SHADOW HEALTH – ANXIETY EXAM
QUESTIONS AND VERIFIED DETAILED
ANSWERS GRADED A+ (NEWEST
VERSION)
QUESTIONS AND ANSWERS
Chief Complaint. ANSWER -Mr. Larsen is a 48-year-old White man who presented to the
ED at 6 AM with a perceived cardiac complaint; he reports being exhausted, scared and
unable to relax from last night.
History of Present Illness. ANSWER -Hx of HTN, hyperlipidemia, and osteoarthritis,
presented in the ED this morning with complaints of exhaustion, anxiety, terror, and
tachycardia which started last night 3 AM. Patient reports that the worry has been around
since he was diagnosed with HTN (a year ago), but becomes worse last night. He states
that he feels like he is choking, his body is sweating, shivering and he has been unable to
control his fear since 3 AM.
He says that he is scared about everything, especially his hypertension; he tried to take a
deep breath several times to feel calm but did not work. He states that he came to the ED
because he thought he was having a heart attack from his hypertension. He says that the
anxiety causes him to skip work, prevents social interaction and that it affects his
concentration and sleeping patterns. He denies any chest pain, fever, mood changes, or
suicidal thoughts.
Allergies. ANSWER -Codeine
Past Medical History. ANSWER -HTN since age 47
Osteoarthritis since age 46
Hyperlipidemia since age 45
Past Surgical History. ANSWER -Total knee replacement at age 48.
Medication History. ANSWER -Atorvastatin 20 mg P.O. daily for high cholesterol. Last
dose: yesterday
QUESTIONS AND VERIFIED DETAILED
ANSWERS GRADED A+ (NEWEST
VERSION)
QUESTIONS AND ANSWERS
Chief Complaint. ANSWER -Mr. Larsen is a 48-year-old White man who presented to the
ED at 6 AM with a perceived cardiac complaint; he reports being exhausted, scared and
unable to relax from last night.
History of Present Illness. ANSWER -Hx of HTN, hyperlipidemia, and osteoarthritis,
presented in the ED this morning with complaints of exhaustion, anxiety, terror, and
tachycardia which started last night 3 AM. Patient reports that the worry has been around
since he was diagnosed with HTN (a year ago), but becomes worse last night. He states
that he feels like he is choking, his body is sweating, shivering and he has been unable to
control his fear since 3 AM.
He says that he is scared about everything, especially his hypertension; he tried to take a
deep breath several times to feel calm but did not work. He states that he came to the ED
because he thought he was having a heart attack from his hypertension. He says that the
anxiety causes him to skip work, prevents social interaction and that it affects his
concentration and sleeping patterns. He denies any chest pain, fever, mood changes, or
suicidal thoughts.
Allergies. ANSWER -Codeine
Past Medical History. ANSWER -HTN since age 47
Osteoarthritis since age 46
Hyperlipidemia since age 45
Past Surgical History. ANSWER -Total knee replacement at age 48.
Medication History. ANSWER -Atorvastatin 20 mg P.O. daily for high cholesterol. Last
dose: yesterday
