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FP-1 (6/2019)
TOPICS TO BE STUDIED FOR FINAL EXAM
FORENSIC MEDICINE

INTRODUCTION
1. Role of Forensic Medicine
a. List (UMM, UM1, UMMg)
b. To prove a certain point of law (UM2, UMMg)

LAW & LAW COURT

1. Offences: ALL (UMM)
2. Juvenile court (UMM)
3. Documents
a. List (UM1)
b. Summon (UM1, UM2)
4. Witness
a. SN: ALL (UMM)
b. Definition (UMMg)
c. List (UMMg)
d. Expert witness / Medical witness (UMMg)
5. Conduct of a medical witness in a court
a. Video: Unproper conduct (UMM)
b. Preparation (UM1)
6. Examination in court
a. List: Procedures (UMTgi)
b. Cross examination (UMTgi, UM1)
c. Video: Unproper conduct (UMM)
7. Evidence
a. Definition (UMMg)
b. List (UMMg)
c. Medical evidence (UMMg)
8. Professional secrecy
a. May be broken (UMM)
b. ALL (UM2)
9. Medico-legal reports
a. Guidelines (UM1)
b. “any one documentary evidence” (UMM)
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10. Certification of death & disposal procedures

a. The legal procedure (UM2, UMMg)
b. Death certificate (Medical certification of death) (UMTgi, UMMg)
c. When may a Dr. issue a DC? (UMMg)
d. Medical certificate of COD with examples (UMTgi, UMMg)

THE MEDICOLEGAL AUTOPSY

1. Types of autopsy (UM1)
2. Objectives (UM1, UM2)
3. Types of deaths (UMTgi, UMMg)
4. Preliminaries to an autopsy
a. List (UM1)
b. List: Who may be present at an autopsy? (UMMg)
5. Autopsy technique (UMMg)
6. Autopsy report (UMM)
7. Death Ix. procedures (UMTgi, UM2)

FORENSIC THANATOLOGY
1. Definition of death (UM1)
2. Determination of death for organ transplantation (UMMg)
3. Immediate signs of death
a. List (UMM)
4. Late changes after death
a. List (UMM, UM1)
b. MLI (UMM)
c. Mechanism of formation (UM1)
5. Difference between hypostatic staining & bruise (UMTgi)
6. Changes in muscle after death (UM2)
7. Modified forms of rigidity (UM2)
8. Cadaveric spasm (UMMg)
9. Difference between cadaveric spasm & rigor mortis (UM2)
10. Decomposition or purification (UMTgi)
11. MLI of decomposition (UMTgi, UM1)

PERSONAL IDENTIFICATION
1. Methods of identification
a. List (UMM, UMMg)
b. Any 2 detail (UMM)
2. Sacrum: 2 tables (UMM)
3. Skull (UMM, UM1, UM2)
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4. Mandible (UMM)
5. Assessment of age
a. ALL (UMTgi)
b. Age by dental data (UMM)
c. Age from skull (UMM, UM1, UM2)
d. Age by mandible (UMM)
6. Report on examination of age: male, 16-17 yr (UMMg)
7. Absolute characteristics
a. Fingerprint (UMM, UMMg)
b. Dental data (UMM, UM1)
c. Tattoo mark (UMMg)
d. MLI of scars (UMMg)
8. Ix. of fragmentary remains (UMTgi)

ASPHYXIA
1. Possible COD in drowning (UMM, UM2, UMMg)
2. Conditions where the lungs are relatively dried (UMTgi, UMMg)
3. PM features of drowning
a. ALL (UMMg)
b. Specific signs (UMTgi)
c. Internal signs (UMTgi)
4. Hanging
a. Definition (UM1)
b. Possible COD (UM1, UM2)
c. PMF of hanging & internal findings (UM1)
e. Examination of SOD of hanging (UMM, UMMg)
5. List: Asphyxial death caused by other than pressure over neck (UMTgi, UM1)
6. Traumatic asphyxia (UMTgi, UM1)

MEDICO-LEGAL ASPECT OF WOUNDS

1. MPC Section 319 (UM1, UM2, UMMg)
2. MPC Section 320 (UMM, UMTgi, UM1, UM2, UMMg)
a. Clause 7 (UM2)
b. Clause 8 (UMTgi, UM1)
3. Wound description (UMM, UMMg)
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4. Lacerated wound
a. Definition (UM2)
b. Split skin Vs. Incised wound (UM2)
c. MLI of lacerated wound (UM2)
d. Suicidal cut-throat (UMTgi)
e. COD in cut throat wound (UMTgi)
5. Stab wound
a. Theory of 2 way stretch (UMMg)
6. Defense wounds (UMTgi, UM1)
7. Opinions & inferences regarding wounds causing death
a. MLR: Simple hurt (UMM)
b. Stab wound over left chest (UMMg)
c.Depressed skull # (UM2)

BURNS
1. Purpose of Ix. of death from burning (UMTgi, UM1)
2. Agents responsible for causing burn lesion (UMTgi)
3. Ante-mortem burn Vs. Post-mortem burn
a. ALL (UM1)
b. Report (UMM)
4. Possible COD from burns (UMTgi)

ELECTROCUTION
1. ML procedure / PM features (UMMg)

FIREARM WOUNDS
1. Rifling (UMM)
2. Caliber or bone (UMM)
3. Characters of entrance wound (UMM, UMTgi, UM1)
4. Characters of exit wound (UMTgi)
5. Range of single missile firearm (UM1, UM2)

