SHADOW HEALTH 2025 2026REVISED
EXAMS WITH VERIFIED ANSWERS
Example Question: Do you have any pain? -<ans>- Finding: Reports pain (Found)Pro
Tip: Initially establishing a chief complaint allows the patient to express their reason for
seeking care, primary concerns, or condition they are presenting with.
Example Question: What's causing your pain? -<ans>- Finding: Reports foot wound
(Found)Pro Tip: If a patient mentions pain, it's important to determine what specifically is
causing her pain, if she knows.
-<ans>- History of Presenting Illness
-<ans>- Finding: Asked to rate current pain level on a scale
Example Question: Can you rate the pain on a scale of 0 to 10? -<ans>- Finding:
Reports current pain is 7/10 (Found)Pro Tip: Asking your patient to rate her pain on a
scale of 0 to 10 is important to gauge how it ebbs and flows while she is in your care.
-<ans>- Finding: Asked for details about the pain
Example Question: Can you please describe the pain? -<ans>- Finding: Reports pain is
throbbing (Found)Pro Tip: Determining how your patient describes the characteristics of
the pain can be important data to support the cause of the pain.
Example Question: What is the pain like when you stand on your foot? -<ans>- Finding:
Reports pain is sharp when she attempts to stand (Found)Pro Tip: Determining what
physical activities and movements exacerbate the patient's pain can help you better
understand the problems and assess treatment needs. This can also alert you if a
patient's activities of daily living are hindered.
Example Question: How has the pain changed over time? -<ans>- Finding: Reports
pain has increased in the past 2 days (Available)Pro Tip:Finding out how the patient's
pain has changed will give you insight into the acceleration of infection.
Example Question: Does the pain radiate anywhere else? -<ans>- Finding: Reports
feeling pain radiating into ankle (Available)Pro Tip: Asking about where else the
patient's pain radiates can help determine the progression of infection.
Example Question: Can you bear weight on your foot? -<ans>- Finding: Reports pain
prevents bearing weight on foot (Found)Pro Tip: Determining if your patient can bear
weight on an injury is important to determine their risk for falls while in your care.
,-<ans>- Finding: Asked location of wound
Example Question: Which foot is in pain? -<ans>- Finding: Reports right foot is injured
(Found)Pro Tip: Confirming which extremity an injury is located is a best practice for
your patient's safety.
Example Question: Where is the wound? -<ans>- Finding: Reports wound is on the
plantar surface of her foot (Found)Pro Tip: Confirming where a wound is located
ensures you are aware of your patient's biggest complaint.
-<ans>- Finding: Asked details of the injury
Example Question: How did your injury happen? -<ans>- Finding: Reports she scraped
foot on bottom rung of a step stool (Found)Pro Tip: Discovering how an injury happened
helps to assess your patient's risk factors for injury.
Example Question: When did your injury occur? -<ans>- Finding: Reports injury
occurred 1 week ago (Available)Pro Tip: Discovering how long ago the pain began is
the first step in understanding whether the pain is chronic or acute.
Example Question: Did you injure anything besides your foot? -<ans>- Finding: Denies
other injuries besides foot wound (Available)Pro Tip: Discovering additional injuries can
reveal more information about the circumstances that caused the presenting injury.
Example Question: Were you wearing shoes when you fell? -<ans>- Finding: Reports
being barefoot at the time of injury (Available)Pro Tip: Asking about clothing, footwear,
and other protective elements being worn at the time of injury helps you discover the
totality of the circumstances.
Example Question: Have you seen a healthcare provider for this injury? -<ans>-
Finding: Denies seeing a healthcare provider for the injury until now (Available)Pro Tip:
It's crucial to ask whether your patient has seen another provider for the injury, because
any previous medical intervention will help you understand the progression of the
wound.
-<ans>- Finding: Asked about drainage from the foot wound
Example Question: Did your foot bleed? -<ans>- Finding: Reports that the wound bled a
little after sustaining the injury (Available)Pro Tip: Asking about bleeding helps you
determine the characteristics of a wound.
Example Question: Did you notice any discharge from the wound? -<ans>- Finding:
Reports seeing pus draining from wound (Found)Pro Tip: Asking about discharge helps
you determine the characteristics of a wound.
,Example Question: When did you first notice the pus? -<ans>- Finding: Reports noticing
pus 2 days ago (Available)Pro Tip: Pinpointing exactly when the patient noticed the
arrival of pus gives you an important data point for when an active infection began.
