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ENT · Sinuses: frontal mucocele
Sample itemA 50-year-old has a painless slowly enlarging swelling in the upper inner angle of the orbit that displaces the eye downwards and outwards. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Frontoethmoidal mucocele
Mucoceles are expansile cystic lesions from obstructed sinus ostia. A frontoethmoidal mucocele displaces the globe downward and outward. Treatment is endoscopic marsupialisation.
Option by option
A. Dacryocystitis
Dacryocystitis causes a swelling below the medial canthus.
B. Sphenoid mucocele
A sphenoid mucocele presents with visual or cranial nerve signs.
C. Orbital dermoid
An orbital dermoid is congenital and typically presents in childhood.
D. Frontoethmoidal mucocele (correct)
Correct. A mucocele displaces the globe down and out.
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.
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