Shadow Health Comp Assessment
Identifying Data & Reliability
Correct answer: : -Ms. Jones
-28-year-old
-African American
-single
-religious preference
-Education
-Occupation: Smith, Stevens, Stewart, Silver & Company
-Occupational history
-woman
-presents for a pre- employment physical. -She is the primary source of the
history. -offers information freely and without contradiction.
-Mrs. Jones Reliable historian
General Survey
Correct answer: : Alert/oriented
-seated upright
, -well-nourished
-well-developed
-dressed appropriately
-good hygiene.
Reason for Visit
Correct answer: SEE HPI
history of present illness
Correct answer: : HPI: "pre-employment physical" prior to initiating
employment."
Patient Description of current overrall health: "feels healthy, is taking better
care of herself than in the past"
Medications
Correct answer: + Fluticasone propionate 110 mcg 2 puffs BID, Metformin,
850 mg PO BID, Drospirenone, ethinyl estradiol PO QD, Albuterol 90
mcg/spray MDI 1-3 puffs Q4H prn, Acetaminophen 500-1000 mg PO prn
(headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps)
-using topical antifungals, anti-itch creams, steroid topical ointments,
eye/ear/sublingual drops, Benadryl, herbs gingko/garlic/primrose.
Identifying Data & Reliability
Correct answer: : -Ms. Jones
-28-year-old
-African American
-single
-religious preference
-Education
-Occupation: Smith, Stevens, Stewart, Silver & Company
-Occupational history
-woman
-presents for a pre- employment physical. -She is the primary source of the
history. -offers information freely and without contradiction.
-Mrs. Jones Reliable historian
General Survey
Correct answer: : Alert/oriented
-seated upright
, -well-nourished
-well-developed
-dressed appropriately
-good hygiene.
Reason for Visit
Correct answer: SEE HPI
history of present illness
Correct answer: : HPI: "pre-employment physical" prior to initiating
employment."
Patient Description of current overrall health: "feels healthy, is taking better
care of herself than in the past"
Medications
Correct answer: + Fluticasone propionate 110 mcg 2 puffs BID, Metformin,
850 mg PO BID, Drospirenone, ethinyl estradiol PO QD, Albuterol 90
mcg/spray MDI 1-3 puffs Q4H prn, Acetaminophen 500-1000 mg PO prn
(headaches), Ibuprofen 600 mg PO TID prn (menstrual cramps)
-using topical antifungals, anti-itch creams, steroid topical ointments,
eye/ear/sublingual drops, Benadryl, herbs gingko/garlic/primrose.
