CLASS 6512 PATIENT PASSED OUT REASON
FOR ENCOUNTER TEST PAPER 2026
DETAILED QUESTIONS GRADED A+
⩥ Hypothyroidism. Answer: Cindy is a 29-year-old female who presents
to the ER complaining of feeling weak, tired with joint and muscle pain.
She reports feeling "cold all the time" and a 30 lb. weight gain in the last
8 months. Patients states that she has been experiencing recurrent
headaches, mild constipation and a lack of a menstrual period. A
pregnancy test was determined to be negative. The physician noted that
her voice was hoarse and her hand and face were puffy with dry and
flaky skin. Blood test revealed high levels of TSH.
⩥ Ruptured Spleen. Answer: Jeremy is a 29-year-old male professional
athlete who presents to the ER following an injury during a football
game. The patient reports taking an aggressive tackle when the lineman
took him down by wrapping around his waist. The patient did not
immediately feel any symptoms other than the "normal pain of being
tackled" however later began to have abdominal tenderness. Team
doctors began to be concerned when the patient began experiencing
light-headedness, confusion and blurred vision. The patient was
experiencing "violent pain" in the left shoulder and an ultrasound
revealed blood in the abdomen.
⩥ Ringworm. Answer: Tim is a 11-year-old male who is brought to the
ER after his mother noticed an odd rash-like marking on his arm. The
, marking is a scaly, 2-inch diameter circle-shaped area that appears to
have some inflammation. The patient reports that the area is "very
itchy", but has no other signs or symptoms. A small scraping of the skin
is sent to the lab for analysis and the results show the presence of fungi.
⩥ Anaphylaxis. Answer: Elizabeth is a 14-year-old female who is
brought to the ER by her mother after patient was stung by an unknown
insect on her right arm while hiking in the woods. The area of the sting
appears to be red and swollen with hives spreading to the neck and
trunk. Patient is having difficulty talking due to swelling of the tongue
and is beginning to wheeze. Patient states she is feeling "faint" and
"lightheaded." Vitals signs reveal tachycardia and hypotension.
⩥ Munchausen by Proxy. Answer: Shelby is a 11-year-old female who
was brought to the hospital by her mother with concerns that her
daughter has a brain tumor. The mother claims that the patient has been
in intense pain and has already been diagnosed with cancer with a
prognosis of only a few more months to live. Upon investigation, no
records were found of the child being diagnosed, despite multiple doctor
and ER visits resulting in no major illnesses or diseases found. After
being separated from her mother, the patient denies any pain and is
hesitant to answer most questions.
⩥ Osteoarthritis. Answer: Ellen is an obese 70-year-old female who
presents to the ER because she states "my doctor can't see me for
another 3 weeks and I'm tired of hurting." Patient reports that she has
been experiencing bilateral knee pain that becomes "worse when it
FOR ENCOUNTER TEST PAPER 2026
DETAILED QUESTIONS GRADED A+
⩥ Hypothyroidism. Answer: Cindy is a 29-year-old female who presents
to the ER complaining of feeling weak, tired with joint and muscle pain.
She reports feeling "cold all the time" and a 30 lb. weight gain in the last
8 months. Patients states that she has been experiencing recurrent
headaches, mild constipation and a lack of a menstrual period. A
pregnancy test was determined to be negative. The physician noted that
her voice was hoarse and her hand and face were puffy with dry and
flaky skin. Blood test revealed high levels of TSH.
⩥ Ruptured Spleen. Answer: Jeremy is a 29-year-old male professional
athlete who presents to the ER following an injury during a football
game. The patient reports taking an aggressive tackle when the lineman
took him down by wrapping around his waist. The patient did not
immediately feel any symptoms other than the "normal pain of being
tackled" however later began to have abdominal tenderness. Team
doctors began to be concerned when the patient began experiencing
light-headedness, confusion and blurred vision. The patient was
experiencing "violent pain" in the left shoulder and an ultrasound
revealed blood in the abdomen.
⩥ Ringworm. Answer: Tim is a 11-year-old male who is brought to the
ER after his mother noticed an odd rash-like marking on his arm. The
, marking is a scaly, 2-inch diameter circle-shaped area that appears to
have some inflammation. The patient reports that the area is "very
itchy", but has no other signs or symptoms. A small scraping of the skin
is sent to the lab for analysis and the results show the presence of fungi.
⩥ Anaphylaxis. Answer: Elizabeth is a 14-year-old female who is
brought to the ER by her mother after patient was stung by an unknown
insect on her right arm while hiking in the woods. The area of the sting
appears to be red and swollen with hives spreading to the neck and
trunk. Patient is having difficulty talking due to swelling of the tongue
and is beginning to wheeze. Patient states she is feeling "faint" and
"lightheaded." Vitals signs reveal tachycardia and hypotension.
⩥ Munchausen by Proxy. Answer: Shelby is a 11-year-old female who
was brought to the hospital by her mother with concerns that her
daughter has a brain tumor. The mother claims that the patient has been
in intense pain and has already been diagnosed with cancer with a
prognosis of only a few more months to live. Upon investigation, no
records were found of the child being diagnosed, despite multiple doctor
and ER visits resulting in no major illnesses or diseases found. After
being separated from her mother, the patient denies any pain and is
hesitant to answer most questions.
⩥ Osteoarthritis. Answer: Ellen is an obese 70-year-old female who
presents to the ER because she states "my doctor can't see me for
another 3 weeks and I'm tired of hurting." Patient reports that she has
been experiencing bilateral knee pain that becomes "worse when it
