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A 20-Year-Old Man Presented to the Emergency Department After He

Question 56

Multiple Choice

A 20-year-old man presented to the emergency department after he was hit in the eye during a street fight. He has received a direct punch to his left eye. The patient is complaining of double vision that worsens with vertical eye movements. Physical examination shows periorbital redness and exophthalmos. The vertical gaze of the left eye is disrupted. Radiological imaging shows orbital floor fracture. Which of the following features would be noticed in this patient?


A) Absent right corneal reflex
B) Bruising over the mastoid process
C) Impaired olfaction
D) Inability to puff out right cheek
E) Reduced sensation over the right upper lip

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