CSP MCQs COLLECTION

1. SNHL caused by:

A. Viral infection
B. Trauma
C. Congenital
D. Vascular
E. noise induced hearing loss
F. presbyacusis
2. Retropharyngeal abscess in
adult
A. Swelling at posterior
pharyngeal wall in adult
B. Swelling at posterior
pharyngeal wall in pediatric
patient
C. In infant due to spinal TB
D. Incision through mouth for
operation
E. acute unilateral swelling in
adult
F. chonic unilateral swelling in
infant
3. Causes of hoarseness of voice
A. Bilateral vocal cord palsy
B. Arytenoid tumour
C. Cretinism
4. Congenital causes of stridor
A. Vocal cord nodule
B. Laryngeal web
C.
D.
E. Lymphangioma
5. In OME
A. secondary to AOM
B. Mucoid/serous fluid
C. In adult, if not preceding AOM
means alarming
D.
E. Signs of inflammation
6. Corneal transplant consent.17
yo boy organ donor passed
away, He already give consent.
But mother refused
A. Respect mother decision
B. Get comply from mother
because alredi consent fom
donor
C. Get courts order
D. Explain to mother
E. Retrieve the eye for next
patient
7. Fungus Ulcer (Farmer Eye)clinical scenario: Farmer with
acute red eye
A. Give amphotericin B
B. Assure patient that he will get
well in 1 weeks
C. give steroid drop
8. Signs of keratoconus
A. Murrays sign
B. Munson
sign
C.
Sign
D. Opacity of cornea
E. Thinning of cornea at limbus
F. len thinning

9. Visual field defect

A. Lesion at optic tracts:
homonymous hemianopia
B. Lesion at optic radiation:
C. Lesion at optic chiasm
10. Antagonist and synergist
muscles of eye
A. SO versus IO
B. SR versus IR
C. SO versus SR
D. MR versus LR
E. IO n IR
11. Patient with meiosis
A. Give steroids
B. Give mydriatics drugs
12. Essential principle of ethics
A. Autonomy
B. Benefiscence
C. Justice
D. confidentiality
E. Tolerance
F. maldeficence
13. Mechanical ventilation
A. Continous mechanical
ventilation for conscious patient
B. Syncronous mechanical
ventilation allowed spontaneous
breathing
C. Respiratory failure type 2 is
indication
D. Severe pneumonia is
contraindications
14. Halothane
A. Causes sensitization of cardiac
cells to release histamine
B. Non-flammable at room
temperature
C. Pungent smell
D. Don give with epinephrine
E. Liver- toxicity
15. Propofol
A. No analgesic effect
B. Causes cardiac depression
C. Use as IV induction agent and
TIVA
D. Cause arterial hypotension
16. Brain death test
A. Oculocephalic reflex
B. Oropharyngeal reflex
C. vestibular ocular
D. Weber Test
***refer Dr Lilys note
17. Allergic rhinitis
A. Give oral steroids
B. Usually associate with polyp,
adenoids
C. Surgical treatment
D. Associate with turbinate
hypertrophy

secure and protect the patients

airway.
C. Must give adrenaline in
cardiac arrest
D. Immediate BLS prolongs VF
and delays the progression to
asytole.
***read dr KKYs CPR note!!
19. Intraoperative monitoring
include
A. BP
B. CVP
C. Pulmonary artery catheter
D. ECG
E. Capnogram
20. Patient with enlarged optic
disc
A. Do CT scan
B. Do autoimmune investigations
C. Take full history
21. Pre-requisite before otoscopy
A. Suction of ear wax
B. Use the smallest ear
speculum
22. In CSOM
A. Present of blood stained
discharge is due to granulation
tissue
B. There will be hearing loss
C. A scanty foul smelling
discharge is due to deep seated
infection
24. ASA classification
-scenarion given with ASA
classification (E- emergency)
25. Causes of septal hematoma
26. congenital of upper airway
obstruction
A. laryngeal web
B. bilateral vocal palsy
C. vocal nodule
D. laryngeal hemagioma
27. HOARSENESS OF VOICE that
can presented with STRIDOR
28. FACIAL NERVE PALSY
A. commonly come with
tubotympanic CSOM
B. commonly come with
atticoantral CSOM
29. OCCULAR INJURY
A. refer neuro surgery
B. immediate sent to eye OT
C. check skull Xray
D. attend to other more serious
injury
E. Enteration (??) of eyeball
30. Glaucoma

