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Forensic Final Questions (2010-2012)

1) All are true about pulmonary embolism, except:

1. +Most common during the 1st 24 hrs after the injury
2. A complication after major surgery
3. A cause of sudden unexpected death
4. Its an obstruction of the pulmonary artery by a blood clot
during life
5. Occurs in immobilized patients

2) The most important sample for forensic pathologist is:

1. +Blood
2. Urine
3. Bile
4. Liver
5. Stomach content

3) The most common cause of sudden natural death in adults:

1. +Coronary atherosclerosis
2. Tubal pregnancy rupture
3. AIDS
4. Malignancy
5. Myocarditis
6. Epilepsy

4) What is wrong about atheroma?

1. Can be complicated by calcifications
2. Occur in old age
3. +Only in large arteries and capillaries
4. Smoking increases the incidence
5. Anxious life style plays a role

5) All are important for forensic pathologist & toxicologist to know

when examining the body, except:
1. Enterohepatic circulation
2. Postmortem redistribution
3. +Trade name of drug
4. Difference of concentration at different sampling sites

6) What is false about suffocation?

1. Closing the mouth and nose
2. Smothering can be done on invalids
3. +Always homicidal, deliberate, or unintentional
4. Affects children accidently by polythene bag
5. Asphyxia & plenty of asphyxial signs

7) About hanging, one is true:

1. +Almost always suicidal
2. Abrasions dont give an idea about ligature pattern
3. Hyoid bone is always fractured
4. It is usually homicidal
5. Death happens only if the ligature is far one yard from the
floor

8) What is false about sexual asphyxia?

1. Mirrors around the body
2. Narcisism
3. Transvestism (cross-dressing)
4. There is evidence of privacy
5. +Self mutilated injuries found

9) Alcohol best concentration for absorption is:

1. +10-20%
2. 0.5%
3. 5%
4. 50 - 60%

10) About toxic levels of alcohol, one is true:

1. +300mg / 100ml blood
2. 80 mig / 1000 ml breath
3. 80 mg / 100 ml blood
4. 60 mg / 100 ml urine

11) Subjective effects of alcohol are due to its subjective effects

on:
1. +Brain (frontal)
2. Stomach
3. Liver
4. Heart
5. Prostate

12) In patients with alcohol intoxication, all are true, except:

1. Impaired judgment
2. +Increased inhibition
3. Decreased inhibition
4. Misadventure (risk taking)
5. Loss of coordination

13) All are true about alcohol intoxication, except:

1. Tremor
2. Pupil dilatation
3. Ataxia
4. +Dry skin because of vasoconstriction

14) What is true about child sexual abuse?

1. Offence occurs outdoors
2. All abusers are strangers
3. +Boys are affected less than girls
4. Evident trace is not forensically important

15) All of the following retard cooling, except:

1. +Good ventilation with cold air
2. Fat body
3. Heavy clothing
4. Immerse in warm pool
5. Poor ventilation

16) All are true about hypostasis, except:

1. +It is a discoloration due to carbon monoxide poisoning
2. It's purely gravitational
3. You incise the wound to differentiate from bruises
4. Good estimation for time of death

17) All are true about hypostasis, except:

1. +Color can't be changed
2. It's purely gravitational mechanism
3. Used to estimate the time of death
4. Indicates whether the body has been moved after death

18) All are true about cadaveric spasm, except:

1. The underlying mechanism is unknown
2. Its markedly stiff that it needs strong force to overcome it
3. Occurs immediately after death
4. +Affects small group of muscles only
5. Instantaneous rigor

19) What is true about rigor mortis?

1. +Breakdown of ATP
2. Not affected by refrigeration of body
3. Continues for 3 days after decomposition
4. Starts immediately after death

20) Which one of the following doesnt affect rigor mortis?

1. +Blood sugar concentration
2. Environmental temperature
3. Musculature of deceased
4. Body temperature at death

21) Bruises occur due to:

1. +Blood escapes into surrounding tissue from damaged
vessels
2. Increased blood pressure in vessels
3. Plasma escaped to the tissue

22) What is false about bruises?

1. Can be found distant to the site of injury
2. Can spread by effect of gravity
3. Spread by effect of heart pumping blood
4. +It matches with the object causing it
5. Can occur in internal organs

23) What is false about fabricated wounds?

1. Usually girls do it to accuse men with rape
2. More commonly in depressed patients
3. +Mostly caused by a blunt objects
4. Done to accuse another person falsely
5. Present at exposed parts of body
6. Superficial incisional wounds are common

24) What is true about incised wounds?

1. Deeper than they are long
2. Wider than they are long
3. +Dont give an idea about the causative objective

25) What is false about lacerations?

