Shadow Health Digital Clinical Experience: Exam 3 - Questions
with Correct Answers
50 questions
1. A patient reports not taking medication because of cost. The best response is:
A. "You must take it no matter what."
B. "That's not my concern."
C. "Why didn't you tell your doctor?"
D. "Thank you for telling me. Let's look at options that could make it affordable."
Correct Answer: D. "Thank you for telling me. Let's look at options that could make it
affordable."
Rationale: Address barriers nonjudgmentally.
2. Which statement best demonstrates patient-centered education?
A. "Let's talk about how you can fit checking your sugar into your workday."
B. "Read this pamphlet."
C. "You need to do what I say."
D. "Everyone with diabetes does this."
Correct Answer: A. "Let's talk about how you can fit checking your sugar into your workday."
Rationale: Teaching is tailored to the patient's life.
3. Which is the correct sequence for a patient encounter?
A. Introduce self, verify identity, explain purpose, then interview
B. Examine first, then introduce self
C. Document first, then interview
D. Ask about allergies before introductions
Correct Answer: A. Introduce self, verify identity, explain purpose, then interview
Rationale: Establish rapport and safety first.
4. A clinician says, "You seem frustrated about your blood sugar." This technique is:
A. Giving false reassurance
B. Reflecting feelings
C. Closed questioning
D. Summarizing
Correct Answer: B. Reflecting feelings
Rationale: Reflection mirrors emotion back to the patient.
5. Noting that the patient is a reliable historian refers to:
A. The patient's insurance
B. The accuracy and consistency of the information provided
C. The patient's education
D. The patient's age
Correct Answer: B. The accuracy and consistency of the information provided
Rationale: Reliability affects interpretation.
6. A patient's cat allergy is clinically important for Tina Jones because:
A. Cat dander can trigger her asthma
B. It affects her diabetes medication
C. It causes hypertension
D. It changes her blood type
Correct Answer: A. Cat dander can trigger her asthma
Rationale: Allergens are common asthma triggers.
, 7. In OLDCARTS, the 'C' stands for:
A. Cause
B. Chronicity
C. Course
D. Character
Correct Answer: D. Character
Rationale: Character describes quality, e.g., sharp or dull.
8. In OLDCARTS, the 'A' stands for:
A. Aggravating and alleviating factors
B. Age
C. Associated allergies
D. Appearance
Correct Answer: A. Aggravating and alleviating factors
Rationale: What makes it better or worse.
9. Bronchial breath sounds are normally heard over the:
A. Lung bases
B. Peripheral lung fields
C. Axillae
D. Trachea
Correct Answer: D. Trachea
Rationale: Bronchial sounds in the periphery suggest consolidation.
10. Which finding during Tina's respiratory exam requires immediate action?
A. SpO2 of 98%
B. SpO2 of 88% with difficulty speaking
C. RR of 16
D. Clear breath sounds
Correct Answer: B. SpO2 of 88% with difficulty speaking
Rationale: Hypoxemia and inability to speak signal severe distress.
11. Fine crackles that do not clear with coughing suggest:
A. Normal lungs
B. Fluid in the alveoli, such as pneumonia or heart failure
C. Upper airway obstruction
D. Asthma only
Correct Answer: B. Fluid in the alveoli, such as pneumonia or heart failure
Rationale: Crackles are discontinuous sounds.
12. A barrel chest has an AP-to-lateral diameter ratio of about:
A. 1:2
B. 2:1
C. 1:1
D. 1:3
Correct Answer: C. 1:1
Rationale: Normal is about 1:2.
with Correct Answers
50 questions
1. A patient reports not taking medication because of cost. The best response is:
A. "You must take it no matter what."
B. "That's not my concern."
C. "Why didn't you tell your doctor?"
D. "Thank you for telling me. Let's look at options that could make it affordable."
Correct Answer: D. "Thank you for telling me. Let's look at options that could make it
affordable."
Rationale: Address barriers nonjudgmentally.
2. Which statement best demonstrates patient-centered education?
A. "Let's talk about how you can fit checking your sugar into your workday."
B. "Read this pamphlet."
C. "You need to do what I say."
D. "Everyone with diabetes does this."
Correct Answer: A. "Let's talk about how you can fit checking your sugar into your workday."
Rationale: Teaching is tailored to the patient's life.
3. Which is the correct sequence for a patient encounter?
A. Introduce self, verify identity, explain purpose, then interview
B. Examine first, then introduce self
C. Document first, then interview
D. Ask about allergies before introductions
Correct Answer: A. Introduce self, verify identity, explain purpose, then interview
Rationale: Establish rapport and safety first.
4. A clinician says, "You seem frustrated about your blood sugar." This technique is:
A. Giving false reassurance
B. Reflecting feelings
C. Closed questioning
D. Summarizing
Correct Answer: B. Reflecting feelings
Rationale: Reflection mirrors emotion back to the patient.
5. Noting that the patient is a reliable historian refers to:
A. The patient's insurance
B. The accuracy and consistency of the information provided
C. The patient's education
D. The patient's age
Correct Answer: B. The accuracy and consistency of the information provided
Rationale: Reliability affects interpretation.
6. A patient's cat allergy is clinically important for Tina Jones because:
A. Cat dander can trigger her asthma
B. It affects her diabetes medication
C. It causes hypertension
D. It changes her blood type
Correct Answer: A. Cat dander can trigger her asthma
Rationale: Allergens are common asthma triggers.
, 7. In OLDCARTS, the 'C' stands for:
A. Cause
B. Chronicity
C. Course
D. Character
Correct Answer: D. Character
Rationale: Character describes quality, e.g., sharp or dull.
8. In OLDCARTS, the 'A' stands for:
A. Aggravating and alleviating factors
B. Age
C. Associated allergies
D. Appearance
Correct Answer: A. Aggravating and alleviating factors
Rationale: What makes it better or worse.
9. Bronchial breath sounds are normally heard over the:
A. Lung bases
B. Peripheral lung fields
C. Axillae
D. Trachea
Correct Answer: D. Trachea
Rationale: Bronchial sounds in the periphery suggest consolidation.
10. Which finding during Tina's respiratory exam requires immediate action?
A. SpO2 of 98%
B. SpO2 of 88% with difficulty speaking
C. RR of 16
D. Clear breath sounds
Correct Answer: B. SpO2 of 88% with difficulty speaking
Rationale: Hypoxemia and inability to speak signal severe distress.
11. Fine crackles that do not clear with coughing suggest:
A. Normal lungs
B. Fluid in the alveoli, such as pneumonia or heart failure
C. Upper airway obstruction
D. Asthma only
Correct Answer: B. Fluid in the alveoli, such as pneumonia or heart failure
Rationale: Crackles are discontinuous sounds.
12. A barrel chest has an AP-to-lateral diameter ratio of about:
A. 1:2
B. 2:1
C. 1:1
D. 1:3
Correct Answer: C. 1:1
Rationale: Normal is about 1:2.