18. BLS/ALS
A. Defibrillator advisable for
VF/VT
B. Laryngeal mask airway LMA is
gold standard technique to

31. Cataract risk factor

A. microwave radiation
B. smoking

C. certain drugs name-refer Dr

Lees note
32. Anterior Uveitis-right eye
A. must check right eye miosis
B. compare pupil colour
C. can gv steroid

8) Secondary otitis media in

children
a) most common in pre-school
child
b) hearing loss is a presenting
symptom
c) tympanometry sholws flat
curve or negative pressure
9) Otologic causes of facial palsy
a) Bells palsy
b) Ramsay Hunt syndrome
c) Complicated mastoiditis
d) Facial hemispasm

1) Septal hematoma
a) usually caused by trauma
b) usually with fracture
c) incision at the base of
septum
2) Rhinitis medicamentosa
a) caused by nasal
decongestant
b) caused by steroid
c) unilateral nasal discharge
d) associated with allergic
rhinitis
e) caused by malignancy of
the nose
3) Retropharyngeal abscess in
infant
a) odontogenic cause
b) midline swelling
c) dysphagia and dribbling
d) conservative treatment
with antibiotic
e) incision through the mouth
4) Non-specific chronic
pharyngitis
a) caused by chronic
bronchitis
b) caused by smoking
c) associated with lymphoid
swelling
d) caused by GERD
5) Causes of hoarseness with
odynophagia
a) epiglotitis
b) GERD
c) tuberculosis laryngitis
d) glottis carcinoma
e) vocal cord palsy
6) Objective audiogram
a) Tympanogram
b) Pure tone audiometry
c) Speech audiometry
d) Brainstem evoked potential
e) Otology evoked potential
7) Acute otitis media
a) discharge of blood and pus
b) big central perforation and
thin mucous membrane
c) congested with bulging
tympanic membrane
d) loss of landmark of TM

10) Mechanical ventilation

a) Spontaneous intermittent
mechanical ventilation
b) controlled mechanical
ventilation
11) 50 years old lady,
hypermetropic, presented with
red eyes for 2 days
a) check visual acuity
b) ask sexual history
c) ask for past
ophthalmology history
d) past trauma history
12) 50 years old lady told to
have chronic glaucoma
a) confrontation normal can
exclude glaucoma
b) dilate pupil for fundoscopy
c) if cupping, give antiglaucoma drug
d) reassure patient if IOP
normal
e) give analgesia
13) 16 years old with mydriasis
a) patch the eye
b) dilate the eye for
fundoscopy
c) anterior chamber washout
d) can be caused by trauma
14) A 65 years old lady with left
white eye pupil. You would:
a) dilate the left eye to look
for cupping
b) B scan to rule out
retinopathy
c) extra capsular cataract
extraction is one of the options
d) laser therapy
15) A man has been seeing
floaters in the left eye for the
past 2 days.
a) slightly worried if he is
myopic
b) anterior chamber wash
should be performed
c) look for tobacco dust in
vitreous
d) refract the left eye
e) pad the left eye until
floaters disappear
16) Causes of anterior uveitis
a) Stills disease

b) Behcets disease
c) Sturge-Weber-Dimistris
syndrome
d) Marfans syndrome
e) Reiters syndrome
17) Keratoconus
a) use hard lens
b) check for atopic history
c) refract the eye
d) has diplopia
18) Squint
a) check for amblyopia
b) check eye muscle
movement
c) Hirschberg test
d) patch either eye
19) Lid swelling
a) do incision and drainage
b) botox injection
c) give systemic antibiotic
d) steroid drops
20) 17 years old boy who is a
cornea donor passed away. His
mother refused to donate his
eyes. What would you do?
a) respect mothers decision
b) retrieve on courts order
c) retrieve for next patient
d) explain to mother
21) A man was sent to A&E with
periorbital injury. What would
you do?
a) check for other injuries
b) do MRI
c) attend to more serious
injury
d) exenteration of eye if got
perforation
e) do corneal repair if got
injury
22) Optic pathway injury
a) optic chiasm homonymous
hemianopia
b) optic radiation bitemporal
hemianopia
c) optic nerve total visual field
loss
d) cerebral artery central
blindness

e.
5.
a.
b.
c.
d.
e.
6.
a.
b.
c.
d.
e.
7.
a.
b.
c.
d.
e.

Need to pad eye F

A man with sudden vision loss
but had recovered. (Amaurosis
fugax)
Cherry red F
Check carotid bruit T
Check lipid and glucose levels T
Pale discs
Check visual acuity T
Herpes ophthamoplegia
Nose T
Give painkiller T
Look for cell in anterior chamber
(iritis) T
Give IV gentamycin F
Keratitis T
Eye muscles- antagonist,
synergistic
SR and IR F
LR and MR T
SR and SO F
IO and IR F
IO and SO F

e.
a.
b.
c.
d.
e.
a.
b.
c.
d.
e.

a.
b.

