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Ophthalmology · Eyelids
Sample itemWhich finding suggests orbital cellulitis rather than preseptal cellulitis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Painful restricted eye movements
Orbital cellulitis may cause painful restricted ocular movements, proptosis, and visual impairment and requires urgent imaging and intravenous treatment.
Option by option
A. Painless lower-lid lump
Painless lump suggests chalazion.
B. Eyelid erythema without pain on movement
Simple lid erythema can remain preseptal.
C. Itchy lid margin scale
Scale suggests blepharitis.
D. Painful restricted eye movements (correct)
Correct: painful ophthalmoplegia suggests orbital involvement.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.