-<ans>- Finding: Followed up on drainage
Example Question: What color is the drainage from your wound? -<ans>- Finding:
Reports pus as white or yellow (Found)Pro Tip: The color of discharge from a wound
can provide insight into its severity and characteristics.
Example Question: Does the wound have an odor? -<ans>- Finding: Denies odor from
the wound (Available)Pro Tip: The odor of discharge from a wound can provide insight
into its severity and characteristics.
-<ans>- Finding: Asked about home treatment of foot wound
Example Question: How often do you change your bandage? -<ans>- Finding: Reports
wound care regimen of bandaging (Available)Pro Tip: Asking specifically how often a
patient changed a bandage will let you know if an infection spread through improper
hygiene, or for other reasons such as uncontrolled blood sugar.
Example Question: How often did you clean the wound? -<ans>- Finding: Reports
cleaning wound twice a day (Available)Pro Tip: Asking specifically how often a patient
cleaned a wound will let you know if an infection spread through improper hygiene, or
for other reasons such as uncontrolled blood sugar.
Example Question: Did you use any ointment on the wound? -<ans>- Finding: Reports
applying bacitracin, neomycin and polymyxin B (Neosporin) (Found)Pro Tip:
Determining what products a patient used to sterilize or treat a wound establishes home
care routines and health literacy.
-<ans>- Finding: Followed up on effectiveness of ointment
Example Question: Did the ointment help? -<ans>- Finding: Reports bacitracin,
neomycin and polymyxin B (Neosporin) was ineffective (Found)Pro Tip: Understanding
the effect of a home medication can help you determine the severity of the wound.
Tina's diabetes diagnosis will have a large impact on her body's healing ability, which
should be taken into consideration during your exam.
-<ans>- Finding: Asked about other foot wound symptoms
Example Question: Is there swelling around the wound? -<ans>- Finding: Reports
swelling around foot wound (Found)Pro Tip: Asking about the presence of swelling
helps you gather information about your patient's complaint, as well as potential related
illnesses.
, Example Question: How long have you noticed swelling around the wound? -<ans>-
Finding: Reports swelling worsened in the past 2 days (Available)Pro Tip:Finding out
how long swelling appeared will help you understand the timeline for the infection
progression.
Example Question: Did you notice any redness around the wound? -<ans>- Finding:
Reports redness around the wound (Found)Pro Tip: Asking about redness will help you
understand the timeline for the infection progression.
Example Question: Does the wound feel warm? -<ans>- Finding: Reports that the
wound feels warm (Found)Pro Tip: Asking about warmth will help you understand the
timeline for the infection progression.
-<ans>- Finding: Explored impact of patient's foot injury on activities of daily living
Example Question: Does your injury impact your ability to walk? -<ans>- Finding:
Reports pain affects ability to walk (Available)Pro Tip: Understanding the impact of your
patient's wound on daily activities helps inform your plan for care. With a foot wound, it
is imperative to discern if a patient can walk or not, as a lack of mobility can
compromise quality of life.
Example Question: Does your foot pain affect your work? -<ans>- Finding: Reports pain
affects ability to stand at work for long periods of time (Available)Pro Tip: Understanding
the impact of your patient's wound on daily activities helps inform your plan for care.
With a foot wound, it is imperative to discern if a patient can stand or not, as this can
compromise quality of life and impact job performance.
Example Question: Has your injury prevented you from going to class? -<ans>- Finding:
Reports pain prevented her from being able to walk to class (Available)Pro Tip: For
patients who are also students, you can find out what schoolwork they are missing, and
help them make accommodations so they don't fall behind.
-<ans>- Past Medical History
-<ans>- Finding: Asked about preexisting medical conditions
Example Question: Do you have any existing conditions? -<ans>- Finding: Reports
diabetes (Found)Pro Tip: It is important to identify any existing medical conditions, as
that information is an integral part of a complete health history. Existing conditions can
also inform your treatment and understanding of the patient's current health issues. In
Tina's case, it is important to identify her diabetes diagnosis because that condition has
a direct relationship with her current foot infection.
Example Question: Do you have any other conditions? -<ans>- Finding: Reports
asthma (Found)Pro Tip: It is important to identify any existing medical conditions, such
as Tina's asthma, because that information is an integral part of her health history.