8.
a.
b.
c.
d.
1.
a.
b.
c.
d.
e.
2.
a.
b.
c.
d.
e.
3.
a.
b.
c.
d.
e.
4.
a.
b.
c.
d.

16 years old complained of acute

watery red eye, what history u
want to ask?
Pain on the left eye T
Any foreign body sensation T
History of trauma T
History of HPT F
Any discharge T
72 years old right frontal
headache, cusp dilated
Pupil constriction F
Need to check cornea
keratopathy
Skull X-ray to rule out space
occupying lesion F
Anterior chamber wash out F
Worry if IOP less than 20 mmHg
F
40 years old man told you that
he has adies pupil, you expect
VDRL and TPHA need to checked
T
Constrict when given 1.0
pilocarpine in the affected eye T
Hypersensitivity to denervation T
Contralateral constriction on
pupil F
Commence 80 mg prednisolone
for one month
30 years old guy assaulted on
left eye, there is cells in anterior
chamber (Traumatic uveitis)
Steroid T
Need dilating drops T
Check colour vision T
Do skull x ray F (do orbit x ray)

e.
9.
a.
b.
c.
d.
e.

Visual pathway (hemianopia)

Optic nerve lesion: total visual
loss T
Middle cerebral artery lesion:
central blindness F
Optic tract
lesion:congruoushemianopiaF
Optic chiasm lesion: incongruous
hemianopia F
Optic radiation lesion:
bitemporal hemianopia F
A patient come with 1 week
corneal foreign body
Not need to remove T
Can use needle to take out T
Orbital x ray need to do F
(because already 1 week)
Need to patch F
Steroid F

10. A man with car accident with

penetrating ocular injury.
a. Do SIEDEL test T
b. Immediate to OT F
c. Denucleation F
d. Conservative management F
e. Give steroid F

c.
d.

a.
b.
c.
d.

12. Causes of congenital

cataract
Intrauterine Rubella T
Cataract T
Down T
Heavy alcohol consumption T

13. Thiopentone
Metabolism is fast F
Thrombophlebitis at injection site
T
Cause cardiac depression T
Decrease larynx sensitivity to
stimuli F
Cause respiratory depression T
14. Inhalational agents
Action at cerebral membrane F
Cause unconsciousness and
amnesia
Enflurance will not cause
nephrotoxicity F
Halothane and enflurance
sensitize the cardiac cell to
arrhythmia T
Epinephrine should not be use in
digital block
15. Brain death
Cerebral is more hardy to
hypoxia than brain stem F
Low intracranial pressure
causing brain shrink and lead to
brain death F
Head injury is the common cause
of brain death T
Vegetative state is the less
severe form of brain death T

e.
a.
b.
c.
d.
e.

16. Hyperkalemia
Flat T wave F
Peaked T wave T
U wave F
Wide QRS complex T
depression of ST segment F

a.
b.
c.
d.
e.

17. Objective audiogram

Impedance audiometry T
Speech threshold
OAE T
BERA T
Behavior audiometry testing F

a.
b.
c.

11. 21 years old gave consent for

corneal donation, but father
refused
a. Reassured cosmetic effect F
b. Ask the father to compliance F
c. Explain to the father T
d. Harvest the eye with court order
F
e. Inform father the consent is legal
T

Intrauterine instrument T

d.
e.

a.
b.
c.
d.
e.
a.

18. Which of the following are

true about vertigo?
Profound in Menieres disease,
last for 5 minutes F
There is utricle degeneration in
BPPV T
Perilymph fistula present with
tinnitus, hearing and vertigo. T
CT scan to rule out CPA tumour T
Vertigo is the subjective
sensation of linear movement F
19. Difference between
mastoiditis and malignant otitis
externa?
Foul smelling discharge
Loss of retro-auricular ridge
Pus
Tender when pulling auricle
20. Local anesthetic
Amide has less allergic reaction.
T

b.
c.

Non-preservative solutions is
used in central block.
EMLA is mixture of lignocaine
and bupivacaine F

d.

a.
b.
c.
d.
e.

21. Characteristic of depolarizing

muscle relaxant
Rapid onset and short duration T
Reversed by neostigmine F
Cause muscle fasciculation T
Acidosis potentiate the effect F
Depolarized muscle is not
respond to stimuli T

a.
b.
c.
d.
e.

a.
b.
c.
d.
e.

