FMT

Q1. Antidote for benzodiazepine toxicity?

a. Fomepizole
b. Flumazenil
c. Naloxone
d. Physostigmine
 Antidotes in Different Poisoning

Paracetamol– N-ACETYL CYSTEINE

Methanol– ETHANOL,FOMIPAZOLE
CO poisoning: OXYGEN
Benzodiazepine- FLUMAZENIL
Opiates- NALOXONE
Organophosphorous- ATROPINE
Cyanide- AMYL NITRITE, Na NITRITE, Na thiosulphate, best-
Thallium- P
Methemoglobinemia – M
A person purchased bottles of liquor and consumed. After one hour
pain abdomen, vision loss and gait disturbance. What is treatment
for this?

a. Ethyl alcohol

b. Flumazenil

c. Atropine
d. Naloxone
HOOCH TRAGEDY
Q. A man is brought by his wife, as he calls other women, and
achieves sexual gratification by talking obscenity and sharing
obscene pictures. What does the patient most likely have?
 SEXUAL PERVERSION
● Sadism/algolagnia

● Masochism/passive algolagnia:

● Bondage: sadism + masochism

● Lust murder: Murder serves as stimulus for sexual act

● Urolagnia/Undinism/urophilia : Urine

● Uranism: Sexual gratification by fingering, fondling, licking,

sucking of genitalia of opposite sex.

● Coprophilia: FECES
 SEXUAL PERVERSION

● Exhibitionism:PRIVATE PARTS, IPC-

● Steaking- PUBLIC PLACE

● Mooning-showing the bare buttocks
● Flashing—momentarily exposing body parts by
quickly moving the clothing

NECROPHAGIA, NECROPHILLIA
 Transvestism (eonism) and Fetichism

● Wearing dresses of opposite sex

● With inanimate objects of opposite sex

● Voyeurism (scoptophilia/ peeping tom)

● Mixoscopia is a form of voyeurism in which sexual gratification is

obtained by the sight of others engaged in sexual intercourse
 ● Frotteurism: 290 IPC
Rubbing private parts against a female’s buttocks, thigh
Mastubation (Onanism, ipsation ) —

Coprolalia- obscene language

Scatalogia: obscene telephone calls.

Partialism: Sexual interest with specific body part other than genitalia

Klismaphilia: Sexual gratification by enema

Ecouterism - listening the sounds associated with sexual intercourse

Nymphomania: Excessive sexual desire in females

Satyriasis: Incessant sexual desire in males

Dippoldism: (Dippold, a German schoolmaster)-TEACHER-BEATING-

STUDENT

Gerontophilia: Sex with-OLD

Pedophilia---CHILD
Study of death in all aspects is known as

a. Thanatology
b. Forensic anthropology
c. Toxicology
d. Molecular death
According to the law, nothing is an offence if a person is of an
unsound mind and is not able to understand that the nature and
consequences of his/her act are wrong. Which rule of insanity
applies in this case?

a. Durham's rule
b. Mc Naughten's rule
c. Curren's rule
d. Irresistible impulse rule
Mental capacity----CURRENS

Unsound mind -------MCN. RULE 84 IPC

Product ----DURHAMS

FREE AGENCY OF WILL-----IR. IMPULSE RULE

Q. A patient was brought to the casualty with greenish color skin and
rotten egg odor. The most probable poisoning could be

a) Carbon monoxide
b) Nitrite
c) Cyanide
d) Hydrogen sulphide
Special Smell

● Fruity/sweet smell: ALCOHOL

● Acrid smell: ALDEHYDE
● Rotten eggs smell/ sewer gas smell: H2S
● Rotten fish smell: ANILLINE
● Kerosene odour smell: OP
● Fishy or musty smell: ZnP
● Bitter almonds smell: C
● Burnt rope smell: C
● Shoe polish smell: NIKE- NITROBENZENE
● Garlic-PIZZA- THALLI

● ARSENIC, PHOSPHORUS, THALLIUM

Q. A 14 year old girl was kidnapped by a male. The police arrested
him, but he died in police custody. The inquest is conducted by

a) Police
b) Coroner
c) Medical examiner
d) Judicial magistrate
INQUEST in India

● Police- 174 crpc- MC, UNNATURAL DEATHS, HC

● Magistrate- 176 crpc—JUDICIAL, EXECUTIVE

● ASYLUM
● BEATING
● CUSTODY
● DOWRY
● EXHUMATION
● FIRING
A female after 4 years of marriage died & there was a suicide not
mentioning that she was tortured for dowry. In this case, the
inquest will be done by the—

a. Police
b. Village headman
c. Judge
d. Magistrate
Q. Medical termination pregnancy can be done till 24 week because
of?

