Advanced Physical Assessment – Musculoskeletal | Shadow Health
Complete Assessment & Documentation | Verified Answers & Study
Guide | 2026/2027
,Advanced Physical Assessment – Musculoskeletal |
Shadow Health Complete Assessment &
Documentation | Verified Answers & Study Guide |
2026/2027
This comprehensive guide includes the full Tina Jones musculoskeletal case, complete
subjective/objective data collection, a professional SOAP note, a PowerPoint teaching
outline, and 50 exam-style questions with verified answers and rationales for the
2026/2027 academic year.
PART 1: COMPLETE SHADOW HEALTH CASE – TINA JONES
Patient Profile
• Patient Name: Tina Jones
• Age: 28 years old
• Gender: Female
• Race/Ethnicity: African American
• Setting: Shadow General Hospital inpatient (second morning of admission)
• Timeframe: 8 months after establishing primary care
• Reason for Visit: Physical therapy consultation requiring full musculoskeletal
exam
Scenario Context
It is 8 a.m. on Tina Jones' second morning at Shadow General Hospital. She has a
physical therapy consultation scheduled later today. The healthcare provider must
,perform a full musculoskeletal system exam so the therapist can understand Ms. Jones'
musculoskeletal health and customize therapy accordingly.
PART 2: SUBJECTIVE DATA COLLECTION – COMPLETE
TRANSCRIPT
Chief Complaint
Q: "What brings you to the hospital today?"
A: "I have a lot of pain in my lower back. It really hurts, and it doesn't seem to be going
away. It's making it kind of hard to get things done, so I decided to come in and have it
looked at."
Q: "What were you doing when the pain started?"
A: "I tweaked my back when I was lifting a box."
Q: "Can you describe what happened?"
A: "I was helping my friend Selena move into the house she just bought, and I think I
tweaked my back lifting a box. I've been having back pain ever since."
Onset of Pain
Q: "When did this pain first start?"
A: "About three days ago."
Q: "Did the pain come on suddenly or gradually?"
A: "Suddenly. It happened right when I lifted that box."
, Q: "Had you ever had back pain like this before?"
A: "No, never."
Correct Answer: No history of previous back pain/injury
Location of Pain
Q: "Where exactly does your back hurt?"
A: "It's in my lower back and both sides of my buttocks."
Q: "Does the pain go anywhere else, like down your legs?"
A: "No, it stays right there."
Q: "Do you have any neck pain?"
A: "No."
Q: "Any pain between your shoulder blades?"
A: "No."
Key Findings:
• Pain located in low back and bilateral buttocks
• Pain does NOT radiate or migrate
• Denies neck pain
• Denies pain between shoulder blades
• Reports pain is same on both sides of back
Frequency and Duration
Q: "Has the pain been constant or does it come and go?"
Complete Assessment & Documentation | Verified Answers & Study
Guide | 2026/2027
,Advanced Physical Assessment – Musculoskeletal |
Shadow Health Complete Assessment &
Documentation | Verified Answers & Study Guide |
2026/2027
This comprehensive guide includes the full Tina Jones musculoskeletal case, complete
subjective/objective data collection, a professional SOAP note, a PowerPoint teaching
outline, and 50 exam-style questions with verified answers and rationales for the
2026/2027 academic year.
PART 1: COMPLETE SHADOW HEALTH CASE – TINA JONES
Patient Profile
• Patient Name: Tina Jones
• Age: 28 years old
• Gender: Female
• Race/Ethnicity: African American
• Setting: Shadow General Hospital inpatient (second morning of admission)
• Timeframe: 8 months after establishing primary care
• Reason for Visit: Physical therapy consultation requiring full musculoskeletal
exam
Scenario Context
It is 8 a.m. on Tina Jones' second morning at Shadow General Hospital. She has a
physical therapy consultation scheduled later today. The healthcare provider must
,perform a full musculoskeletal system exam so the therapist can understand Ms. Jones'
musculoskeletal health and customize therapy accordingly.
PART 2: SUBJECTIVE DATA COLLECTION – COMPLETE
TRANSCRIPT
Chief Complaint
Q: "What brings you to the hospital today?"
A: "I have a lot of pain in my lower back. It really hurts, and it doesn't seem to be going
away. It's making it kind of hard to get things done, so I decided to come in and have it
looked at."
Q: "What were you doing when the pain started?"
A: "I tweaked my back when I was lifting a box."
Q: "Can you describe what happened?"
A: "I was helping my friend Selena move into the house she just bought, and I think I
tweaked my back lifting a box. I've been having back pain ever since."
Onset of Pain
Q: "When did this pain first start?"
A: "About three days ago."
Q: "Did the pain come on suddenly or gradually?"
A: "Suddenly. It happened right when I lifted that box."
, Q: "Had you ever had back pain like this before?"
A: "No, never."
Correct Answer: No history of previous back pain/injury
Location of Pain
Q: "Where exactly does your back hurt?"
A: "It's in my lower back and both sides of my buttocks."
Q: "Does the pain go anywhere else, like down your legs?"
A: "No, it stays right there."
Q: "Do you have any neck pain?"
A: "No."
Q: "Any pain between your shoulder blades?"
A: "No."
Key Findings:
• Pain located in low back and bilateral buttocks
• Pain does NOT radiate or migrate
• Denies neck pain
• Denies pain between shoulder blades
• Reports pain is same on both sides of back
Frequency and Duration
Q: "Has the pain been constant or does it come and go?"