23. A patient going to do

rhinoplasty, what are the basic
monitoring?
Non invasive BP T
ECG T
Capnography T
EEG F
Pulse oximetry T

c.
d.

a.
b.
c.
d.
e.

a.
b.
c.
d.
e.

a.
b.

d.
e.

22. Causes of sudden conductive

hearing loss
Prebysacusis F
Labyrinthitis F
Otosclerosis
CSOM
OME

a.
b.

c.

a.
b.
c.
d.
e.

a.
b.
c.
d.
e.

Contact ulcer in vocal process of

arytenoids T
Vocal cord palsy is only in medial
position
Juvenile papilloma has multiple
lesion
28. Adenoid
Adenoidectomy under LA F
Is in Waldeyers ring, in the
oropharynx F
Bleeding due to incomplete
removal of removal
Cause bilateral Eustachian tube
obstruction
Regress after 6-8 years T
29. What are the definitive
diagnoses for cervical
lymphadenopathy?
Ultrasound
Ebstein Barr virus antibody titre
FBC
FNAC
Direct endoscopy to look for
primary tumour

26. What are the conditions that

indicate difficult intubation?
Reduced distance between
tragus and incisor teeth T
Reduced distance between hyoid
bone and mental symphysis T
Protruding lower jaw
(acromegalic) F
Irregular dentition T
Poor movement of atlanto-axial
joint T
27. Vocal cord
Vocal nodule is unilateral F
Vocal polyp is unilateral, anterior
and middle 1/3 T

TEST FOR BRAIN DEATH

-oropharyngeal reflex (T)
-vestibular ocular ( )
-occulocephalic (T)
-Weber Test (F)
-refer Dr Lilys note

7.

ETHICAL ISSUES
-confidentiality (F)
-autonomy (T)
-Justice (T)
-Tolerance (F)
-maldeficence (T)

8.
-

SEPTAL HAEMATOMA
causes of septal hematoma

9.

congenital of upper airway

obstruction
laryngeal web (T)
bilateral vocal palsy
vocal nodule
-laryngeal hemagioma (T)

10. SUDDEN SNHL

-Vascular (T)
-viral infection (T)
-noise induced hearing loss (F)
-presbyacusis (F)
11. HOARSENESS OF VOICE that can
presented with STRIDOR
-

24. A man with nasal fracture

Do anterior nasal packing T
No need monitor vital signs since
mild bleeding F
Do rhinoplasty after one month F
Do septal haematoma
evacuation after one week F

25. Retropharyngeal abscess

Unilateral swelling in the
posterior pharyngeal wall in
adult F
Unilateral swelling in the
posterior pharyngeal wall in
children T
Drain through mouth in children
T
Cause by TB spine in children F
Dysphagia is the main symptom
T

6.

12. FACIAL NERVE PALSY

-commonly come with
tubotympanic CSOM
-commonly come with
atticoantral CSOM

1.

CPR
-Immediate BLS prolongs VF and
delays the progression to
asytole.
-Laryngeal mask airway LMA is
gold standard technique to
secure and protect the patients
airway. (F)
-read dr KKYs CPR note!!

2.

PROPOFOL
characteristic
-action
-side effect:CVS depression??

3.

HALOTHANE
-Liver- toxicity (T)
-pungent smell ()
-room temperaturewhat
happen)

4.

VENTILATION MACHINE

5.

ASA CLAASIFICATION
-scenarion given with ASA
classification (E- emergency)

13. EYE MUSCLE

-SO with IO (F)
-SO n SR (F)
-IO n IR (F)
-MR n LR (T)
-SR n IR (F)
14. FUNGUS ULCER (FARMER EYE)clinical scenario
-heal within 1 week (F)
-give steroid drop (F)
15. KERATOCONUS
-Munson sign
- len thinning
16. OCCULAR INJURY
-refer neuro surgery (T)
-immediate sent to eye OT (F)
-check skull Xray (T)
-attend to other more serious
injury (T)
-Enteration (??) of eyeball(F)
17. corneal transplant consent.17 yo
boy organ donor passed away,
mother refused to give consent
-retrieve with court order
-respect mother decision (T)
-explain to mother (T)

-retrieve the eye for next patient

(F)
18. Glaucoma
19. Cataract risk factor
-microwave radiation
-smoking
-certain drugs name-refer Dr
Lees note
20. Anterior Uveitis-right eye
-must check right eye miosis
--compare pupil colour
-can gv steroid

21. RPA
-acute unilateral swelling in adult
-chonic unilateral swelling in
infant
- due to TB spine