6/9/2020 Legal Medicine
Legal Medicine
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Legal Medicine Questions 2
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9m24GITrRpuUa1zE
• An 85-year old male was found dead in bed one morning. Relatives said 2 points
he was well although noted to be getting less mobile, sleeping more and
eating less because of old age. The cause of death is
o “Old age” as underlying cause
o “Unknown natural causes” as underlying cause
o “Cardiorespiratory arrest”
o “Senility” as underlying cause
• The measurement of physical features for individualization is known as 2 points
o profiling
o bertillonage
o anthropology
i l
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o sociology
• When charred bone fragments were subjected to DNA analysis the lab 2 points
report indicated that “no human DNA was detected.” This means that
the test is inconclusive
• the bone fragments are not human
• it is impossible to determine if the bones are of human origin or not
• none of the above
• A patient in the emergency room dies of injuries and the attending 2 points
physician orders “postmortem care.” Which of the following is
acceptable?
o undressing and washing the body
o tying the jaw, wrists and ankles, and taping the lids
o removal of tubes, IV lines
o none of the above
• A man was found with a horizontal ligature furrow around his neck. The 2 points
ligature was not recovered. This is most consistent with
o homicidal ligature strangulation
o accidental autoerotic asphyxia
o suicidal hanging by ligature
o suicidal manual strangulation
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• The best time to perform a forensic sexual assault examination is 2 points
anytime; post-injury interval does not matter
not more than 72 hours after the incident
within 24 hours of the incident
right after the incident
• A criminalist 2 points
o is a criminal profiler
o is a crime investigator
o studies criminals and their behavior
o is a criminologist
• If a scalp wound shows intact hair follicles, crushed margins, and intact 2 points
tissue strands across the wound, it must be
o a projectile injury
o an incised wound
o a laceration
o a superficial cut
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• When estimating postmortem interval, which of the following is least 2 points
useful?
o gastric contents
o postmortem hypostasis
o rectal temperature
o insect colonies
• Cause of death statements on the death certificate are most useful for 2 points
o criminal investigation
o settlement of insurance benefits
o census purposes
o public health studies
• If a surgeon testifies in court regarding some purely factual evidence 2 points
regarding his surgical procedure he/she is
o a professional witness
o a medical witness
o an ordinary witness
o an expert witness
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• Individualization of a person can best be achieved by 2 points
o both A and B
o none of the above
o fingerprinting
o hair analysis
• Marking injuries on a reference anatomic diagram best illustrates 2 points
o the position of the assailant during the assault
o intent of the assailant to maim or kill
o the position of the victim during the assault
o the distribution of the injuries on the body
• Lifting of gunpowder residues with paraffin wax and testing for nitrates 2 points
using diphenylamine
• can be done as long as the test is performed within 24 hours after the shooting
incident
• reliably determines if an alleged shooter fired a gun or not
• is obsolete
• is a quantitative test
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• Estimation of age can be done through 2 points
o dentition
o DNA analysis
o tattoos
o fingerprints
• If despite a thorough, objective investigation a definite manner of death 2 points
cannot be arrived at, the death is classified as
o unnatural
o unresolved
o undetermined
o unknown
• The dimension of a stab wound most useful to characterize the nature of 2 points
the weapon used to injure a victim is
o length measured with the wound edges pushed together
o all are true
o depth
o width measured with the stab wound gaping
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• An adult pedestrian hit by a large vehicle such as a bus or truck 2 points
o none of the above
o will likely be "scooped up"
o will likely have bumper injuries and have his feet knocked from under him
o will likely have injuries positioned higher in the chest, arms or head
• In packaging crime scene evidence, wet evidence should be 2 points
o dried at the lab and packaged in paper
o dried at the lab and packaged in plastic
o dried at the scene and packaged in paper
o dried at the scene and packaged in plastic
• A patient operated on for an elective procedure suffers from 2 points
cardiorespiratory arrest intraoperatively and does not recover.
