TINA JONES SHADOW HEALTH PRACTICE TEST EXAM 2023/2024

TINA JONES SHADOW HEALTH PRACTICE TEST EXAM 2023/2024 Chief Complaint - CORRECT ANSWERScrape on foot. It is infected and causing pain(7 out of 10). - CORRECT ANSWERRight foot pain, fever, nausea - CORRECT ANSWERHistory of Present Illness - CORRECT ANSWERA week ago the scrape startedand the pain got a lot worse in last few days. - CORRECT ANSWERMs. Jones is a pleasant 28-year-old African American woman who presented to the emergency department for evaluation of a right foot injury and was admitted for IV antibiotics. She is a good historian. She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. The injury occurred about one week ago. Her pain has worsened, and the swelling has persisted. She tried ibuprofen, but it didn't work well. The foot feels better when she rests, and it hurts more when she walks on it. Her pain is a 9 when she tries to ambulate. She took her temperature at home and reports it was 102. She has not been eating much and has been staying in bed the last few days, per patient report. The scrape is red and swollen with exudate and has no odor; she reports the swelling and exudate started two days ago. She reports diarrhea overnight. Pain improved with oxycodone. Stomach upset. - CORRECT ANSWERPain Assessment - CORRECT ANSWER6/7 out of 10 - CORRECT ANSWERPain is rated as 7. Pain is localized to ball of foot related to wound. Dull and constant ache. Patient has tried ibuprofen, but reports it does not work well. Patient states there is relief when foot is elevated, not walking on it. Patient answers questions clearly and consistently. Offers information without hesitation. Vital signs are within range. - CORRECT ANSWERAllergies - CORRECT ANSWERAllergic to penicillin, and also allergic to cats. - CORRECT ANSWER- • Penicillin: rash - CORRECT ANSWER- • Cats: wheezing, itchy watery eyes, sneezing, asthma exacerbation - CORRECT ANSWER- • No food allergies - CORRECT ANSWER- • Not allergic to latex - CORRECT ANSWERImmunizations - CORRECT ANSWERSeasonal flu vaccine is not completed yet. - CORRECT ANSWERAll other vaccines are given. - CORRECT ANSWERUp-to-date, tetanus booster within the last year. - CORRECT ANSWERMedications - CORRECT ANSWERRegular advil. - CORRECT ANSWER- • Albuterol 90 mcg/spray MDI, 2 puffs, as needed for wheezing - CORRECT ANSWER- • Acetaminophen 500 mg tabs by mouth, 1 - 2, as needed for pain or headache - CORRECT ANSWER- • Ibuprofen 200 mg tabs by mouth, 3 - 4, three times a day, as needed for cramps - CORRECT ANSWERMedical History - CORRECT ANSWERAsthma, Diabetes. - CORRECT ANSWERAsthma diagnosed at age 2 1/2. She uses her albuterol inhaler when she is around cats. She rarely uses her inhaler. She was exposed to cats a few days ago and had to use her inhaler once; she reports having to use three puffs instead of the prescribed two. She was last hospitalized for asthma in high school. Never intubated. Type 2 diabetes, diagnosed at age 24. She used to take metformin but stopped taking it due to gastrointestinal problems. She doesn't monitor her blood sugar. She was last seen by a primary care doctor a few years ago. Her last dental exam was over two years ago. Last eye exam was in childhood. - CORRECT ANSWERSurgical History - CORRECT ANSWERNo surgeries. - CORRECT ANSWERNo surgeries - CORRECT ANSWER- Previous Hospitalizations - CORRECT ANSWERNo hospital visit. - CORRECT ANSWERLast hospitalized for asthma exacerbation in high school. - CORRECT ANSWERGynecological History - CORRECT ANSWERBad periods. - CORRECT ANSWERNot sexually active, first sexual activity at age 18, never pregnant, last Pap smear more than four years ago, tested for STIs at age 22, denies STI symptoms. From age 23 to age 26 took oral contraceptives as only source of birth control, no condom use. Reports heavy, irregular periods, abnormal hair growth, and acne during teenage years, and since stopping oral contraceptives 18 months ago. - CORRECT ANSWERFamily History (3 generations) - CORRECT ANSWERHigh BP and high cholesterolon both sides and diabetes. - CORRECT ANSWERGrandpa jones had colon cancer. - CORRECT ANSWER- • Father: died at age 58 in a car accident, history of hypertension, high cholesterol, and type 2 diabetes - CORRECT ANSWER- • Mother: hypertension, high cholesterol - CORRECT ANSWER- • Brother: healthy - CORRECT ANSWER- • Sister: asthma - CORRECT ANSWER- • Maternal grandmother: died at age 73 of a stroke, history of hypertension, high cholesterol - CORRECT ANSWER- • Maternal grandfather: died at age 78 of a suspected myocardial infarction, history of hypertension, high cholesterol - CORRECT ANSWER- • Paternal grandmother: still living, age 82, hypertension - CORRECT ANSWER- • Paternal grandfather: died at age 65 of colon cancer, history of type 2 diabetes -