Sharp
C. Aching
D. Stabbing
Correct Answer: C
Rationale: Tina currently describes her pain as "aching" accompanied by stiffness.
She specifically denies a "burning" quality, which is associated with neuropathic
pain.
7. What factor aggravates Tina's back pain?
A. Lying flat on her back
B. Resting
C. Sitting
D. Applying heat
Correct Answer: C
Rationale: Tina reports that sitting is the worst position for her pain. She is least
comfortable when sitting, and walking or bending also makes it hurt more.
8. What factor relieves Tina's back pain?
A. Sitting
B. Walking
C. Lying flat on her back
D. Bending
Correct Answer: C
Rationale: Tina reports that rest helps a little and she feels most comfortable when
lying flat on her back.
9. Does Tina's pain radiate?
A. Yes, down her left leg
B. Yes, down her right leg
C. No, it does not radiate
D. Yes, to her neck
Correct Answer: C
Rationale: Tina denies radiation, numbness, or tingling down her legs. The pain is
localized to her low back and buttocks bilaterally.
, 10. Is Tina's pain symmetrical?
A. Yes, it is the same on both sides
B. No, it is worse on the left
C. No, it is worse on the right
D. No, it is only on one side
Correct Answer: A
Rationale: Tina reports that her pain is the same on both sides of her back. This
bilateral presentation supports a musculoskeletal origin rather than a focal nerve
root compression.
11. What does Tina describe as the original injury?
A. A fall
B. A car accident
C. A "tweak" to her back while lifting a heavy box
D. A sports injury
Correct Answer: C
Rationale: Tina describes the injury as a "tweak" to her back that occurred
suddenly while she was lifting a heavy box.
12. Does Tina report any numbness or tingling?
A. Yes, in both legs
B. Yes, in her left foot
C. No, she denies numbness and tingling
D. Yes, in her hands
Correct Answer: C
Rationale: Tina denies any numbness or tingling in her extremities. This negative
finding is important for ruling out neurological involvement.
13. Does Tina report any muscle weakness?
A. Yes, in her legs
B. Yes, in her arms
C. No, she denies weakness
D. Yes, in her hands
Correct Answer: C
Rationale: Tina denies any muscle weakness. Documenting this negative finding
helps rule out more serious neurological conditions.
MUSCULOSKELETAL EXAM 300 ACTUAL
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALE LATEST UPDATE ALREADY GRADED A+
BRAND NEW!!!!!!!!!!!!!!!!!!!
The Shadow Health Tina Jones Musculoskeletal exam is a virtual clinical
simulation assessing a focused musculoskeletal assessment. Tina Jones, a 28-year-
old female, presents with low back pain that began three days ago after lifting a
heavy box. The pain is localized to her low back and bilateral buttocks, non-
radiating, sharp at onset but now aching. Sitting aggravates it; lying flat relieves it.
You are graded on subjective data collection (OLDCARTS interview), objective
data collection (inspection, palpation, range of motion, strength, special tests), and
documentation of findings in a professional SOAP note format.
Section 1: Chief Complaint and History of Present Illness
(Questions 1–40)
1. What is Tina Jones's chief complaint regarding the musculoskeletal system?
A. Headache and dizziness
B. Rash on arms
C. Low back pain after lifting a box
D. Blurry vision
Correct Answer: C
Rationale: Tina explicitly states she injured her back three days ago while lifting a
heavy box at work, describing it as a "tweak." This is her primary musculoskeletal
complaint.
2. When did Tina's back pain begin?
A. Gradually over several months
B. Suddenly 3 days ago
,C. After a car accident 10 years ago
D. Since childhood
Correct Answer: B
Rationale: The subjective data collection indicates a sudden onset of pain
associated with a specific incident (lifting) occurring three days prior to the
assessment.
3. Where is Tina's pain located?
A. Radiating down her left leg to her foot
B. Only in her neck and shoulders
C. In her low back and buttocks, without radiation
D. In her right knee only
Correct Answer: C
Rationale: Tina localizes the pain to the low back and buttocks. A key finding is
that she denies radiation, numbness, or tingling down the legs, which helps rule out
nerve root involvement.
4. How does Tina rate her current pain level on a 0–10 scale?
A. 0/10
B. 5/10
C. 10/10
D. 2/10
Correct Answer: B
Rationale: When asked, Tina rates her current pain as "pretty bad," specifically a
5/10. She notes that the initial injury was a 6 or 7 out of 10.
5. How does Tina describe the quality of her pain at onset?
A. Burning and tingling
B. Sharp
C. Dull and throbbing
D. Cramping
Correct Answer: B
Rationale: Tina reports that at the moment of injury, the pain was sharp. Currently,
she describes it as an "aching" pain accompanied by stiffness.
6. How does Tina describe the quality of her current pain?
,A. Burning
B. Sharp
C. Aching
D. Stabbing
Correct Answer: C
Rationale: Tina currently describes her pain as "aching" accompanied by stiffness.
She specifically denies a "burning" quality, which is associated with neuropathic
pain.
7. What factor aggravates Tina's back pain?
A. Lying flat on her back
B. Resting
C. Sitting
D. Applying heat
Correct Answer: C
Rationale: Tina reports that sitting is the worst position for her pain. She is least
comfortable when sitting, and walking or bending also makes it hurt more.
8. What factor relieves Tina's back pain?
A. Sitting
B. Walking
C. Lying flat on her back
D. Bending
Correct Answer: C
Rationale: Tina reports that rest helps a little and she feels most comfortable when
lying flat on her back.
9. Does Tina's pain radiate?
A. Yes, down her left leg
B. Yes, down her right leg
C. No, it does not radiate
D. Yes, to her neck
Correct Answer: C
Rationale: Tina denies radiation, numbness, or tingling down her legs. The pain is
localized to her low back and buttocks bilaterally.
, 10. Is Tina's pain symmetrical?
A. Yes, it is the same on both sides
B. No, it is worse on the left
C. No, it is worse on the right
D. No, it is only on one side
Correct Answer: A
Rationale: Tina reports that her pain is the same on both sides of her back. This
bilateral presentation supports a musculoskeletal origin rather than a focal nerve
root compression.
11. What does Tina describe as the original injury?
A. A fall
B. A car accident
C. A "tweak" to her back while lifting a heavy box
D. A sports injury
Correct Answer: C
Rationale: Tina describes the injury as a "tweak" to her back that occurred
suddenly while she was lifting a heavy box.
12. Does Tina report any numbness or tingling?
A. Yes, in both legs
B. Yes, in her left foot
C. No, she denies numbness and tingling
D. Yes, in her hands
Correct Answer: C
Rationale: Tina denies any numbness or tingling in her extremities. This negative
finding is important for ruling out neurological involvement.
13. Does Tina report any muscle weakness?
A. Yes, in her legs
B. Yes, in her arms
C. No, she denies weakness
D. Yes, in her hands
Correct Answer: C
Rationale: Tina denies any muscle weakness. Documenting this negative finding
helps rule out more serious neurological conditions.
