skip to main content

Orbital cellulitis — ABEM Board MCQ

Instant feedback + full explanation. One question, done properly.

ModerateHead/Neck/ENT/Ophthalmology emergenciesOrbital cellulitisABEM Board

A 7-year-old boy arrives with fever and swollen left eye after sinusitis. Triage acuity is ESI 2; T 102.2 F, HR 128/min. He has proptosis, pain with eye movement, impaired upward gaze, and decreased visual acuity. The eyelids are erythematous. Which of the following is the most appropriate next step in management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Start IV antibiotics and obtain CT orbits and sinuses with contrast

Orbital cellulitis with proptosis, ophthalmoplegia, pain with eye movement, and visual change requires imaging, IV antibiotics, and specialty consultation.

Reference: IDSA sinus/orbital infection guidance