A 16-Year-Old Boy Is Brought to the Emergency Department After

question 233

Multiple Choice

A 16-year-old boy is brought to the emergency department after an eye injury during a baseball game.  He was batting for his high school team when the opposing pitcher made a wild throw and the baseball hit him in the right eye.  The patient has since been having diplopia that worsens when he looks up.  On physical examination, he has mild periorbital ecchymosis, enophthalmos, and limited vertical movement of the right eye.  Visual acuity and left eye examination are normal.  CT scan of the head reveals an orbital floor fracture.  Which of the following additional findings is most likely to be seen in this patient?

• A)Absent right corneal reflex
• B)Bruising over the mastoid process
• C)Impaired olfaction
• D)Inability to puff out right cheek
• E)Reduced sensation over right upper lip

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Definitions:

BTU

British Thermal Unit, a measure of heat energy used in the power, steam generation, heating, and air conditioning industries.

British Thermal Unit

A measure of heat energy defined as the amount needed to raise the temperature of one pound of water by one degree Fahrenheit.

Curvilinear

Describing a line or relationship that forms a curved shape, not straight or linear, often used in statistics to describe relationships between variables.

Colorectal Screening

Medical procedures aimed at detecting colorectal cancer and precancerous conditions early, when treatment is most likely to be effective.