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i-Human Case Week 9 – 50-Year-Old Female with Fatigue
and Shortness of Breath | Full DDx & SOAP Notes
SECTION 1: HPI & CLINICAL REASONING (Q1–10)
Q1
Which HPI element is MOST critical initially?
A. Diet
B. Onset and progression of dyspnea
C. Sleep pattern
D. Exercise habits
Answer: B
Rationale: Determines acuity (acute vs chronic causes like PE vs
anemia vs HF).
Q2
Key follow-up questions:
A. Orthopnea
B. Paroxysmal nocturnal dyspnea
C. Chest pain
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