1. Longer than the depth
2. +Exactly confirm the shape of the causative object
3. May have bruises around it
4. Occur over bony prominences
5. Its edges are crushed

26) About kinetic energy of bullet that affect its penetrating

power:
1. Inversely related to mass
2. Inversely related to squared mass
3. Directly related to velocity
4. +Directly related to squared velocity
5. Related to color

27) One can't be found in suicidal gunshot injury:

1. +Powder tattooing
2. Powder soot
3. Carbon monoxide pink discoloration
4. Bullet track along back of brain
5. Muzzle imprint due to vasoconstriction

28) One is true about exit wound of gunshot:

1. Smaller and more regular
2. Burning, blackening, & powder soot present
3. Abrasion collar due to tight clothing on exit of bullet
4. Pink discoloration of muscle
5. +Skin marks caused by fissile wads

29) In a patient addict on heroin, we can find all, except:

1. Morphine tolerance
2. +Obesity
3. Hepatitis
4. Recurrent thrombophlebitis
5. Septicemia

30) Antidote for heroin overdose is:

1. +Naloxone
2. Methadone
3. Morphine
4. BZD
5. NSAID

31) Cocaine can be administered by all of the following, except:

1. IV
2. +SC
3. Chewing
4. Smoking
5. Sniffing

32) What is false about cardiomyopathies?

1. +Histological examination is required for diagnosis
2. Can cause SND during exercise, mostly due to arrhythmia
3. The most common type is dilated/congested cardiomyopathy
4. Alcoholism is associated with dilated/congested
cardiomyopathy
5. Amyloidosis, sarcoidosis, hemochromatosis are usually
associated with restrictive/obliterated type
6. Not related to atherosclerosis

33) All are related to child abuse, except:

1. Discrepancies in the history
2. Alcoholic parents
3. Child comes to clinics frequently for minor injuries
4. Child discloses sexual abuse with difficulty
5. +There is no risk of death

34) All of the following are possible injuries in child abuse, except:
1. Fractures
2. Bruises
3. Abrasions
4. Lacerations
5. +Incised wounds on the face

35) All affect ethanol absorption, except:

1. Fat in the body
2. Type of food
3. Alcohol concentration
4. +Country of manufacture

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36) Which one is considered as reversible injury of alcohol?

1. Hepatoma
2. Hepatitis
3. Fibrosis
4. Cirrhosis
5. +Fatty change

37) What is wrong about chocking?

1. Seen usually in elderly people
2. Happened in dementic patient with dentures
3. +Involves blockage of the mouth and nose
4. It is almost invariable

38) What is true about manual strangulation?

1. It is always suicidal
2. Doesn't leave finger marking or bruises
3. Hyoid bone is always fractured
4. +The laryngeal skeleton & soft tissue of the neck is often
damaged
5. It is not homicidal

39) Which one is true in un-accidental injury of a child?

1. Pelvic fracture is common
2. Bruises and abrasion over knee & chin
3. Rib fracture is very rare
4. +Bruises on a baby who doesn't walk

40) Which is false about rigor mortis?

+It doesn't affect involuntary muscles of the body
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41) Which one is not consistent with suspended animation?

1. Electrocution
2. Narcotics overdose
3. Drowning
4. Hypothermia
5. +Atherosclerosis
*Suspended animation is the slowing of life processes by external means
without termination.

42) Most common pathology due to alcoholism involves:

1. +Liver
2. Lung
3. Kidney
4. Brain

43) Which is not mandatory in the investigation of abuse?

1. Radiology
2. Blood copper
3. Blood coagulation profile
4. +Investigations for rickets

44) Which of the following does not delay the absorption of

alcohol?
1. Gastrectomy
2. Food in the stomach
3. High concentration of alcohol
4. +10-20% concentration

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45) All of the following personnel need to be in the sight of the

crime investigation, except:
1. Forensic pathologist
2. Police officer
3. General attorney
4. Police photographer
5. +Media correspondents

46) About family violence, which is not true?

1. Also called domestic violence
2. +More in immigrants
3. The abuser is usually well known to the abused
4. Something about sexual contact

47) Which of the following is difficult to diagnose after removing

the instrument?
1. Smothering
2. Throttling
3. +Polythene bag
4. Ligature strangulation

48) Which one is least likely to be from abuse?

1. Extradural hemorrhage in a 12 years old child
2. +Tibia fracture [skull fractures are the fractures most
associated with abuse]

3. Multiple injuries of multiple ages

4. Burn

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HAYAT (2013) Forensic Final Questions

Note: The exam was 45 questions, 60 minutes, 1 form.

*Many questions were exactly as the previous past year questions.

Only new questions are mentioned here.

1) What is false about scald?

