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ENT · Sinuses
Sample itemWhich symptom is a red flag for orbital complication of sinusitis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Painful eye movement with reduced vision
Painful ophthalmoplegia, proptosis, reduced acuity, or colour-vision loss can indicate orbital cellulitis or abscess from sinusitis and require urgent imaging.
Option by option
A. Clear rhinorrhoea only
Clear rhinorrhoea alone is not orbital disease.
B. Painful eye movement with reduced vision (correct)
Correct: visual or ocular-movement signs are orbital red flags.
C. Isolated ear fullness
Ear fullness is nonspecific.
D. Mild itch after dust exposure
Itch suggests allergy.
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.