CASE STUDY WITH CORRECT ANSWERS AND CLINICAL RATIONALES ||
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History of Present Illness (HPI)
1. What is the primary reason Caleb Metz is seeking care today?
A. Sore throat
B. Fever and chills
C. Shortness of breath and cough
D. Chest pain
2. How long has Caleb been experiencing his current symptoms?
A. 12 hours
B. 2 days
C. 1 week
D. 2 weeks
3. What best describes Caleb's cough?
A. Dry and hacking
B. Productive with yellow-green sputum
C. Productive with clear sputum
D. Associated with wheezing only
,4. A key associated symptom Caleb reports is:
A. Night sweats
B. Pleuritic chest pain
C. Heart palpitations
D. Numbness in his arms
5. Caleb's chest pain is most accurately described as:
A. A constant, pressure-like sensation
B. Sharp and worse when taking a deep breath
C. Burning and related to meals
D. None of the above
6. What vital sign abnormality is most likely present based on his
symptoms?
A. Bradycardia
B. Tachypnea
C. Hypotension
D. Hypothermia
7. Which question is most critical to ask regarding his sputum?
A. "Is it foul-smelling?"
B. "Can you estimate how much you produce per day?"
, C. "What color is it?"
D. "Does it have any blood in it?"
8. A positive review of systems finding would likely include:
A. Joint swelling
B. Recent unintentional weight loss
C. Malaise and fatigue
D. Skin rash
Past Medical, Social, and Family History (PMH, SH, FH)
9. What is the most significant finding in Caleb's past medical history?
A. Hypertension
B. Type 2 Diabetes Mellitus
C. Asthma
D. Previous myocardial infarction
10.Caleb's social history is significant for:
A. Current tobacco use
B. Intravenous drug use
C. Heavy alcohol use
D. No significant history