COMPLEX PATIENT CASE SHADOW HEALTH
2026 MOCK PATIENT ENCOUNTER PRACTICE
SET A+
◉ History of Present Illness: Asked about characteristics of pain.
Answer: • Describes pain as sharp and shooting
◉ History of Present Illness: Asked about aggravating factors of pain.
Answer: • Reports nothing makes the pain worse
◉ History of Present Illness: Asked about treatment and relieving
factors of pain. Answer: • Denies home treatment of pain
• Reports hydromorphone has significantly reduced pain
◉ History of Present Illness: Asked about severity of pain. 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.
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. 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
◉ Past Medical History: Followed up about atrial fibrillation
diagnosis. Answer: • Reports being diagnosed with atrial fibrillation
at age 61
• Denies recent episodes of palpitations or problems
• Denies pacemaker or surgical intervention
◉ Past Medical History: Followed up about chronic kidney disease
diagnosis. Answer: • Reports being diagnosed with chronic kidney
disease at age 62
• Reports disease is stage 2
◉ Past Medical History: Asked about allergies. Answer: • Denies
general allergies
• Denies environmental allergies
• Denies latex allergy
2026 MOCK PATIENT ENCOUNTER PRACTICE
SET A+
◉ History of Present Illness: Asked about characteristics of pain.
Answer: • Describes pain as sharp and shooting
◉ History of Present Illness: Asked about aggravating factors of pain.
Answer: • Reports nothing makes the pain worse
◉ History of Present Illness: Asked about treatment and relieving
factors of pain. Answer: • Denies home treatment of pain
• Reports hydromorphone has significantly reduced pain
◉ History of Present Illness: Asked about severity of pain. 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.
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. 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
◉ Past Medical History: Followed up about atrial fibrillation
diagnosis. Answer: • Reports being diagnosed with atrial fibrillation
at age 61
• Denies recent episodes of palpitations or problems
• Denies pacemaker or surgical intervention
◉ Past Medical History: Followed up about chronic kidney disease
diagnosis. Answer: • Reports being diagnosed with chronic kidney
disease at age 62
• Reports disease is stage 2
◉ Past Medical History: Asked about allergies. Answer: • Denies
general allergies
• Denies environmental allergies
• Denies latex allergy