+A. Charring is the absolute end stage
B. Hot water is the most common cause
C. Blister is a common finding
D. Good demarcation between normal and burnt skin
2) Tardieu spots is due to:
A. Hypervolemia
B. Hypovolemia
+C. Anoxia
D. Hyperventilation
3) Tache noire of the sclera is:
A. A mole
+B. Pigmentation of the sclera
C. Caused by drowning
4) Case about 25 years old female died upon leaving the
swimming pool, found face down with no injuries wearing a swim
suit, no autopsy finding and negative toxicology screen, no
significant medical history, cause of death is:
A. Epilepsy
+B. Heat Stroke
C. Thyrotoxicosis
D. Hypothermia
5) What is true about sexual asphyxia?
+A. Surrounded by mirrors

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6) What is false about sexual abuse of a female?

A. Swab for semen detection
B. Pregnancy test is mandatory
+C. Male nurse should attend while taking history
D. Screen for STDs
7) Which of the following doesnt indicate child abuse?
+A. Race of the parents
B. Parents are alcoholics
C. Delay in seeking medical help
D. Multiple injuries of different ages
8) All of the following are true about hypostasis, except:
A. It is purely gravitational
B. Carbon monoxide can change its color
C. Incision can differentiate it from bruising
+D. It gives a precise time of death
E. Used to know if the body was moved
9) What is the first muscle affected by rigor mortis?
A. Small muscles of the foot
B. Long muscles
+C. Orbicularis oculi
10) What is the wound that results from a heavy blunt trauma
on a stretched skin over a bony prominence?
A. Bruise
+B. Laceration
C. Incisional wound
11) Cardiomyopathies can be caused by all of the following,
except:
A. Sarcoidosis
B. Amyloidosis
+C. Atherosclerosis
D. Anti-cancer drugs

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12) All are parts of the forensic autopsy report, except:

A. Cause of death
B. Description of all injuries
+C. Sharp cut determination of cause: accidental, homicidal or
suicidal
D. Time of death
13) What is the most common cause of SND from the CNS
system?
+A. Epilepsy
B. Meningitis
C. Tumors
D. Subarachnoid hemorrhage
14) Which one of the following is associated with the process of
decomposition?
+A. H2S
B. Carbon monoxide
15) What is false regarding instantaneous rigor?
A. Immediately after death
B. Very difficult to break the grip
+C. Affects only a small group of muscles
16) As a forensic doctor, the first thing you do when you reach
a crime scene is:
+A. Call the nearest police station (most probably)
B. Collect trace evidence
C. Treatment
D. Document all injuries
E. Write your report
17) What is the most effective sample for detection of
substance abuse?
A. Plasma
B. Whole blood
+C. Urine

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18) What is false about positional asphyxia?

+A. Inhibition of the vagus
B. Inhibition of the cough reflex
C. Can happen in epilepsy
D. Typical signs of asphyxia are seen
19) Hypostasis occurs due to:
A. Blood pooling in the small capillaries
B. Seeping of blood from the vessels into the surrounding
interstitial tissue
C. Blood pooling in small arterioles
+D. Blood pooling in small arterioles of the skin (not sure)
20) A patient died after 6 hours from admission to the hospital,
the autopsy showed purulent material covering the brain sulci,
the most probable cause is:
A. Meningitis
B. Pulmonary TB
C. Brain tumor
*Not sure about the answer.

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Sama (2014) Forensic Final Questions

The exam was 45 questions, one form.
*Most questions were exactly as the previous past year questions.
Only the few new questions are mentioned here.

1) One of the following is a common adulterant drug of

addiction:
A. Organic lead salts
B. Potassium cyanide
C. Inorganic mercury
D. Gold chloride
+E. Lactose
2) Somatic death is when:
+A. The patient is dead clinically although many cells are still
functioning
B. There's brain death
C. Heart stops beating permanently
D. All individual cells die
E. Person is on artificial life support
3) Preservation of nasal swab may be useful in:
A. Immersion
+B. Cocaine poisoning
C. Cyanide poisoning
D. Asphyxia
E. CO poisoning
4) One of the following is not a symptom of cocaine withdrawal:
A. Depression
B. Insomnia
C. Hallucination
+D. Feeling warm
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5) One is false regarding child abuse violence:

A. Often has life-long consequences
B. Statistically, men are more often the abusers and women are
more often the victims
C. Emphasis of prevention from violence at large should focus at the
family level at early stage
D. Intergenerational transmission of violence is the most popular of
theories studied
+E. No relation between the level of violence and some modifiable
factors
6) One of the following is not a symptom of acute heroin
intoxication:
+A. Dilated pupil
7) One unit of alcohol is:
+A. 15-20 mg of alcohol in 100 ml blood
B. 50-60 mg of alcohol in 100 ml breath
8) Best sample for heroin toxicity:
+A. Urine
9) Most common non-traumatic cause of subarachnoid
hemorrhage:
+A. Ruptured berry aneurysm

The End

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