EXAMS WITH VERIFIED ANSWERS
Example Question: Do you have any pain? -<ans>- Finding: Reports pain (Found)Pro
Tip: Initially establishing a chief complaint allows the patient to express their reason for
seeking care, primary concerns, or condition they are presenting with.
Example Question: What's causing your pain? -<ans>- Finding: Reports foot wound
(Found)Pro Tip: If a patient mentions pain, it's important to determine what specifically is
causing her pain, if she knows.
-<ans>- History of Presenting Illness
-<ans>- Finding: Asked to rate current pain level on a scale
Example Question: Can you rate the pain on a scale of 0 to 10? -<ans>- Finding:
Reports current pain is 7/10 (Found)Pro Tip: Asking your patient to rate her pain on a
scale of 0 to 10 is important to gauge how it ebbs and flows while she is in your care.
-<ans>- Finding: Asked for details about the pain
Example Question: Can you please describe the pain? -<ans>- Finding: Reports pain is
throbbing (Found)Pro Tip: Determining how your patient describes the characteristics of
the pain can be important data to support the cause of the pain.
Example Question: What is the pain like when you stand on your foot? -<ans>- Finding:
Reports pain is sharp when she attempts to stand (Found)Pro Tip: Determining what
physical activities and movements exacerbate the patient's pain can help you better
understand the problems and assess treatment needs. This can also alert you if a
patient's activities of daily living are hindered.
Example Question: How has the pain changed over time? -<ans>- Finding: Reports
pain has increased in the past 2 days (Available)Pro Tip:Finding out how the patient's
pain has changed will give you insight into the acceleration of infection.
Example Question: Does the pain radiate anywhere else? -<ans>- Finding: Reports
feeling pain radiating into ankle (Available)Pro Tip: Asking about where else the
patient's pain radiates can help determine the progression of infection.
Example Question: Can you bear weight on your foot? -<ans>- Finding: Reports pain
prevents bearing weight on foot (Found)Pro Tip: Determining if your patient can bear
weight on an injury is important to determine their risk for falls while in your care.
,-<ans>- Finding: Asked location of wound
Example Question: Which foot is in pain? -<ans>- Finding: Reports right foot is injured
(Found)Pro Tip: Confirming which extremity an injury is located is a best practice for
your patient's safety.
Example Question: Where is the wound? -<ans>- Finding: Reports wound is on the
plantar surface of her foot (Found)Pro Tip: Confirming where a wound is located
ensures you are aware of your patient's biggest complaint.
-<ans>- Finding: Asked details of the injury
Example Question: How did your injury happen? -<ans>- Finding: Reports she scraped
foot on bottom rung of a step stool (Found)Pro Tip: Discovering how an injury happened
helps to assess your patient's risk factors for injury.
Example Question: When did your injury occur? -<ans>- Finding: Reports injury
occurred 1 week ago (Available)Pro Tip: Discovering how long ago the pain began is
the first step in understanding whether the pain is chronic or acute.
Example Question: Did you injure anything besides your foot? -<ans>- Finding: Denies
other injuries besides foot wound (Available)Pro Tip: Discovering additional injuries can
reveal more information about the circumstances that caused the presenting injury.
Example Question: Were you wearing shoes when you fell? -<ans>- Finding: Reports
being barefoot at the time of injury (Available)Pro Tip: Asking about clothing, footwear,
and other protective elements being worn at the time of injury helps you discover the
totality of the circumstances.
Example Question: Have you seen a healthcare provider for this injury? -<ans>-
Finding: Denies seeing a healthcare provider for the injury until now (Available)Pro Tip:
It's crucial to ask whether your patient has seen another provider for the injury, because
any previous medical intervention will help you understand the progression of the
wound.
-<ans>- Finding: Asked about drainage from the foot wound
Example Question: Did your foot bleed? -<ans>- Finding: Reports that the wound bled a
little after sustaining the injury (Available)Pro Tip: Asking about bleeding helps you
determine the characteristics of a wound.
Example Question: Did you notice any discharge from the wound? -<ans>- Finding:
Reports seeing pus draining from wound (Found)Pro Tip: Asking about discharge helps
you determine the characteristics of a wound.
,Example Question: When did you first notice the pus? -<ans>- Finding: Reports noticing
pus 2 days ago (Available)Pro Tip: Pinpointing exactly when the patient noticed the
arrival of pus gives you an important data point for when an active infection began.