a. Fetus malformation
b. Rape
c. Contraception failure
d. Minor
MTP Act = 1971
= 1972
NEW = 2021 =
Indications :
Contraceptive Failure = Social
Child Malform Eugenic
Mother Risk of life Therapeutic

Physical / Mental Anomaly

Rape = Humanitarian
CONSENT = Mother (Fm), > 18y
Confidentiality = 1 y / fine / both
Up to 20 weeks- CONTRACEPTIVE FAILURE

Up to 24 wks → Preg. Rape, / INCEST / Vulnerable female

>24 wks Medical Board -substantial fetal Abn

↓
OBG
Pediatrist
Radiologist / sonologist
Any other member
Any Time = if to save life of Pregnant (fm)
= 1 Dr.

MTP = Done IN GOVT. INSTITUTUIONS and By

• RMP → 25 Assisted = MTP
• 6m → House job = OBG
• OBG = MD / MS / Diploma / DNB
• 1 year experience in OBG DEPT.
When a victim of an unlawful act was dying, the police recorded the
dying declaration. The doctor certifies that the victim was
conscious and mentally oriented. The dying declaration will be
considered invalid if?

a. It is not done by the doctor

b. The victim is not dead
c. Declarant is not expecting death
d. The victim didn’t sign the declaration
Dying Declaration DYING DEPOSITION

32 IEA
VALID
OATH
CROSS EXAMINATION
LEADING QUESTIONS
An 18-year-old female was sexually assaulted by a 20 year old male.
Barbero’s test was performed on the stains and showed yellow
needle-shaped crystals. Which of the following is detected by this
test?

a. Spermine
b. Acid phosphatase
c. Choline
d. Fructose
BARBERIOS
FLORENCE
BLOOD STAIN----TIECHMANN
TAKAYAMA
Which of the following tests cannot be used to detect blood stains?

a. Barberio's test
b. Takayama's test
c. Teichman's test
d. Spectroscopy
A female faked pregnancy and still presents a child later to blackmail
a man. What is this child called as?

a. Supposititious child
b. Superfecundation
c. Posthumous child
d. Superfetation
• Suppositious Child/Fictitious/Substituted child

The intention is for obtaining money or for purpose of claiming

property.(blackmailing)

Claims the child as her own child and will bring the child
Superfecundation vs Superfetation
T 2T
SAME MC CYCLE 2 MC CYCLE
2 OVA FERTILIZED 2 OVA FERTILIZED
2 DIFFERENT ACT OF COITUS
• Posthumous Child

Child born after death of

Affiliation case- case of disputed paternity

A gunshot case brought for autopsy shown an entry wound with
inverted margins, surrounded by tattooing, but blackening and
singeing of hairs is not noted. What is the most possible range of
firing?

a. Contact shot
b. Near shot
c. Close shot
d. Distant shot
BURNING/SINGEING-FLAME

BLACKENING- SMOKE
TATTOING- GUN POWDER
 Contact Close shot Near Distant

Muzzle impression

Shape of wound

Burning/blackening/tattooing

Abrasion/Grease collar
Q. A gunshot was brought for autopsy. The Doctor noted firearm
injury as stellate shape. What will be the range of gunshot?

a. Close shot
b. Contact shot
c. Near shot]
d. Distant shot
During autopsy, the doctor tied the bronchus and immersed the lung
in water to check whether it floats or sinks. This test is identified
as-

a. Gettler’s test
b. Ploucquet’s test
c. Hydrostatic test
d. Diatom’s test
In judicial hanging, thee cause of death is due to—

a. Vagal inhibition
b. Cervical vertebral fracture dislocation
c. Cerebral hypoxia
d. Asphyxia
Hangmans Knot-Ideal Site-BELOW CHIN

India-ANGLE OF MANDIBLE

Hangmans Fracture- #

Damage-BRAIN STEM
Identify the type of abuse as shown in the image below.

a. Bagging
b. Snorting
c. Sniffing
d. Huffing
Ballooning Glading SPRAY IN ROOM- INHALE

HUFFING

.
-
A man was found dead due to starvation. Which of the following
findings will be seen on autopsy?

a. Distended gall bladder

b. Enlarged liver
c. Expanded lungs
d. Hypertrophied heart
Cherry red post mortem lividity is seen in:

a. Opioid poisoning
b. Carbon monoxide poisoning
c. Hydrogen sulphide poisoning
d. Phosphorous poisoning
Cherry red: CO poisoning
Bright red: CN
Dark brown: P A N
Black: OPIUM
Bluish green: H2S
Bronze:
Purple:METHANOL

