SHADOWHEALTH CONVERSATION
CONCEPT LAB RACHEL ADLER WITH
COMPLETE SOLUTION [2026]
Question 1
Rachel Adler is a 16-year-old female presenting for an annual physical. What is the most
appropriate opening question to establish the chief complaint?
A) "What brings you in today?"
B) "Are you feeling sick?"
C) "Do you have any pain?"
D) "When was your last physical?"
Answer
Answer: A
Rationale
An open-ended question like "What brings you in today?" allows the patient to state her reason for the
visit in her own words.
Question 2
What is Rachel Adler's chief complaint?
A) Abdominal pain
B) Annual physical
C) Headache
D) Sore throat
Answer
Answer: B
Rationale
Rachel reports she is there for her annual physical.
,Question 3
Rachel reports she has not had a physical in over a year. This confirms:
A) She is healthy
B) The need for the current annual examination
C) She has a chronic illness
D) She is avoiding care
Answer
Answer: B
Rationale
Not having a physical in over a year confirms the need for the current annual examination.
Question 4
What medical conditions does Rachel report?
A) Asthma
B) Diabetes
C) Denies medical conditions
D) Hypertension
Answer
Answer: C
Rationale
Rachel denies having any medical conditions.
Question 5
Rachel states, "I've never had any health problems." This is an example of:
A) Denial
B) A past medical history finding
C) A review of systems finding
D) A chief complaint
2
,Answer
Answer: B
Rationale
This statement is part of her past medical history.
Question 6
What medications does Rachel take?
A) Albuterol
B) Occasional ibuprofen
C) Metformin
D) Lisinopril
Answer
Answer: B
Rationale
Rachel reports taking occasional ibuprofen.
Question 7
Does Rachel take any prescription medications?
A) Yes
B) No
C) Only birth control
D) Only antibiotics
Answer
Answer: B
Rationale
Rachel denies taking any prescription medication.
3
, Question 8
What is the only OTC medication Rachel takes?
A) Acetaminophen
B) Ibuprofen
C) Aspirin
D) Naproxen
Answer
Answer: B
Rationale
Rachel states her only OTC medication is ibuprofen.
Question 9
Why does Rachel take Advil?
A) Headaches
B) Menstrual cramps
C) Muscle pain
D) Fever
Answer
Answer: B
Rationale
Rachel takes ibuprofen to relieve menstrual cramps.
Question 10
How often does Rachel take Advil?
A) Daily
B) Weekly
C) Monthly
D) Yearly
4
CONCEPT LAB RACHEL ADLER WITH
COMPLETE SOLUTION [2026]
Question 1
Rachel Adler is a 16-year-old female presenting for an annual physical. What is the most
appropriate opening question to establish the chief complaint?
A) "What brings you in today?"
B) "Are you feeling sick?"
C) "Do you have any pain?"
D) "When was your last physical?"
Answer
Answer: A
Rationale
An open-ended question like "What brings you in today?" allows the patient to state her reason for the
visit in her own words.
Question 2
What is Rachel Adler's chief complaint?
A) Abdominal pain
B) Annual physical
C) Headache
D) Sore throat
Answer
Answer: B
Rationale
Rachel reports she is there for her annual physical.
,Question 3
Rachel reports she has not had a physical in over a year. This confirms:
A) She is healthy
B) The need for the current annual examination
C) She has a chronic illness
D) She is avoiding care
Answer
Answer: B
Rationale
Not having a physical in over a year confirms the need for the current annual examination.
Question 4
What medical conditions does Rachel report?
A) Asthma
B) Diabetes
C) Denies medical conditions
D) Hypertension
Answer
Answer: C
Rationale
Rachel denies having any medical conditions.
Question 5
Rachel states, "I've never had any health problems." This is an example of:
A) Denial
B) A past medical history finding
C) A review of systems finding
D) A chief complaint
2
,Answer
Answer: B
Rationale
This statement is part of her past medical history.
Question 6
What medications does Rachel take?
A) Albuterol
B) Occasional ibuprofen
C) Metformin
D) Lisinopril
Answer
Answer: B
Rationale
Rachel reports taking occasional ibuprofen.
Question 7
Does Rachel take any prescription medications?
A) Yes
B) No
C) Only birth control
D) Only antibiotics
Answer
Answer: B
Rationale
Rachel denies taking any prescription medication.
3
, Question 8
What is the only OTC medication Rachel takes?
A) Acetaminophen
B) Ibuprofen
C) Aspirin
D) Naproxen
Answer
Answer: B
Rationale
Rachel states her only OTC medication is ibuprofen.
Question 9
Why does Rachel take Advil?
A) Headaches
B) Menstrual cramps
C) Muscle pain
D) Fever
Answer
Answer: B
Rationale
Rachel takes ibuprofen to relieve menstrual cramps.
Question 10
How often does Rachel take Advil?
A) Daily
B) Weekly
C) Monthly
D) Yearly
4
