Shadow Health HEENT Tina Jones Actual
Exam 2026/2027 – Complete Exam-Style
Questions with Detailed Rationales | 100%
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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."
✅ 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
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as 4/10 and throat itchiness as 5/10. This differs from the
comprehensive assessment where her chief complaint is the
infected foot wound.
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.
✅ 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
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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
✅ 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.
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Q4. What relevant family history does Tina disclose during the
HEENT assessment?
A) Her mother has seasonal allergies with allergic rhinitis.
B) Her sister has hypertension.
C) Her father has diabetes.
D) Her brother has asthma.
✅ Answer: A
Rationale: The absence of fever and purulent discharge makes
bacterial infection less likely. Her mother’s history of seasonal
allergies and allergic rhinitis suggests a genetic predisposition to
atopic conditions such as allergic rhinitis, which aligns with Tina’s
presenting symptoms.
Q5. What additional symptom would suggest a bacterial rather
than allergic etiology for sinus congestion?