The patient presents to the outpatient office with numerous upper respiratory tract symptoms. Which symptoms indicate that a patient probably has a sinus infection?
A) Sore throat, fever, malaise, and no drainage in the oropharynx
B) Enlarged tonsils, clear drainage in the oropharynx, and a dry, hacking cough
C) Productive cough, hoarseness, and shortness of breath
D) Pain in the upper molars, and tan or green drainage in the oropharynx
Ans: D
Feedback: The patient is likely to experience pain in the molars during a sinus infection because the roots of the molars are close to the maxillary sinuses. Green drainage in the oropharynx indicates infection whereas clear drainage does not. While a sore throat, fever, and malaise may accompany a sinus infection, these symptoms aren't specific to sinus infections and may indicate another type of upper respiratory infection. A productive cough, hoarseness, and shortness of breath indicate an infection of respiratory origin rather than a sinus infection.
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