Shadow Health Cardiovascular Examination
Module Rochelle Joseph (DCE) | 2026 Update
with complete solutions.
Question Correct Answer Rationale
Asked about Tina does not have a known hist
heart Denies heart problems of cardiac disease, which is a key
problems finding to document.
Her statement indicates she doe
Asked about Reports normal heartbeat; Reports normal heart
not perceive any irregularities in
heartbeat rate; Denies palpitations; Denies arrhythmia
cardiac rhythm or rate.
Denies high blood pressure; Reports last blood While she denies a diagnosis of
Asked about
pressure check 140 over 80 or 90; Reports belief hypertension, her recent blood
high blood
that current blood pressure is on the high side of pressure reading indicates a nee
pressure
normal range for monitoring .
Asked about She has no knowledge of ever be
Denies heart murmur
heart murmur told she has a heart murmur.
Asked about The only edema she reports is
Denies swelling other than foot wound
swelling localized to her foot injury.
Asked about
Denies blue skin This finding helps rule out cyano
blue skin
, Question Correct Answer Rationale
Denies having a stress test; Denies having an
Asked about She reports no history of advanc
echocardiogram; Denies having a coronary artery
cardiac tests cardiac diagnostic testing.
CT scan
Asked about Denies having a heart catheterization; Denies
She denies any prior cardiac surg
cardiac having angioplasty or stent; Denies having a
or interventional procedures.
surgeries pacemaker
Review of Systems
Question Correct Answer Rationale
Asked about There is no report of angina or c
Denies chest pain; Denies angina
chest pain pain, a crucial negative finding.
Her chest tightness is associated
Asked about Reports chest tightness during asthma
with her known asthma, not a
chest tightness exacerbations; Denies current chest tightness
primary cardiac symptom.
Reports wheezing; Reports shortness of breath; Her respiratory symptoms are
Asked about Denies waking at night, unable to breathe; consistent with asthma; she deni
breathing Denies sleep apnea; Denies difficulty breathing classic signs of heart failure like
problems when lying down; Denies current breathing orthopnea or paroxysmal noctur
problems dyspnea.
Followed up on
breathing Reports breathing problems occur during This links her respiratory sympto
problem asthma exacerbations to her known respiratory diagno
triggers
Asked about This is a negative finding related
Denies leg cramping
leg cramping peripheral vascular disease.
Module Rochelle Joseph (DCE) | 2026 Update
with complete solutions.
Question Correct Answer Rationale
Asked about Tina does not have a known hist
heart Denies heart problems of cardiac disease, which is a key
problems finding to document.
Her statement indicates she doe
Asked about Reports normal heartbeat; Reports normal heart
not perceive any irregularities in
heartbeat rate; Denies palpitations; Denies arrhythmia
cardiac rhythm or rate.
Denies high blood pressure; Reports last blood While she denies a diagnosis of
Asked about
pressure check 140 over 80 or 90; Reports belief hypertension, her recent blood
high blood
that current blood pressure is on the high side of pressure reading indicates a nee
pressure
normal range for monitoring .
Asked about She has no knowledge of ever be
Denies heart murmur
heart murmur told she has a heart murmur.
Asked about The only edema she reports is
Denies swelling other than foot wound
swelling localized to her foot injury.
Asked about
Denies blue skin This finding helps rule out cyano
blue skin
, Question Correct Answer Rationale
Denies having a stress test; Denies having an
Asked about She reports no history of advanc
echocardiogram; Denies having a coronary artery
cardiac tests cardiac diagnostic testing.
CT scan
Asked about Denies having a heart catheterization; Denies
She denies any prior cardiac surg
cardiac having angioplasty or stent; Denies having a
or interventional procedures.
surgeries pacemaker
Review of Systems
Question Correct Answer Rationale
Asked about There is no report of angina or c
Denies chest pain; Denies angina
chest pain pain, a crucial negative finding.
Her chest tightness is associated
Asked about Reports chest tightness during asthma
with her known asthma, not a
chest tightness exacerbations; Denies current chest tightness
primary cardiac symptom.
Reports wheezing; Reports shortness of breath; Her respiratory symptoms are
Asked about Denies waking at night, unable to breathe; consistent with asthma; she deni
breathing Denies sleep apnea; Denies difficulty breathing classic signs of heart failure like
problems when lying down; Denies current breathing orthopnea or paroxysmal noctur
problems dyspnea.
Followed up on
breathing Reports breathing problems occur during This links her respiratory sympto
problem asthma exacerbations to her known respiratory diagno
triggers
Asked about This is a negative finding related
Denies leg cramping
leg cramping peripheral vascular disease.
