FRCS (OMFS) Section 1 SBA Practice Questions - Intercollegiate Specialty Fellowship Examination In Oral & Maxillofacial Surgery - Section 1 Exam

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Which clinical finding most strongly suggests an orbital floor blow-out fracture requiring urgent review for muscle entrapment in a child?

Periorbital ecchymosis alone Isolated epistaxis Vertical diplopia with restricted upgaze and nausea/bradycardia (oculocardiac reflex) Numbness of the upper lip without diplopia

Correct Answer:

Vertical diplopia with restricted upgaze and nausea/bradycardia (oculocardiac reflex)

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