Shadow Health Digital Clinical Experience: Final Exam
(Comprehensive) - Questions with Correct Answers
50 questions
1. Tina Jones is a 28-year-old woman whose chronic conditions include:
A. Heart failure and COPD
B. Rheumatoid arthritis and lupus
C. Hypothyroidism and epilepsy
D. Type 2 diabetes and asthma
Correct Answer: D. Type 2 diabetes and asthma
Rationale: These conditions recur across her modules.
2. The chief complaint should be recorded:
A. As a medical diagnosis
B. Only as a lab value
C. In the family's words
D. In the patient's own words
Correct Answer: D. In the patient's own words
Rationale: Quotes keep it accurate.
3. Tina Jones presents with an asthma exacerbation. The expected adventitious sound is:
A. Pleural friction rub
B. Fine crackles at bases only
C. Stridor
D. Expiratory wheezing
Correct Answer: D. Expiratory wheezing
Rationale: Bronchoconstriction narrows airways.
4. Rhonchi that clear after coughing are caused by:
A. Secretions in large airways
B. Fluid in alveoli
C. Pleural inflammation
D. Tracheal narrowing
Correct Answer: A. Secretions in large airways
Rationale: Coughing moves the secretions.
5. An S4 heart sound is associated with:
A. A stiff, noncompliant ventricle such as from hypertension
B. Normal young athletes only
C. Mitral valve prolapse
D. Pericarditis
Correct Answer: A. A stiff, noncompliant ventricle such as from hypertension
Rationale: Atrial kick against a stiff ventricle.
6. Pitting edema that leaves an 8 mm indentation lasting more than a minute is graded:
A. 1+
B. 2+
C. 4+
D. Trace
Correct Answer: C. 4+
Rationale: Deep, lasting pits are severe.
, 7. Burning epigastric pain worse after meals and when lying down is most consistent with:
A. Gastroesophageal reflux disease
B. Appendicitis
C. Cholecystitis only
D. Kidney stones
Correct Answer: A. Gastroesophageal reflux disease
Rationale: Acid reflux worsens supine.
8. A pulsatile abdominal mass should not be deeply palpated because it may be:
A. An abdominal aortic aneurysm
B. A full bladder
C. Stool
D. A hernia
Correct Answer: A. An abdominal aortic aneurysm
Rationale: Pressure could risk rupture.
9. Deviation of the uvula to one side when saying 'ah' suggests a problem with cranial nerves:
A. IX and X
B. V and VII
C. XI and XII
D. III and IV
Correct Answer: A. IX and X
Rationale: Glossopharyngeal and vagus control the palate.
10. Tina Jones should have a dilated eye exam:
A. Only if she has symptoms
B. Yearly because she has diabetes
C. Every 10 years
D. Never
Correct Answer: B. Yearly because she has diabetes
Rationale: Annual exams detect retinopathy early.
11. Abduction means:
A. Moving toward the midline
B. Bending a joint
C. Straightening a joint
D. Moving a limb away from the midline
Correct Answer: D. Moving a limb away from the midline
Rationale: Adduction is toward the midline.
12. Phalen's test is performed by:
A. Tapping over the median nerve
B. Twisting the knee
C. Holding the wrists in flexion for about 60 seconds
D. Raising the straight leg
Correct Answer: C. Holding the wrists in flexion for about 60 seconds
Rationale: Numbness suggests carpal tunnel.
(Comprehensive) - Questions with Correct Answers
50 questions
1. Tina Jones is a 28-year-old woman whose chronic conditions include:
A. Heart failure and COPD
B. Rheumatoid arthritis and lupus
C. Hypothyroidism and epilepsy
D. Type 2 diabetes and asthma
Correct Answer: D. Type 2 diabetes and asthma
Rationale: These conditions recur across her modules.
2. The chief complaint should be recorded:
A. As a medical diagnosis
B. Only as a lab value
C. In the family's words
D. In the patient's own words
Correct Answer: D. In the patient's own words
Rationale: Quotes keep it accurate.
3. Tina Jones presents with an asthma exacerbation. The expected adventitious sound is:
A. Pleural friction rub
B. Fine crackles at bases only
C. Stridor
D. Expiratory wheezing
Correct Answer: D. Expiratory wheezing
Rationale: Bronchoconstriction narrows airways.
4. Rhonchi that clear after coughing are caused by:
A. Secretions in large airways
B. Fluid in alveoli
C. Pleural inflammation
D. Tracheal narrowing
Correct Answer: A. Secretions in large airways
Rationale: Coughing moves the secretions.
5. An S4 heart sound is associated with:
A. A stiff, noncompliant ventricle such as from hypertension
B. Normal young athletes only
C. Mitral valve prolapse
D. Pericarditis
Correct Answer: A. A stiff, noncompliant ventricle such as from hypertension
Rationale: Atrial kick against a stiff ventricle.
6. Pitting edema that leaves an 8 mm indentation lasting more than a minute is graded:
A. 1+
B. 2+
C. 4+
D. Trace
Correct Answer: C. 4+
Rationale: Deep, lasting pits are severe.
, 7. Burning epigastric pain worse after meals and when lying down is most consistent with:
A. Gastroesophageal reflux disease
B. Appendicitis
C. Cholecystitis only
D. Kidney stones
Correct Answer: A. Gastroesophageal reflux disease
Rationale: Acid reflux worsens supine.
8. A pulsatile abdominal mass should not be deeply palpated because it may be:
A. An abdominal aortic aneurysm
B. A full bladder
C. Stool
D. A hernia
Correct Answer: A. An abdominal aortic aneurysm
Rationale: Pressure could risk rupture.
9. Deviation of the uvula to one side when saying 'ah' suggests a problem with cranial nerves:
A. IX and X
B. V and VII
C. XI and XII
D. III and IV
Correct Answer: A. IX and X
Rationale: Glossopharyngeal and vagus control the palate.
10. Tina Jones should have a dilated eye exam:
A. Only if she has symptoms
B. Yearly because she has diabetes
C. Every 10 years
D. Never
Correct Answer: B. Yearly because she has diabetes
Rationale: Annual exams detect retinopathy early.
11. Abduction means:
A. Moving toward the midline
B. Bending a joint
C. Straightening a joint
D. Moving a limb away from the midline
Correct Answer: D. Moving a limb away from the midline
Rationale: Adduction is toward the midline.
12. Phalen's test is performed by:
A. Tapping over the median nerve
B. Twisting the knee
C. Holding the wrists in flexion for about 60 seconds
D. Raising the straight leg
Correct Answer: C. Holding the wrists in flexion for about 60 seconds
Rationale: Numbness suggests carpal tunnel.
