Exam 2026/2027 Complete Study Guide with
100% Verified Questions & Detailed Rationales |
A+ Graded
This comprehensive guide covers the complete Shadow Health
HEENT Tina Jones simulation for the 2026/2027 academic year.
All questions and answers are verified against the actual exam and
clinical best practices .
Part 1: Patient Background & Chief Complaint
Patient Background: Tina Jones is a 28-year-old African
American female admitted to Shadow General Hospital for a
painful infected foot wound. In the HEENT-focused assessment,
she presents with additional symptoms including sore throat,
runny nose, and itchy eyes that began approximately one week
ago .
Q1. What is Tina Jones' chief complaint during the HEENT-
focused encounter?
A) "My foot is hurting and swollen."
B) "I have a sore throat, runny nose, and itchy eyes."
C) "I am having trouble breathing and wheezing."
D) "I feel dizzy and have a headache."
✅ Correct Answer: B
Rationale: In the HEENT-focused assessment, Tina presents with a
sore throat, clear nasal discharge, and itchy/watery eyes that
,began approximately one week ago. She rates her throat pain
as 4/10 and throat itchiness as 5/10. This differs from the
comprehensive assessment where her chief complaint is the
infected foot wound .
Part 2: Subjective Data Collection (HEENT
Symptoms)
Q2. How does Tina describe the onset and nature of her
HEENT symptoms?
A) The symptoms came on suddenly after exposure to a cat
B) The symptoms started spontaneously and have been
constant
C) The symptoms come and go throughout the day
D) The symptoms only occur at night when lying down
✅ Correct Answer: B
Rationale: Tina reports that her symptoms (sore throat, runny
nose, itchy eyes) started spontaneously and have been constant in
nature over the past week. She does not note specific aggravating
factors but mentions that her throat pain seems to be worse in
the morning .
Q3. What treatment has Tina attempted for her throat pain?
,A) Prescription antibiotics
B) Over-the-counter antihistamines
C) Occasional throat lozenges
D) Warm salt water gargles
✅ Correct Answer: C
Rationale: Tina states that she has treated her throat pain
with occasional throat lozenges, which have "helped a little." She
has not attempted any treatment for her nasal symptoms or her
itchy eyes .
Q4. What relevant family history does Tina disclose during
the HEENT assessment?
A) Her mother has seasonal allergies
B) Her sister has "hay fever" (seasonal allergies)
C) Her father had asthma
D) Her grandmother had sinus problems
✅ Correct Answer: B
Rationale: During the HEENT interview, Tina mentions that
her sister has "hay fever" (seasonal allergies). This family history
is clinically relevant as it suggests a possible genetic
predisposition to allergic conditions .
, Q5. Which of the following symptoms does Tina DENY
experiencing?
A) Clear nasal drainage
B) Itchy eyes
C) Fever
D) Sore throat
✅ Correct Answer: C
Rationale: Tina reports a sore throat, clear nasal drainage, and
itchy eyes but denies fever. This is significant because fever
would suggest an infectious etiology rather than allergic rhinitis .
Q6. The combination of itchy/watery eyes, clear nasal
discharge, and sore throat with no fever is most consistent
with:
A) Bacterial sinusitis
B) Allergic rhinitis
C) Influenza
D) Strep pharyngitis
✅ Correct Answer: B
Rationale: The presentation of itchy/watery eyes, clear nasal
discharge, sore/itchy throat with no fever, combined with a family
history of hay fever, is most consistent with allergic rhinitis. The
absence of fever and purulent discharge makes bacterial infection
less likely .