2026 Updated HEENT Case Study: Ms. Tina Jones | Comprehensive
Assessment & Shadow Health Guide
TINA JONES HEENT SHADOW HEALTH CASE STUDY: COMPREHENSIVE
ASSESSMENT, VERIFIED RATIONALES, AND COMPLETE STUDY GUIDE
(2026 UPDATE)
Questions 1–160
1. Tina Jones presents with a sore, itchy throat, clear nasal drainage,
and itchy eyes. Which component of the subjective data is this?
A) Review of systems
B) Chief complaint
C) Past medical history
D) Family history
Answer B: Chief complaint
Rationale: The chief complaint is the primary reason for the visit, stated in
the patient’s own words. ---
,2. When asking Tina about the onset of her symptoms, which
question is most appropriate?
A) “Do your allergies always act up in spring?”
B) “When did you first notice your throat and nose symptoms?”
C) “Have you taken any medication?”
D) “Does your family have allergies?”
Answer B: “When did you first notice your throat and nose
symptoms?”
Rationale: Onset is the first component of OLD CARTS. Open-ended
questions gather unbiased data. ---
3. Tina reports her symptoms began about one week ago. This
information belongs under which OLD CARTS component?
A) Location
B) Duration
C) Onset
D) Character
Answer C: Onset
Rationale: Onset refers to when the symptom began. ---
,4. Tina describes her nasal discharge as “clear and thin.” This is
which OLD CARTS component?
A) Onset
B) Location
C) Character
D) Severity
Answer C: Character
Rationale: Character describes the quality of the symptom. ---
5. Tina rates her throat itchiness as 5/10. This is which OLD CARTS
component?
A) Timing
B) Severity
C) Radiation
D) Aggravating factors
Answer B: Severity
Rationale: Severity is the intensity of the symptom, often rated 0–10. ---
6. Tina says her symptoms are worse when she is outdoors. This is
which OLD CARTS component?
A) Aggravating factors
B) Alleviating factors
, C) Timing
D) Location
Answer A: Aggravating factors
Rationale: Aggravating factors are things that worsen the symptom. ---
7. Tina reports that loratadine provides mild relief. This is which OLD
CARTS component?
A) Aggravating factors
B) Alleviating factors
C) Severity
D) Radiation
Answer B: Alleviating factors
Rationale: Alleviating factors are things that improve the symptom. ---
8. Tina states her symptoms are constant throughout the day. This is
which OLD CARTS component?
A) Onset
B) Timing
C) Character
D) Location
Answer B: Timing
Rationale: Timing describes when the symptom occurs or its pattern. ---
Assessment & Shadow Health Guide
TINA JONES HEENT SHADOW HEALTH CASE STUDY: COMPREHENSIVE
ASSESSMENT, VERIFIED RATIONALES, AND COMPLETE STUDY GUIDE
(2026 UPDATE)
Questions 1–160
1. Tina Jones presents with a sore, itchy throat, clear nasal drainage,
and itchy eyes. Which component of the subjective data is this?
A) Review of systems
B) Chief complaint
C) Past medical history
D) Family history
Answer B: Chief complaint
Rationale: The chief complaint is the primary reason for the visit, stated in
the patient’s own words. ---
,2. When asking Tina about the onset of her symptoms, which
question is most appropriate?
A) “Do your allergies always act up in spring?”
B) “When did you first notice your throat and nose symptoms?”
C) “Have you taken any medication?”
D) “Does your family have allergies?”
Answer B: “When did you first notice your throat and nose
symptoms?”
Rationale: Onset is the first component of OLD CARTS. Open-ended
questions gather unbiased data. ---
3. Tina reports her symptoms began about one week ago. This
information belongs under which OLD CARTS component?
A) Location
B) Duration
C) Onset
D) Character
Answer C: Onset
Rationale: Onset refers to when the symptom began. ---
,4. Tina describes her nasal discharge as “clear and thin.” This is
which OLD CARTS component?
A) Onset
B) Location
C) Character
D) Severity
Answer C: Character
Rationale: Character describes the quality of the symptom. ---
5. Tina rates her throat itchiness as 5/10. This is which OLD CARTS
component?
A) Timing
B) Severity
C) Radiation
D) Aggravating factors
Answer B: Severity
Rationale: Severity is the intensity of the symptom, often rated 0–10. ---
6. Tina says her symptoms are worse when she is outdoors. This is
which OLD CARTS component?
A) Aggravating factors
B) Alleviating factors
, C) Timing
D) Location
Answer A: Aggravating factors
Rationale: Aggravating factors are things that worsen the symptom. ---
7. Tina reports that loratadine provides mild relief. This is which OLD
CARTS component?
A) Aggravating factors
B) Alleviating factors
C) Severity
D) Radiation
Answer B: Alleviating factors
Rationale: Alleviating factors are things that improve the symptom. ---
8. Tina states her symptoms are constant throughout the day. This is
which OLD CARTS component?
A) Onset
B) Timing
C) Character
D) Location
Answer B: Timing
Rationale: Timing describes when the symptom occurs or its pattern. ---
