free ebooks ==> www.ebook777.

com

206 Review of Forensic Medicine and Toxicology

To avoid misinterpretation, therapeutic tubing o . Typical features of fabricated injuries i . .

should never be removed prior to sending the body History of assault incompatible with injuries
for postmortem examination. Multiple shallow, non-penetrating cuts or fingernail abrasions
Uniform in shape, linear or slightly curved course of lesions
Grouped and/or parallel and/or criss-cross arrangement
Location is easily reachable—usually on the left side (non-
Definition: Fabricated wounds are produced by a dominant side)
Avoidance of pain sensitive regions of the body
person on his own body or by another with his consent. Absence of defense injuries
It can be No damage to clothes or inconsistent damage
i. are those inflicted by a
person on his own body. Self-inflicted injury
without conscious suicidal intent is a form of self-
mutilation.
ii. Self-suffered wounds are those inflicted by another
person on the alleged victim.
Motive: The reasons for fabricating injuries are
i. To simulate a criminal offence for false charge
By women, to bring a charge of rape.
Charge an enemy with assault or attempted
murder.
Convert simple injury into grievous one.
By prisoners, to bring a charge of beating i . . haracteristics o sel in icted in uries seen mostly in
against officers. left side and avoid eyes, nose, mouth and ears)
ii. To avert suspicion
Types of wound Mostly incised wounds, sometimes
Destroy evidence of certain injury which might
contusions, stab wounds and burns. Chop wound of
connect a person with crime.
little finger of left hand may be seen too. Lacerated
Assailant may pretend self-defense.
wounds are rarely fabricated. Burns are superficial
Policemen/watchmen may feign robbery or
and usually seen on left upper arm.
alleged attack.
Most commonly used object is a knife. Razor, glass
iii. By soldiers and prisoners to escape difficult task.
piece, scissors and ice pick are some of the other
iv. Suicidal gestures, attempted suicide.
objects used.
v. For the purpose of insurance frauds.
Body parts where found: Top of the head, forehead,
Diagnosis: The diagnosis can be done by careful history neck, outer side of left arm, front and outer side of
taking and examination of injuries (Box 11.1). thighs, and front of abdomen and chest (Fig. 11.22).

I OI IO

AIIMS 12 3. Graze is a form of: Maharashtra 08, 09; NEET 14

A. Injury B. Hurt A. Contusion B. Abrasion
B. Grievous hurt D. Assault C. Lacerated wound D. Incised wound
2. Lathi can cause all of the following injuries, except:
NEET 13; PGI 13 accidents is: Karnataka 07
A. Fissured fracture A. Scratch abrasions
B. Abrasion collar B. Graze abrasions
C. Incised looking lacerated wound C. Contact abrasions
D. Incised wound D. Imprint abrasions

. . . 4.
 free ebooks ==> www.ebook777.com

Injuries 207

5. Graze abrasions mimic: AI 09 19. No color change is seen in subconjunctival hemorrhage

A. Eczema B. Pressure sore due to: WB 09
C. Burns D. Scalds A. Continuous CO2 supply
6. Brush burn is: AP 09 B. Little amount of blood is present
A. Graze abrasion B. Imprint abrasion C. Continuous O2 supply
C. Electric burn D. Arborescent burn D. Color change occurs but not visible to naked eye
7. In a case of hanging, ligature mark is an example 20. Antemortem bruise is differentiated from postmortem
of: NEET 13 bruise by: AIIMS 09
A. Contusion B. Pressure abrasion A. Well-defined margin
C. Laceration D. Burn B. Capillary rupture with extravasation of blood
8. An auto rickshaw ran over a child’s thigh, there is a mark C. Yellow color
of the tyre tracks, it is an example of: AIIMS 10 D. Gaping
A. Patterned bruise B. Patterned abrasion 21. All are true about antemortem contusion, except:
NEET 14
C. Pressure abrasion D. Graze abrasion A. Sequential color change
9. Bite mark is an example of: FMGE 11 B. No inflammation
A. Pressure abrasion B. Graze abrasion C. Raised enzyme levels
C. Scratch abrasion D. Pattern abrasion D. Blood cells in surrounding tissue
10. Scab or crust of abrasion appears brown in: PGI 11
A. 12–24 h B. 2–3 days COMEDK 14
C. 4–5 days D. 5–7 days A. Conventional -ray B. CT scan
11. Crescent shaped abrasion is seen in injury with: C. MRI scan D. PET scan
AFMC 12 23. Split lacerations are due to: DNB 09
A. Wood cane B. Nail scratch A. Blunt object B. Sharp object
C. Bicycle chain D. Ligature C. Sharp heavy object D. Pointed object
12. Prominent bruise with minimum force is seen in: 24. True about incised looking wounds are all, except:
AIIMS 09 PGI 12
A. Scalp B. Soles A. Type of split lacerated wound
C. Palm D. Face B. Avulsion lacerated wound with blunt object
13. Ectopic bruise is most commonly seen in: NEET 13 C. Produced by blunt object
A. Leg B. Eye D. Commonly seen on scalp
C. Pinna D. Scalp 25. Split laceration resembles: Jharkhand 11
14. Blackening of eye most common because of: A. Incised wound B. Abrasion
NEET 13 C. Gunshot wound D. Contusion
A. Friction abrasion B. Patterned abrasion 26. Incised looking laceration is seen in all, except:
C. Imprint abrasion D. Contusion AFMC 11; NEET 13
15. Blue color of contusion is due to: Gujarat 07 A. Iliac crest B. ygomatic bone
A. Bilirubin C. Shin D. Chest
B. Hemosiderin 27. Flaying is seen in which type of lacerated wound:
C. Hematoidin AIIMS 11
D. Deoxyhemoglobin A. Split B. Stretch
16. Color of hemosiderin is: DNB 09 C. Avulsion D. Cut
A. Brown B. Green 28. Tissue bridges are seen in: DNB 10
C. Yellow D. Red A. Abrasion B. Contusion
17. Brown color of contusion is due to: NEET 13 C. Laceration D. Stab wound
A. Biliverdin 29. In an incised wound, all of the following are true,
B. Reduced hemoglobin except: COMEDK 07; NEET 14, l5
C. Hemosiderin A. It has clean-cut margins
D. Bilirubin B. Bleeding is generally less than in lacerations
18. Green color of contusion is due to: TN 08 C. Tailing is often present
A. Bilirubin B. Hemosiderin D. Length of injury does not correspond with length
C. Hematoidin D. Biliverdin of blade

5. . . . . . . . . 4.
5. . . . . . . . . 4.
5. . . . .

www.ebook777.com
 free ebooks ==> www.ebook777.com

208 Review of Forensic Medicine and Toxicology

30. Hesitation cuts are seen in a case of: 33. Shape of stab wound depends on: NEET 14
PGI 09; Maharashtra 09; Bihar 10; MP 11 A. Edge of weapon B. Shape of weapon
A. Homicide B. Suicide C. Width D. All of the above
C. Accident D. Fall from height 34. In stab wounds, Langer’s lines determine:
31. Incised wounds on genitalia: AIIMS 09, 10 NEET 14
A. Homicidal B. Suicidal A. Direction B. Gaping
C. Accidental D. Self-inflicted
C. Shelving D. Healing
32. True about stab wounds: NEET 13
35. Harakiri method of suicide involves stabbing into:
A. Depth is greater than breadth
B. Breadth is greater than depth AIIMS 14
C. Length is greater than breadth A. Chest B. Wrist
D. It has wound of entry and exit C. Abdomen D. Neck

. . . . 4. 5.