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Forensci Medicine Test 2
Forensci Medicine Test 2
CHILDREN
(NTA LEVEL 6)
CONTINOUS ASSESSMENT 1
MAY 2018
ANSWER GUIDE
GENERAL INSTRUCTIONS:
Page 1
SECTION A: MULTIPLE CHOICE ( 20 Marks)
INSTRUCTION
Answer all questions
Each question carries one mark
Encircle the most correct response
1 The branch of forensic medicine that deals with the study of DNA analyses of bodily
(physiological) fluids for the purpose of identification and individualization is called:
A Forensic serology
B Forensic toxicology
C Forensic pathology
D Forensic anthropology
E Clinical Forensic Medicine
2 Dr X, was called to the crime scene, and he decided to take samples for DNA with an aim of
indentifying the perpetuator of crime . In this case Dr X is identifying the principle of:
A Individuality and exchange
B Exchange and progressive change
C Exchange and circumstantial facts
D Individuality and progressive change
E Individuality and circumstantial facts
3 Dr RR was called to the crime scene, While in the crime scene he didnot condon the area,
wear PPE and allowed suspected victims to enter the crime scene, In the medical legal
aspect this is called:
A Consent
B Autonomy
C Negligence
D Medical Error
E Confidentiality
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A Tear
B Abrasion
C Laceration
D Contusion
E Concussion
6 The most common symptoms and signs of sharp force injuries DOESNOT include:
A Pain
B Fever
C Redness
D Bleeding
E Tenderness
9 A dead body was presented to you for forensic examination, the victim has been shot once
at the chest, On examination there was burn area noted, soot in shape of a muzzle, small
sized entry wound and irregular large sized exit wound, The most likely type of wound in
the client is:
A Contact wound
B Short range wound
C Distant range wound
D Either Short range or Distant range wound
E None of the above
11 Victims of firearm non-fatal injuries cannot be linked one of the following authorities :
A Police
B Social Welfare
C Close relatives
D Medical Facility
E Government Chemist(for DNA)
13 Mr. X 55 years old was found dead in the water, on postmortem examination NO any
symtomatology was noted. On the lung examination there was a clear airway. The cause of
death for Mr X is most likely:
A Dry Drowning
B Wet Drowning
C Salt water drowning
D Fresh water drowning
E Secondary Drowning
14 Mr RR, 35 years old was found dead hanging in a rope. On examination the body was fully
suspended from the ground, on examination he had no bruises or cut wounds, but had
conjuctival and Petechiae haemorrhage on the face. The ligature mark was seen passing the
thyroid gland to the occipitus and below it was a reddish discoloration of skin. The most
likely diagnosis is:
A Partial Hanging
B Complete Hanging
C Manual Strangulation
D Dead body suspended
E Ligature strangulation
15 A 43 years old man was found dead in a guest house, the housekeeper says he was having
sexual intercourse with a girl whom happens to be around. The girl confirms of being asked
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by the victim to cover his mouth and nose using a pillow as part of raising sexual arousal.
The most likely cause of death is:
A Stroke
B Smothering
C Strangulation
D Cardiac Arrest
E Vagal Stimulation
16 Mr X, 35 years was hit by a lightening while at home, The mechanism of death for the
victim could be:
A Tissue Atrophy
B Tissue Hypoxia
C Tissue Ischaemia
D Tissue liquefaction
E Tissue Coagulation
19 In making forensic conclusion, the Istanbul Protocol offers five categories of conclusions,
Which of the following is not included in the protocol;
A Consistent
B Diagnostic of
C Very Probable
D Not Consistent
E Highly Consistent
20 A female X, adult was brought to the hospital dead as she was trying to abort in a local
dispensary, The doctor explains he had just started to dilate the cervix using metal dilators,
and then the patient lost consciousness, on examination you noticed a laceration at the
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cervix. Cervical OS was closed and the pregnancy is intact. what could be the probable
cause of death:
A Vagal Stimulation
B Anaphylactic Shock
C Vagal inhibition
D Cardiac Arrythmia
E Stroke
Page 6
SECTION B: MULTIPLE TRUE/FALSE (20 Marks)
INSTRUCTIONS
4. You are called to examine the dead body of a victim who was shot by a hand gun in
Close range about 40cm away. The most likely features to be obtained from the victim
includes
A ____________ Ragged lacerations are seen
B ____________ Muzzle marking will be seen
C ____________ Soot formation on the wound
D ____________ Tattooing by unburnt powder granules.
E ____________ Size of the entry wound is equal to the bore of weapon
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5. The following are branches of forensic medicine:
A ____________ Forensic Geology
B ____________ Forensic pathology
C ____________ Forensic toxicology
D ____________ Forensic criminology
E ____________ Clinical forensic medicine
8. The purpose of autopsy and inquiry in death associated with a fire includes:
A ____________ To determine the nature of death
B ____________ To affirm the death as being accidental
C ____________ To determine the identity of the deceased or the remains in
multiple fatalities.
D ____________ To determine whether the deceased person was dead or alive at the
time of fire.
E ____________ To determine whether the death was accidental, the result of
criminal or negligent acts, homicidal, suicidal or natural.
9.
Page 8
SECTION C: MATCHING ITEMS (10 MARKS)
Instructions
2. Match the description of the principles of forensic medicine in column B with their
corresponding principles in column A and put the answer in the ANS space provided
Page 9
SECTION D: SHORT ANSWER (20 marks)
Instructions
Answer all question
All answers must be written in a space provided
Bad handwriting will lead to loss of marks
2. A three years old boy was brought to you in the OPD, The parent complain he had put a
round object in the nose and was unable to breath. On examination he had central
cyanosis and was dyspnoec.
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4. Differentiate typical entry from exit gunshot wounds
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
5.
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SECTION E: ESSAY QUESTIONS (30 MARKS)
1. A 16 years old boy was rescued by the fishermen as he was drowning in the indian
ocean. He was brought to the hospital and on examination he was semiconscious and
dsypnoec. Describe the management of this patient.
2. A 10 years old young girl was brought to you by the parents claiming she was raped by
the neighbor. Discuss the concepts in medical legal issues you would take in
consideration when managing the client:
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