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Forensic Medicine - Multiple Choice Questions

Sunday, 26 March 2017

Multiple Choice Questions - Forensic Medicine and Toxicology

Dr.Alphonse Mathew

1. Last organ to putrefy
     a. Uterus / prostate     b. Testes     c. Ovary     d. Adrenals

2. Putrefaction occurs more rapidly in
     a. Water     b. Air     c. Soil     d. Cold-salt water

3. Adipocere starts early in all of following except
    a. Face    b. Breast    c. Buttock     d. Chest wall

4. Dehydration / Shriveling of cadaver is called
    a. Putrefaction    b. Mummification     c. Saponification

5. Formaldehyde injected for embalming is
     a. 10%     b. 20%     c. 30%     d. 40%

6. Odour of mummified body is
     a. Pungent     b. Putrid     c. Offensive     d. Odorless

7. For embalming chemicals are injected into
     a. Femoral artery     b. Abdominal cavity     c. Chest cavity

8. Maggots appear in natural orifices of dead in summer in about
     a. 2 – 4 hrs     b. 6 – 8 hrs     c. 8 – 12 hrs     d. 12 – 24 hrs

9. After death all of following show rise in CSF except
     a. Lactic acid     b. Amino acid     c. Urea     d. Uric acid

10. After death blood level of following decrease
     a. Sodium      b. Potassium      c. Magnesium      d. None

11. Brush burn refers to
     a. Electric burn       b. Lightening burn       c. Sliding abrasion        d. Pressure abrasion

12. Most common pattern fingerprint is
     a. Whorls     b. Loops      c. Composite      d. Arches

13. pH of seminal fluid is
     a. 6       b. 7      c. 7.4     d. 8.2

14. Poroscopy is
     a. Counting pores of sweat glands only        b. Counting pores of both sweat and sebaceous glands      c. Counting number of ridges        d. Counting number of ridges and sweat glands

15. Tattoo marks destroyed, their presence can be inferred from presence of pigment in
      a. Deep dermis         b. Subcutaneous tissue        c. Lymph nodes Regional        d. Underlying Muscle

16. Bluish discolouration of neck of tooth due to
       a. Cyanosis        b. Bismuth         c. Copper          d. Nicotine

17. Suspected air embolism, body cavity to be opened first is
       a. Brain      b. Thorax        c. Abdomen        d. Pelvis

18. “Under taker’s fracture” due to falling of head (Backward) occurs at
       a. L5-S1         b. T12-L1          c. C6-C7        d. C1-C2

19. Most fixed part of intestine is
      a. Duodenum         b. Jejunum         c. Colon         d. Ileum

20. Tardieu spots in hanging are common at all the following sites except
      a. Scalp          b. Eyebrow          c. Chest wall           d. Face

21. Tardieu’s spot
      a. Septicemia        b. Endocarditis         c. Meningococcemia         d. All of the above

21. Earliest sign of death is
      a. loss of skin elasticity          b. Corneal clouding           c. Cooling of body          d. Postmortem lividity

22. Tache noire refers to
      a. Postmortem staining           b. Flaccidity of eyeball          c. Wrinkled dusty sclera         d. Maggot growth

23. Rectal temperature does not appreciably fall till what time after death
       a. 15-30 mts         b. 30-60 mts         c. 60-90 mts          d. none of the above

24. Postmortem caloricity seen in poisoning from
      a. Arsenic        b. Strychnine         c. Cyanide        d. Organophosphorus

25. Postmortem lividity well developed with in
       a. 2 hrs       b. 4 hrs       c. 6 hrs        d. 8 hrs

26. Fixation of postmortem staining occurs in
       a. 2 hrs         b. 4 hrs         c. 6 hrs        d. 8 hrs

27. Rigor mortis starts when muscle ATP is reduced below
      a. 50%         b. 5%         c. 15%        d. 5%

28. Rigor mortis first evident in
      a. Intestine        b. Myocardium        c. Interstitial muscle           d. Eyelids

29. Cutis anserina of rigor mortis due to stiffness of
      a. Erector pilorum         b. Biceps         c. Cremaster         d. Diaphragm

30. Rigor mortis does not occur in fetus less than
       a. 9 mth         b. 7 mth         c. 6 mth         d. 8 mth

31. Commonest cause of impotence in male is
       a. Adrenal dysfunction          b. Testicular failure          c. Mal developed penis         d. Psychogenic

32. Cadaveric spasm commonly seen in
      a. Legs        b. Hands          c. Neck muscles          d. Involuntary muscles

33. After death blood usually remains fluid except in
      a. Pneumonia          b. Septicemia         c. CO poisoning         d. Hypofibrinogenemia

33. “Nutmeg liver” refers to
        a. Amoebic hepatitis          b. Pyogenic abscess        c. Chronic venous congestion       d. Portal cirrhosis

34. Child brain attains mature size and weight at about
       a. 3 yrs       b. 5 yrs         c. 7 yrs          d. 9 yrs

35. Radiological signs of fetal death includes all except ?
       a. Overlapping of skull bones (Spalding’s sign)          b. Hyperextension of spine          c. Collapse of spinal column             d. Gas in aorta

36. Heat stiffening occurs when body exposed to temperature
       a. 450C          b. 550C         c. 650C       d. 750C

37. Chief agent for bacterial putrefaction is
       a. E.coli        b. B. fragilis          c. C.welchii           d. Staph aureus

38. Postmortem hemolysis due to bacterial enzyme
       a. Lecithinase           b. Phospholipase          c. Streptokinase           d. Hyaluronidase

39. First external sign of putrefaction of body lying in air is around
       a. Umbilicus           b. Rt iliac fossa             c. Lt iliac fossa            d. Chest wall

40. Greenish colour earliest sign of putrefaction due to
      a. Hb          b. Meta Hb          c. SulphmetHb         d. CarboxyHb

41. Combustible gas of autolysis is
      a. Nitrogen dioxide         b. Hydrogen sulphide         c. Methane          d. Carbon dioxide

42. First internal organ to putrefy is
       a. Heart        b. Brain           c. Larynx / trachea         d. Kidney

43. For transplantation cornea can be removed from dead upto
       a. 6 hrs         b. 12 hrs        c. 18 hrs         d. 24 hrs

44. Exhumation done under order by
       a. Police officer        b. Superintendent police       c. First class magistrate

45. Diagnosis of brain death dependent upon all except
       a. Dilated/fixed pupil          b. No spontaneous breathing        c. Flat EEG         d. Cessation of cardiac contraction.

46. After stoppage of circulation muscles can live up to
       a. 10 mts          b. 30 mts           c. 3 hrs          d. 6 hrs

47. Anoxic anoxia produced by all except
       a. Drowning         b. Fire accidents          c. Cyanide poisoning           d. Strangulation

48. One of the following is not a manifestation of shaken baby syndrome:
       a. Burns         b. Retinal haemorrhage        c. Rib fracture        d. Subdural haematoma

49. One of the followings produce toxic hypothermia:
      a. Salicylates         b. Anticholinergics           c. Antidepressants       d. Opioids

50. The best method to avoid aspiration of fluids during gastric lavage in a comatose patient is by :
      a. Putting the head of the patient at a lower level than his feet            b. Putting the patient in the         left lateral position           c. Introduction of a cuffed endotracheal tube before lavage         d. Continuous suction of the fluid from the trachea


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