Shadow Health Digital Clinical Experience: Exam 2 - Questions
with Correct Answers
50 questions
1. Restating the patient's main idea in your own words is called:
A. Paraphrasing/restating
B. Giving advice
C. Changing the subject
D. Probing
Correct Answer: A. Paraphrasing/restating
Rationale: It confirms understanding.
2. Which response best offers self?
A. "I'll stay with you for a while."
B. "You should exercise more."
C. "Why did you wait so long?"
D. "Everyone feels that way."
Correct Answer: A. "I'll stay with you for a while."
Rationale: Offering presence builds trust.
3. Changing the subject when a patient raises a concern is non-therapeutic because it:
A. Saves time effectively
B. Shows empathy
C. Gathers more data
D. Signals the concern is unimportant
Correct Answer: D. Signals the concern is unimportant
Rationale: Stay with the patient's concern.
4. Using the term 'dyspnea' with a patient with limited health literacy is a problem because it:
A. Is too vague
B. Is medical jargon the patient may not understand
C. Is an open-ended question
D. Shows empathy
Correct Answer: B. Is medical jargon the patient may not understand
Rationale: Use plain language like 'trouble breathing'.
5. Tina Jones's albuterol inhaler is a:
A. Long-term corticosteroid
B. Short-acting beta-2 agonist rescue inhaler
C. Antibiotic
D. Antihistamine only
Correct Answer: B. Short-acting beta-2 agonist rescue inhaler
Rationale: It quickly relieves bronchospasm.
6. Which question assesses 'Timing' in OLDCARTS?
A. "Where is the pain?"
B. "Does the pain come and go or is it constant?"
C. "What does it feel like?"
D. "What makes it better?"
Correct Answer: B. "Does the pain come and go or is it constant?"
Rationale: Timing covers frequency and pattern.
, 7. Asking about the patient's sexual history is important because:
A. It is legally required in every visit
B. It replaces physical exam
C. It identifies risks such as STIs and pregnancy
D. It confirms identity
Correct Answer: C. It identifies risks such as STIs and pregnancy
Rationale: It guides screening and education.
8. Social history includes:
A. Childhood illnesses
B. Vital signs
C. Tobacco, alcohol, drug use, occupation and living situation
D. Physical exam findings
Correct Answer: C. Tobacco, alcohol, drug use, occupation and living situation
Rationale: These affect health risk.
9. Clubbing of the fingers is associated with:
A. Acute asthma attack
B. Chronic hypoxia
C. Dehydration
D. Anemia only
Correct Answer: B. Chronic hypoxia
Rationale: It develops over time.
10. Decreased tactile fremitus may be found with:
A. Lobar pneumonia
B. Normal lungs
C. Pneumothorax or pleural effusion
D. Consolidation
Correct Answer: C. Pneumothorax or pleural effusion
Rationale: Air or fluid blocks vibration.
11. A spacer used with a metered-dose inhaler helps by:
A. Improving medication delivery to the lungs
B. Replacing the inhaler
C. Making the dose larger
D. Preventing allergies
Correct Answer: A. Improving medication delivery to the lungs
Rationale: It reduces coordination problems.
12. Egophony ('ee' sounds like 'ay') heard on auscultation suggests:
A. Consolidation
B. Normal lung
C. Asthma
D. Pneumothorax
Correct Answer: A. Consolidation
Rationale: Consolidation alters voice transmission.
with Correct Answers
50 questions
1. Restating the patient's main idea in your own words is called:
A. Paraphrasing/restating
B. Giving advice
C. Changing the subject
D. Probing
Correct Answer: A. Paraphrasing/restating
Rationale: It confirms understanding.
2. Which response best offers self?
A. "I'll stay with you for a while."
B. "You should exercise more."
C. "Why did you wait so long?"
D. "Everyone feels that way."
Correct Answer: A. "I'll stay with you for a while."
Rationale: Offering presence builds trust.
3. Changing the subject when a patient raises a concern is non-therapeutic because it:
A. Saves time effectively
B. Shows empathy
C. Gathers more data
D. Signals the concern is unimportant
Correct Answer: D. Signals the concern is unimportant
Rationale: Stay with the patient's concern.
4. Using the term 'dyspnea' with a patient with limited health literacy is a problem because it:
A. Is too vague
B. Is medical jargon the patient may not understand
C. Is an open-ended question
D. Shows empathy
Correct Answer: B. Is medical jargon the patient may not understand
Rationale: Use plain language like 'trouble breathing'.
5. Tina Jones's albuterol inhaler is a:
A. Long-term corticosteroid
B. Short-acting beta-2 agonist rescue inhaler
C. Antibiotic
D. Antihistamine only
Correct Answer: B. Short-acting beta-2 agonist rescue inhaler
Rationale: It quickly relieves bronchospasm.
6. Which question assesses 'Timing' in OLDCARTS?
A. "Where is the pain?"
B. "Does the pain come and go or is it constant?"
C. "What does it feel like?"
D. "What makes it better?"
Correct Answer: B. "Does the pain come and go or is it constant?"
Rationale: Timing covers frequency and pattern.
, 7. Asking about the patient's sexual history is important because:
A. It is legally required in every visit
B. It replaces physical exam
C. It identifies risks such as STIs and pregnancy
D. It confirms identity
Correct Answer: C. It identifies risks such as STIs and pregnancy
Rationale: It guides screening and education.
8. Social history includes:
A. Childhood illnesses
B. Vital signs
C. Tobacco, alcohol, drug use, occupation and living situation
D. Physical exam findings
Correct Answer: C. Tobacco, alcohol, drug use, occupation and living situation
Rationale: These affect health risk.
9. Clubbing of the fingers is associated with:
A. Acute asthma attack
B. Chronic hypoxia
C. Dehydration
D. Anemia only
Correct Answer: B. Chronic hypoxia
Rationale: It develops over time.
10. Decreased tactile fremitus may be found with:
A. Lobar pneumonia
B. Normal lungs
C. Pneumothorax or pleural effusion
D. Consolidation
Correct Answer: C. Pneumothorax or pleural effusion
Rationale: Air or fluid blocks vibration.
11. A spacer used with a metered-dose inhaler helps by:
A. Improving medication delivery to the lungs
B. Replacing the inhaler
C. Making the dose larger
D. Preventing allergies
Correct Answer: A. Improving medication delivery to the lungs
Rationale: It reduces coordination problems.
12. Egophony ('ee' sounds like 'ay') heard on auscultation suggests:
A. Consolidation
B. Normal lung
C. Asthma
D. Pneumothorax
Correct Answer: A. Consolidation
Rationale: Consolidation alters voice transmission.
