Pharmacology Exam (48 Questions) – Unguided Intermediate Patient Case | Shadow Health | 2025/2026 | Pain, Medications, Side Effects

This expertly prepared document features 48 clinically accurate, answered questions from the Shadow Health Unguided Intermediate Patient Case for Pharmacology, tailored for the 2025/2026 academic year. It provides a full subjective assessment of a virtual patient presenting with flank pain, urinary symptoms, and underlying chronic conditions, offering essential preparation for nursing and pharmacology students in simulation-based training. Topics covered include: Chief complaint (pain, hematuria, urinary frequency) History of present illness (onset, duration, pain location and severity, urinary frequency and discomfort) Comprehensive medication review, including: Warfarin for atrial fibrillation Verapamil for rate control Hyzaar (losartan + hydrochlorothiazide) for hypertension Tums for occasional heartburn Medication adherence and dosing schedules, with confirmation of absence of side effects Adverse effects monitoring, focusing on hydromorphone (assessed across neurological, respiratory, gastrointestinal, dermatologic, and EENT systems) Medical history (hypertension, CKD stage 2, atrial fibrillation) Social history and ADLs (no substance use, fully independent) Sleep, fatigue, nutrition, hydration, urinary habits, and elder safety The case includes patient orientation, assessment of current fluid intake and nutrition, urinary comfort, and reactions to newly prescribed medications (hydromorphone and tamsulosin). It uses a clinical documentation style aligned with real-world patient interviewing and SOAP note formatting. Ideal for students and educators in: Pharmacology and Pathophysiology courses Nursing programs (ADN, BSN, MSN) Nurse practitioner (NP) and Physician Assistant (PA) training Allied health programs using Shadow Health simulations Recommended for: Students seeking mastery in patient medication assessment Exam prep for simulations or OSCEs Clinical educators and tutors developing pharmacology case-based scenarios Keywords: pharmacology assessment, shadow health patient case, subjective exam, medication review, warfarin, verapamil, Hyzaar, hydromorphone side effects, urinary symptoms, CKD, atrial fibrillation, pain management, medication adherence, virtual simulation