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Ophthalmology · Trauma
Sample itemWhat finding suggests an orbital blowout fracture?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Diplopia with restricted upward gaze after trauma
Orbital floor fracture can trap inferior rectus or orbital tissue, causing diplopia and limited upgaze after blunt trauma.
Option by option
A. Central scotoma with pain on movement
Painful central scotoma suggests optic neuritis.
B. Painless gradual blur with glare
Glare suggests cataract.
C. Diplopia with restricted upward gaze after trauma (correct)
Correct: restricted upgaze suggests muscle entrapment.
D. Itchy eyes and watery discharge
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.