SHADOW HEALTH COMPREHENSIVE EXAM
2026 QUESTIONS WITH SOLUTIONS GRADED
A+
◉ History of Present Illness. 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. Answer: Codeine
◉ Past Medical History. Answer: HTN since age 47
Osteoarthritis since age 46
Hyperlipidemia since age 45
2026 QUESTIONS WITH SOLUTIONS GRADED
A+
◉ History of Present Illness. 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. Answer: Codeine
◉ Past Medical History. Answer: HTN since age 47
Osteoarthritis since age 46
Hyperlipidemia since age 45