-<ans>- Finding: Followed up on drainage
Example Question: What color is the drainage from your wound? -<ans>- Finding:
Reports pus as white or yellow (Found)Pro Tip: The color of discharge from a wound
can provide insight into its severity and characteristics.
Example Question: Does the wound have an odor? -<ans>- Finding: Denies odor from
the wound (Available)Pro Tip: The odor of discharge from a wound can provide insight
into its severity and characteristics.
-<ans>- Finding: Asked about home treatment of foot wound
Example Question: How often do you change your bandage? -<ans>- Finding: Reports
wound care regimen of bandaging (Available)Pro Tip: Asking specifically how often a
patient changed a bandage will let you know if an infection spread through improper
hygiene, or for other reasons such as uncontrolled blood sugar.
Example Question: How often did you clean the wound? -<ans>- Finding: Reports
cleaning wound twice a day (Available)Pro Tip: Asking specifically how often a patient
cleaned a wound will let you know if an infection spread through improper hygiene, or
for other reasons such as uncontrolled blood sugar.
Example Question: Did you use any ointment on the wound? -<ans>- Finding: Reports
applying bacitracin, neomycin and polymyxin B (Neosporin) (Found)Pro Tip:
Determining what products a patient used to sterilize or treat a wound establishes home
care routines and health literacy.
-<ans>- Finding: Followed up on effectiveness of ointment
Example Question: Did the ointment help? -<ans>- Finding: Reports bacitracin,
neomycin and polymyxin B (Neosporin) was ineffective (Found)Pro Tip: Understanding
the effect of a home medication can help you determine the severity of the wound.
Tina's diabetes diagnosis will have a large impact on her body's healing ability, which
should be taken into consideration during your exam.
-<ans>- Finding: Asked about other foot wound symptoms
Example Question: Is there swelling around the wound? -<ans>- Finding: Reports
swelling around foot wound (Found)Pro Tip: Asking about the presence of swelling
helps you gather information about your patient's complaint, as well as potential related
illnesses.
, Example Question: How long have you noticed swelling around the wound? -<ans>-
Finding: Reports swelling worsened in the past 2 days (Available)Pro Tip:Finding out
how long swelling appeared will help you understand the timeline for the infection
progression.
Example Question: Did you notice any redness around the wound? -<ans>- Finding:
Reports redness around the wound (Found)Pro Tip: Asking about redness will help you
understand the timeline for the infection progression.
Example Question: Does the wound feel warm? -<ans>- Finding: Reports that the
wound feels warm (Found)Pro Tip: Asking about warmth will help you understand the
timeline for the infection progression.
-<ans>- Finding: Explored impact of patient's foot injury on activities of daily living
Example Question: Does your injury impact your ability to walk? -<ans>- Finding:
Reports pain affects ability to walk (Available)Pro Tip: Understanding the impact of your
patient's wound on daily activities helps inform your plan for care. With a foot wound, it
is imperative to discern if a patient can walk or not, as a lack of mobility can
compromise quality of life.
Example Question: Does your foot pain affect your work? -<ans>- Finding: Reports pain
affects ability to stand at work for long periods of time (Available)Pro Tip: Understanding
the impact of your patient's wound on daily activities helps inform your plan for care.
With a foot wound, it is imperative to discern if a patient can stand or not, as this can
compromise quality of life and impact job performance.
Example Question: Has your injury prevented you from going to class? -<ans>- Finding:
Reports pain prevented her from being able to walk to class (Available)Pro Tip: For
patients who are also students, you can find out what schoolwork they are missing, and
help them make accommodations so they don't fall behind.
-<ans>- Past Medical History
-<ans>- Finding: Asked about preexisting medical conditions
Example Question: Do you have any existing conditions? -<ans>- Finding: Reports
diabetes (Found)Pro Tip: It is important to identify any existing medical conditions, as
that information is an integral part of a complete health history. Existing conditions can
also inform your treatment and understanding of the patient's current health issues. In
Tina's case, it is important to identify her diabetes diagnosis because that condition has
a direct relationship with her current foot infection.
Example Question: Do you have any other conditions? -<ans>- Finding: Reports
asthma (Found)Pro Tip: It is important to identify any existing medical conditions, such
as Tina's asthma, because that information is an integral part of her health history.
