Question: A 12 year old is brought to the emergency department as the unrestrained passenger in a high speed MVA. She exhibits multiple fractures in upper and lower extremities. She is intubated for a possible intracranial hemorrhage. Evaluation reveals proptosis of the right globe with periorbital ecchymosis and bony step offs. Which of the following tests would be most useful in ruling out retrobulbar hematoma?

a) Forced duction test

b) Hertel exophthalmometry

c) Swinging flashlight test

d) Tonometry

[Answer will be posted with next week's new question]

Answer to last week's question, “Associations” (November 23, 2020)

C - Absent bone plate between IAC and cochlea.