Orbital Inflammation and Infection
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Questions and Answers

Which condition is characterized by painful ophthalmoplegia and optic nerve dysfunction?

  • Rhino-orbital mucormycosis (correct)
  • Orbital abscess
  • Idiopathic orbital inflammatory disease
  • Orbital myositis

What is the recommended treatment for idiopathic orbital inflammatory disease?

  • Local surgical excision of devitalized tissue
  • Systemic steroids and radiotherapy (correct)
  • Surgical excision of devitalized tissue
  • Observation in mild diseases

Which condition presents with abrupt painful onset of unilateral periorbital swelling, redness, and pain?

  • Wegner granulomatosis (correct)
  • Orbital abscess
  • Rhino-orbital mucormycosis
  • Orbital myositis

What is the pathogenesis of rhino-orbital mucormycosis?

<p>Infection caused by spores inhalation and spread into sinuses (C)</p> Signup and view all the answers

What is a characteristic clinical sign of orbital myositis?

<p>Acute pain exacerbated by eye movement (C)</p> Signup and view all the answers

Which investigation is used to diagnose Wegner granulomatosis?

<p>Antineutrophilic cytoplasmic antibody (ANCA) (B)</p> Signup and view all the answers

What is a potential complication of orbital abscess?

<p>Endophthalmitis (D)</p> Signup and view all the answers

What is the recommended systemic antibiotic therapy for rhino-orbital mucormycosis?

<p>I.M. ceftazidime &amp; I.V. vancomycin (D)</p> Signup and view all the answers

What is the most common age group affected by idiopathic orbital inflammatory disease?

<p>Adults between 20-50 years old (C)</p> Signup and view all the answers

What is the main intervention for orbital myositis in mild cases?

<p>Observation (B)</p> Signup and view all the answers

Which type of infection is characterized by unilateral tender red peri-orbital edema, but no proptosis, chemosis, and normal visual acuity?

<p>Pre-septal Cellulitis (D)</p> Signup and view all the answers

Which type of infection is considered a life-threatening infection of the soft tissue behind the orbital septum?

<p>Bacterial Orbital Cellulitis (B)</p> Signup and view all the answers

What is the route of infection for bacterial orbital cellulitis in children, especially in relation to sinuses?

<p>Commonly ethmoiditis (C)</p> Signup and view all the answers

Which type of infection presents with severe malaise, fever, and visual impairment along with unilateral tender, warm & red eyelid edema?

<p>Bacterial Orbital Cellulitis (A)</p> Signup and view all the answers

What is the main cause of pre-septal cellulitis according to the text?

<p>Skin trauma by S. aureus &amp; S. pyogenes (B)</p> Signup and view all the answers

What is the recommended treatment for pre-septal cellulitis mentioned in the text?

<p>Systemic antibiotic (oral co-amoxacilin 250 mg/6 h &amp; I.M. benzylpenicillin 4 mg) (D)</p> Signup and view all the answers

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