Shadow Health: Pharmacology | Unguided
Intermediate Patient Case (Subjective)
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Scored Items - CORRECT ANSWER - Patient Data
Chief Complaint: Established chief complaint - CORRECT ANSWER - • Reports pain
• Reports blood in urine
• Reports increased frequency of urination
Orientation: Asked about orientation - CORRECT ANSWER - • Oriented to own person
• Oriented to place
• Oriented to situation
• Oriented to time
History of Present Illness: Asked about onset and duration of symptoms - CORRECT
ANSWER - • Reports pain began 3 days ago
• Reports pain has gradually increased since onset
• Reports increased urinary frequency began 3 days ago
• Reports pinkish urine starting early thi smorning
• Reports pain has been constant
History of Present Illness: Followed up on urinary frequency - CORRECT ANSWER -•
Reports urinating about once an hour
• Reports waking up to use the bathroom
• Reports waking up four to five times a night to use the bathroom
, History of Present Illness: Asked about location of pain - CORRECT ANSWER -•
Reports pain is lower in left side (flank pain)
• Denies radiating pain
History of Present Illness: Asked about characteristics of pain - CORRECT ANSWER -•
Describes pain as sharp and shooting
History of Present Illness: Asked about aggravating factors of pain - CORRECT
ANSWER - • Reports nothing makes the pain worse
History of Present Illness: Asked about treatment and relieving factors of pain - CORRECT
ANSWER - • Denies home treatment of pain
• Reports hydromorphone has significantly reduced pain
History of Present Illness: Asked about severity of pain - CORRECT ANSWER - • Reports
current pain level is 2/10
• Reports pain level before medication was a 9/10
Past Medical History: Asked about existing health conditions - CORRECT ANSWER -•
Reports high blood pressure diagnosis
• Reports chronic kidney disease diagnosis
• Reports atrial fibrillation diagnosis
• Reports occasional heartburn
Past Medical History: Followed up about high blood pressure diagnosis - CORRECT
ANSWER - • Reports being diagnosed with high blood pressure at age 55
• Reports belief that blood pressure is well-controlled
• Reports typical blood pressure is 130/85
Intermediate Patient Case (Subjective)
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Scored Items - CORRECT ANSWER - Patient Data
Chief Complaint: Established chief complaint - CORRECT ANSWER - • Reports pain
• Reports blood in urine
• Reports increased frequency of urination
Orientation: Asked about orientation - CORRECT ANSWER - • Oriented to own person
• Oriented to place
• Oriented to situation
• Oriented to time
History of Present Illness: Asked about onset and duration of symptoms - CORRECT
ANSWER - • Reports pain began 3 days ago
• Reports pain has gradually increased since onset
• Reports increased urinary frequency began 3 days ago
• Reports pinkish urine starting early thi smorning
• Reports pain has been constant
History of Present Illness: Followed up on urinary frequency - CORRECT ANSWER -•
Reports urinating about once an hour
• Reports waking up to use the bathroom
• Reports waking up four to five times a night to use the bathroom
, History of Present Illness: Asked about location of pain - CORRECT ANSWER -•
Reports pain is lower in left side (flank pain)
• Denies radiating pain
History of Present Illness: Asked about characteristics of pain - CORRECT ANSWER -•
Describes pain as sharp and shooting
History of Present Illness: Asked about aggravating factors of pain - CORRECT
ANSWER - • Reports nothing makes the pain worse
History of Present Illness: Asked about treatment and relieving factors of pain - CORRECT
ANSWER - • Denies home treatment of pain
• Reports hydromorphone has significantly reduced pain
History of Present Illness: Asked about severity of pain - CORRECT ANSWER - • Reports
current pain level is 2/10
• Reports pain level before medication was a 9/10
Past Medical History: Asked about existing health conditions - CORRECT ANSWER -•
Reports high blood pressure diagnosis
• Reports chronic kidney disease diagnosis
• Reports atrial fibrillation diagnosis
• Reports occasional heartburn
Past Medical History: Followed up about high blood pressure diagnosis - CORRECT
ANSWER - • Reports being diagnosed with high blood pressure at age 55
• Reports belief that blood pressure is well-controlled
• Reports typical blood pressure is 130/85