ROAD TRAFFIC ACCIDENTS

1. MPC Section 337 (UMMg)
2. MPC Section 338 (UMMg)
3. Auto-pedestrian accident
a. PMF (UMMg)
b. Run over chest (UM2)
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4. Auto-auto accidents
a. Driver (UM1)
b. Lover seat passenger (UM1)
5. Auto-cycle accident
a. Injuries to motorcyclist (UMTgi)

REGIONAL INJURIES
1. Types of skull # (UMM)
2. Cerebral edema (UMTgi)
3. Coup & countercoup damage (UM2, UMMg)

SCENE OF CRIME
1. Role of Dr. in SOC (UMTgi, UM2)
2. Broad principles (UMTgi)
3. Procedure at the SOC (UM2)
4. Collection & labelling of specimens (UM2)
5. Transport of the body to the mortuary (UM2)
6. Examination of body at SOC (UMTgi)

SUDDEN & UNEXPECTED DEATHS

1. Definition (UM2, UMMg)
2. Objectives of doing PME in SUD (UMTgi)
3. Classification of SUD (UMTgi, UMMg)
4. Complication of coronary atheromatous lesions (UM2)
5. Sites of coronary stenosis & lesions (UMM, UM2, UMMg)
a. Causes of MI (UM1)
6. Autopsy Dx. of MI (UMM, UMTgi, UM1, UMMg)

MEDICOLEGAL ASPECTS OF PREGNANCY

1. MLI of pregnancy (UMM, UM1, UMMg)
2. Signs of recent delivery in dead person (UM2)

INFANTICIDE
1. Problems in Ix. of infanticide (UM1, UMMg)
2. Definition of live birth (UMMg)
3. Direct proof (UMMg)
4. Definition of still birth (UMMg)
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CRIMINAL ABORTION
1. Laws (UMTgi, UM1, UMMg)
2. Duties of MO in CA (UMM, UM1, UMMg)
a. Medical ethical issues (UMM)
3. Dangers of CA (UMTgi, UM2, UMMg)

FORENSIC PSYCHIATRY
1. MPC Section 84 (UMTgi, UM1, UM2)
2. Delusion & hallucination (UMTgi)
3. Lucid interval (UM1, UM2, UMTgi)
4. Features of insane murderer (UMM, UM2)
5. Feigned insanity: purpose, feigned insanity Vs. true insanity (UMM, UMMg)

SEXUAL OFFENCES
1. MPC Section 375 (UMM, UMMg)
a. Sexual intercourse (UMMg)
b. Against her will (UM1)
c. Without her consent (UM2)
d. Any one clause (UMM)
2. MPC Section 376 (UMMg)
3. Medical examination of rape
a. List (UMMg)
b. History taking (UMTgi)
c. Signs of struggle to the uttermost (UM1)
4. Examination of genital area
a. List (UMMg)
b. Rupture of hymen (UMMg)
c. Abrasion & bruising of hymen (UMMg)
d. Swabs after digital examination (UMMg)
e. Vagina E (UMMg)
f. Recent hymen tear (UM2)
5. ML opinions (UMTgi, UM1)
a. Signs of recent sexual intercourse present (UM2)
b. Conditions where spermatozoa can’t be seen (UMTgi)

UNNATURAL SEXUAL OFFENCES & BEHAVIORS

1. Examination of passive agent
a. Occasional: 8 yr old boy (UM2)
b. Habitual (UM1)
c. Incriminating evidence of passive agent (UM2)
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2. List USBs (UM2)

3. Incest (UMM, UM2)

MEDICAL ETHICS
1. Declaration of Geneva 2017
a. ALL (UM1, UM2, UMMg)
b. 2 unethical (UMM)
2. De-registration (UMMg)
3. De-licensing (UM2, UMMg)
4. Serious professional misconduct (UMM, UMTgi)
5. Professionalism in medicine (UMTgi)

MEDICAL NEGLIGENCE
1. Definition of MN (UMTgi, UM1, UM2)
2. 4 D’s (UMM)
3. When does duty of care begin? (UMM, UM1, UM2)
4. Definition of Negligence (UMTgi)
5. Reasonable skill & care (UM1, UM2)
6. Common causes of negligence actions
a. List (UMTgi)
b. Departure from accepted medical practice (UMTgi)
7. Damage (UMM)
8. Defenses available for defendant Dr. (UMM, UMTgi, UM1)
a. Delegation of duties (UM1)

FAMILY MEDICINE
1. Rights of patient (UMTgi, UM1, UMMg)

TOXICOLOGY
1. Dx. of poisoning (UMTgi)
2. Duty of a MP in a case of suspected poisoning (UM1) /
Poisoning causing sudden death (UMMg)
3. Guiding principles (UMM)
4. Tests for alcohol (UM1, UM2)
5. Security measures (UMM, UM2)
6. Use of preservative (UM2)
7. Diluted nitric acid: CF, PMF (UM1)
8. Definition: alcohol intoxication (UM1, UM2)
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9. Examination of suspected drunken person

a. List (UMMg)
b. ALL (UMTgi)
c. Ix. (UM1, UM2, UMMg)
d. Opinion (UMTgi, UM1, UMMg)
e. PM analysis of alcohol (UM1)
10. IV narcotism
a. COD (UM2)
b. Interpretation of findings (UM2)
11. Amphetamine poisoning (UMM, UM2)
12. OPP
a. MOA (UMMg)
b. Sings & symptoms + Lab. (UM2)
c. Dx. (UMMg)
d. PM appearance of OPP (UMMg)
13. Russell’s viper (UM2, UMMg)