Shadow Health – Anxiety UPDATED
ACTUAL Questions and CORRECT
Answers
Chief Complaint - CORRECT ANSWER✔✔- Mr. Larsen is a 48-year-old White man who
presented to the ED at 6 AM with a perceived cardiac complaint; he reports being exhausted,
scared and unable to relax from last night.
History of Present Illness - CORRECT ANSWER✔✔- Hx of HTN, hyperlipidemia, and
osteoarthritis, presented in the ED this morning with complaints of exhaustion, anxiety,
terror, and tachycardia which started last night 3 AM. Patient reports that the worry has been
around since he was diagnosed with HTN (a year ago), but becomes worse last night. He
states that he feels like he is choking, his body is sweating, shivering and he has been unable
to control his fear since 3 AM.
He says that he is scared about everything, especially his hypertension; he tried to take a deep
breath several times to feel calm but did not work. He states that he came to the ED because
he thought he was having a heart attack from his hypertension. He says that the anxiety
causes him to skip work, prevents social interaction and that it affects his concentration and
sleeping patterns. He denies any chest pain, fever, mood changes, or suicidal thoughts.
Allergies - CORRECT ANSWER✔✔- Codeine
Past Medical History - CORRECT ANSWER✔✔- HTN since age 47
Osteoarthritis since age 46
Hyperlipidemia since age 45
Past Surgical History - CORRECT ANSWER✔✔- Total knee replacement at age 48.
Medication History - CORRECT ANSWER✔✔- Atorvastatin 20 mg P.O. daily for high
cholesterol. Last dose: yesterday
Lisinopril 10 mg P.O. daily for hypertension. Last dose: yesterday
Fish oil 1 tab daily for high cholesterol. Last dose: yesterday
Family History - CORRECT ANSWER✔✔- Mother, living, high cholesterol
ACTUAL Questions and CORRECT
Answers
Chief Complaint - CORRECT ANSWER✔✔- Mr. Larsen is a 48-year-old White man who
presented to the ED at 6 AM with a perceived cardiac complaint; he reports being exhausted,
scared and unable to relax from last night.
History of Present Illness - CORRECT ANSWER✔✔- Hx of HTN, hyperlipidemia, and
osteoarthritis, presented in the ED this morning with complaints of exhaustion, anxiety,
terror, and tachycardia which started last night 3 AM. Patient reports that the worry has been
around since he was diagnosed with HTN (a year ago), but becomes worse last night. He
states that he feels like he is choking, his body is sweating, shivering and he has been unable
to control his fear since 3 AM.
He says that he is scared about everything, especially his hypertension; he tried to take a deep
breath several times to feel calm but did not work. He states that he came to the ED because
he thought he was having a heart attack from his hypertension. He says that the anxiety
causes him to skip work, prevents social interaction and that it affects his concentration and
sleeping patterns. He denies any chest pain, fever, mood changes, or suicidal thoughts.
Allergies - CORRECT ANSWER✔✔- Codeine
Past Medical History - CORRECT ANSWER✔✔- HTN since age 47
Osteoarthritis since age 46
Hyperlipidemia since age 45
Past Surgical History - CORRECT ANSWER✔✔- Total knee replacement at age 48.
Medication History - CORRECT ANSWER✔✔- Atorvastatin 20 mg P.O. daily for high
cholesterol. Last dose: yesterday
Lisinopril 10 mg P.O. daily for hypertension. Last dose: yesterday
Fish oil 1 tab daily for high cholesterol. Last dose: yesterday
Family History - CORRECT ANSWER✔✔- Mother, living, high cholesterol
