Shadow Health Digital Clinical Experience: Exam 1 - Questions
with Correct Answers
50 questions
1. Approval statements like "That's the right thing to do" can be non-therapeutic because they:
A. Show empathy
B. Clarify facts
C. Imply judgment of the patient's choices
D. Are open-ended
Correct Answer: C. Imply judgment of the patient's choices
Rationale: Neutral responses encourage honesty.
2. Which behavior shows active listening?
A. Typing notes without looking up
B. Maintaining appropriate eye contact and nodding
C. Interrupting to save time
D. Looking at the clock
Correct Answer: B. Maintaining appropriate eye contact and nodding
Rationale: Nonverbal cues show attention.
3. In the Conversation Concept Lab, students practice:
A. Physical exam techniques only
B. Medication calculations
C. Empathetic communication in emotionally challenging scenarios
D. Lab interpretation
Correct Answer: C. Empathetic communication in emotionally challenging scenarios
Rationale: It focuses on communication skills.
4. Closed-ended questions are most useful for:
A. Clarifying specific details after open exploration
B. Opening the interview
C. Building rapport first
D. Exploring feelings
Correct Answer: A. Clarifying specific details after open exploration
Rationale: They pinpoint facts.
5. Which question screens for intimate partner violence appropriately?
A. "Does your partner hit you?" with partner present
B. Not asking at all
C. Asking only male patients
D. "Do you feel safe at home?" asked privately
Correct Answer: D. "Do you feel safe at home?" asked privately
Rationale: Ask privately and nonjudgmentally.
6. Tina Jones reports an allergy to penicillin. The most important follow-up question is:
A. "Who prescribed it?"
B. "What reaction did you have?"
C. "How much did it cost?"
D. "Do you have other medications?"
Correct Answer: B. "What reaction did you have?"
Rationale: The reaction type distinguishes intolerance from true allergy.
, 7. Which is the best way to ask about diet?
A. "Do you eat healthy?"
B. "You don't eat junk food, right?"
C. "Why do you eat so much sugar?"
D. "Tell me what you ate yesterday from morning to night."
Correct Answer: D. "Tell me what you ate yesterday from morning to night."
Rationale: A 24-hour recall gives specific data.
8. Which belongs in the past medical history?
A. Childhood asthma diagnosis
B. Current pain rating
C. Today's blood pressure
D. Lung sounds
Correct Answer: A. Childhood asthma diagnosis
Rationale: PMH covers prior illnesses.
9. Which teaching is most important for Tina's asthma management?
A. Use albuterol only once a month
B. Stop all inhalers when well
C. Follow an asthma action plan and know when to seek emergency care
D. Avoid all exercise forever
Correct Answer: C. Follow an asthma action plan and know when to seek emergency care
Rationale: Action plans guide responses to symptoms.
10. The correct sequence for a respiratory exam is:
A. Auscultation, percussion, palpation, inspection
B. Inspection, palpation, percussion, auscultation
C. Palpation, inspection, auscultation, percussion
D. Percussion, inspection, palpation, auscultation
Correct Answer: B. Inspection, palpation, percussion, auscultation
Rationale: Abdomen is the exception to this order.
11. A grating sound heard during both inspiration and expiration that disappears when the
patient holds their breath is a:
A. Pericardial rub
B. Pleural friction rub
C. Wheeze
D. Crackle
Correct Answer: B. Pleural friction rub
Rationale: Inflamed pleura rub together.
12. Percussion over normal lung tissue produces:
A. Dullness
B. Resonance
C. Flatness
D. Tympany
Correct Answer: B. Resonance
Rationale: Air-filled lung is resonant.
with Correct Answers
50 questions
1. Approval statements like "That's the right thing to do" can be non-therapeutic because they:
A. Show empathy
B. Clarify facts
C. Imply judgment of the patient's choices
D. Are open-ended
Correct Answer: C. Imply judgment of the patient's choices
Rationale: Neutral responses encourage honesty.
2. Which behavior shows active listening?
A. Typing notes without looking up
B. Maintaining appropriate eye contact and nodding
C. Interrupting to save time
D. Looking at the clock
Correct Answer: B. Maintaining appropriate eye contact and nodding
Rationale: Nonverbal cues show attention.
3. In the Conversation Concept Lab, students practice:
A. Physical exam techniques only
B. Medication calculations
C. Empathetic communication in emotionally challenging scenarios
D. Lab interpretation
Correct Answer: C. Empathetic communication in emotionally challenging scenarios
Rationale: It focuses on communication skills.
4. Closed-ended questions are most useful for:
A. Clarifying specific details after open exploration
B. Opening the interview
C. Building rapport first
D. Exploring feelings
Correct Answer: A. Clarifying specific details after open exploration
Rationale: They pinpoint facts.
5. Which question screens for intimate partner violence appropriately?
A. "Does your partner hit you?" with partner present
B. Not asking at all
C. Asking only male patients
D. "Do you feel safe at home?" asked privately
Correct Answer: D. "Do you feel safe at home?" asked privately
Rationale: Ask privately and nonjudgmentally.
6. Tina Jones reports an allergy to penicillin. The most important follow-up question is:
A. "Who prescribed it?"
B. "What reaction did you have?"
C. "How much did it cost?"
D. "Do you have other medications?"
Correct Answer: B. "What reaction did you have?"
Rationale: The reaction type distinguishes intolerance from true allergy.
, 7. Which is the best way to ask about diet?
A. "Do you eat healthy?"
B. "You don't eat junk food, right?"
C. "Why do you eat so much sugar?"
D. "Tell me what you ate yesterday from morning to night."
Correct Answer: D. "Tell me what you ate yesterday from morning to night."
Rationale: A 24-hour recall gives specific data.
8. Which belongs in the past medical history?
A. Childhood asthma diagnosis
B. Current pain rating
C. Today's blood pressure
D. Lung sounds
Correct Answer: A. Childhood asthma diagnosis
Rationale: PMH covers prior illnesses.
9. Which teaching is most important for Tina's asthma management?
A. Use albuterol only once a month
B. Stop all inhalers when well
C. Follow an asthma action plan and know when to seek emergency care
D. Avoid all exercise forever
Correct Answer: C. Follow an asthma action plan and know when to seek emergency care
Rationale: Action plans guide responses to symptoms.
10. The correct sequence for a respiratory exam is:
A. Auscultation, percussion, palpation, inspection
B. Inspection, palpation, percussion, auscultation
C. Palpation, inspection, auscultation, percussion
D. Percussion, inspection, palpation, auscultation
Correct Answer: B. Inspection, palpation, percussion, auscultation
Rationale: Abdomen is the exception to this order.
11. A grating sound heard during both inspiration and expiration that disappears when the
patient holds their breath is a:
A. Pericardial rub
B. Pleural friction rub
C. Wheeze
D. Crackle
Correct Answer: B. Pleural friction rub
Rationale: Inflamed pleura rub together.
12. Percussion over normal lung tissue produces:
A. Dullness
B. Resonance
C. Flatness
D. Tympany
Correct Answer: B. Resonance
Rationale: Air-filled lung is resonant.