Investigation includes
o examination of the oxygen tank and tube, syringes and drug vials
o a forensic autopsy
o all of the above
o a peer review of the surgical and anesthetic procedures
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• Signs of recent injury to the hymen except 2 points
o lacerations
o edema
o dilatation
o redness
• Absence of genital injuries after sexual assault could be due to 2 points
o a non-resisting victim
o a non-aggressive assailant
o limitations of the forensic examination
o all of the above
Objectives of a death investigation system, except 2 points
determination of cause and manner of death
determination of fact of death
None of the above
identification of the deceased
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• Useful reference planes or landmarks when describing the location of 2 points
wounds include the following except
o the anterior or posterior midline
o top of the head or vertex
o no exception
o the umbilicus in the abdomen
When investigating a death, the following is useful 2 points
all of the above
witness accounts
past medical history
circumstances of the death
• Close range of fire in gunshot wounds is best indicated by 2 points
o the shooter’s actual confession
o collar of abrasion around the entrance wound
o soot deposits in the entrance wound
o stippling or tattooing
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• If a projectile injury of the cranium shows an outer table defect smaller 2 points
than that of the inner table (internal beveling), this is
o caused by a handgun
o contact fire
o an entrance wound
o an exit wound
Examination of a dead body at the scene includes the following except 2 points
fingerprinting
preliminary assessment of the wounds if any
observations regarding algor, rigor and livor mortis
documentation of the body’s position
• Motorcycles are inherently dangerous because 2 points
o All are true.
o This type of vehicle is unstable because it is 2-wheeled.
o They are frequently driven at high speed.
o Head injuries also occur despite the use of a helmet.
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• The caliber of the bullet can be determined from 2 points
the dimensions of the entrance wound
the abrasion collar
none of the above
the dimensions of the exit wound
• Close examination of wounds is important because they could give 2 points
information as to
o the sex of the assailant
the motive for the attack
o whether the assailant is right- or lefthanded
the type of weapon used
• The trajectory of a bullet wound determined from an autopsy of the 2 points
body indicates
o the position of the victim when the gunshot wound was sustained
o whether the shot was intentional or accidental
o the position of the shooter
o the bullet’s path inside the body in the reference anatomic position
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Deaths which require further investigation include the following except 2 points
all deaths of inmates, incarcerated or institutionalized individuals
all deaths occurring in the work-place
all deaths within 24 hours of hospital stay
all vehicular accidents
• The presence of multiple gunshot wounds from a handgun 2 points
is never self-inflicted
is always homicide
is possible in suicide
is consistent with accidental fire
Personal property found on or with a dead body 2 points
all of the above
must be buried or cremated with the body
must be described and inventoried
must be turned over to the police as evidence
• Physical evidence in a shooting incident includes 2 points
l thi
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clothing worn by the victim
the skin around an entrance wound removed during surgical debridement
the bullet or bullet fragments recovered from the body
all are true
• A self-inflicted intentional gunshot wound of the right temple implies 2 points
o left hand dominance
o probable accidental fire
o right hand dominance
o no relation to the individual’s dexterity
• The appearance of handgun wounds is affected by the following except 2 points
o smoke
o hot gases
o wad
o unburnt propellant
• Which of the following is true about hymenal findings? 2 points
o They can corroborate allegation of penetration in children
o They have limited use in confirming sexual assault in adult women
o All are true
o They are difficult to interpret due to anatomic variations and the inexperience of the
examining physician
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• Ejection of vehicle occupants onto the road is due to the following 2 points
except
o no exception
o non-restraint from non-use of seat belts
o open or absent windows and doors
o doors bursting open upon impact
• The telltale signs of child abuse are most typically seen in the 2 points
o mouth and genitalia
o bones and internal organs
o skin and bones
o eyes and skin
• Wet blood stains are best preserved by 2 points
o irradiating
o freezing
o all of the above
o drying
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• Genital features useful in assessing a woman’s sexual history 2 points
o the prominence of the rugosities of the vaginal mucosa
o whether the hymen is intact or not
o hymenal diameter
o none of the above
• “Defense” gunshot wounds are recognized as such mainly because of 2 points
their
o location
o range of fire
o all of the above
o number
• The following are seen in badly burned bodies except 2 points
o skin splitting
o heat fractures
o pugilistic attitude
o no exception
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• A screwdriver used to pick a lock is scratched and leaves pieces of metal 2 points
behind. This is an example of
o All of the above
o pattern evidence
o Locard’s Exchange Principle
o toolmark evidence
• Reconstructing the events leading to the injuries sustained by a victim 2 points
requires the following except
o no exception
o examination of the clothing worn by the victim
o scene investigation
o testimonial accounts
Which of the following is mandated by law in most places, with consent 2 points
unnecessary?
Both
Forensic/medico-legal autopsy
Hospital/clinical autopsy
Neither
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