Hypothermia: BRIGHT PINK

Q Patient died and relatives said he had a tatoo but on autopsy no
tatoo was seen. Which is the best location to check if he had
tatto?

a. Spleen
b. Artery
c. Lymph node
d. Liver
Q7. Police recovers beheaded skull bone and relatives of a missing
person give the photograph of missing person to police. This two
samples can be analyzed with which technique?

a. Fingerprint
b. DNA Fingerprint
c. Superimposition
d. Cheiloscopy
Most reliable method-FINGERPRINTING aka
Not inherited and not same in IDENTICAL TWINS-QUETLET RULE
These are
World 1st finger-print bureau-KOLKATA
1897
First Used By-W. HERSCHEL
1858
ClassificationGALTON

Development in fetus12-24 WKS

Identify the fingerprint pattern shown in the image

a. Whorl
b. Composite
c. Loop
d. Arch
CORE DELTA
Q8. A doctor was summoned as a public witness to come and record his evidence
in court. What is correct about this witness?

a. Oral evidence
b. Common witness
c. Expert witness
d. Hostile witness
a. Common Witness (First Hand Knowledge Rule):

Expert Witness (Volunteering of Statement):

 A KILLED B----------C ---SEEN
a. Direct Evidence: - Directly Proves a Fact:

b. Indirect Evidence: - Collateral from which an Inference may be

drawn

c. Corroborative Evidence: A WITH KNIFE

d. Hearsay Evidence: C-----TOLD ------D
Q9. Identify the plant

a) Cerebra thevetia
b) Ricinus communis
c) Datura
d) Papaver somniferum
HIPPUS SIGN XANTHOPSIA
A child after eating an unknown fruit, has been brought to your
emergency department with the following signs and symptoms –
Dry mouth, irrelevant slurred speech, dry and hot skin, dilated
pupils. On examination there was tachycardia and hyperthermia.
What is the most probable diagnosis

a. Poppy seeds poisoning

b. Datura poisoning
c. Mushroom poisoning
d. Cannabis poisoning
A 28 year old male is brought to the emergency. On examination, his
PR is 50 bpm, BP is 80/60 mmHg, RR is 7 breaths/min and his
temperature is 95 F. he has pin point pupil an is disoriented. What
is the most probable diagnosis?

a. Benzodiazepine overdose
b. Cocaine intoxication
c. Opioid withdrawal
d. Opioid intoxication
M - Miosis
O - Orthostatic Hypotension
R - Respiratory Depression
P - Pain Relief,
H - Histamine Release (Bronchospasm),HYPOTHERMIA
I - Increased ICT, INFREQUENCY
N – Nausea, NALOXONE
E – Euphoria
S

• WITHDRAWL EFFECT
• yawning, insomnia, dysphoric mood, dehydration,
• Increased BP, heart rate, respiration, SECRETIONS-
• piloerection and mydriasis.
Which of the following statements does not apply during cross-
examination in a court of law?

a. Public Witness is examined by the defense lawyer

b. Leading questions are not allowed
c. Objective of cross-examination is to weaken case of
opponent
d. There is no time limit to cross examination
Q. History of fall with hammer falling on skull without helmet
causes??

a. Depressed fracture
b. Gutter fracture
c. Diastatic fracture
d. Ring fracture
a. Depressed fracture
b. Gutter fracture
c. Diastatic fracture
d. Ring fracture
e. COMMINUTED
Q. RTA case with EDH and hitting on pterion ?

a. Middle meningeal artery

b. Middle cerebral artery
c. Anterior communicating artery
d. Bridging veins
LUCID INTERVAL
MEDICAL-NEGLIGENCE
THUNDER CLAP HEADACHE
BI-CONVEX
CONCAVO-CONVEX
Q12 A drowning victim dead body was brought for autopsy and on examination
multiple cuts are seen over forearm flexor surface, this is ?

a. Self inflicted wound

b. Defence wound
c. Accidental
d. Post-mortem artifacts
DEFENCE WOUND
ACTIVE-
PASSIVE
Q Identify the type of homicide caused by smothering and traumatic
asphyxia.

a. Mugging
b. Garroting
c. Burking
d. Bansdola
Mugging-forearm

Garroting-JUDICIAL STRANGULATION- SPAIN,TURKEY

Burking- HOMICIDAL

Bansdola- STICK

OVERLAYING vs BURKING
Which of the following features aids in the differentiation of a true
bruise from an artificial bruise?

a. Positive chemical tests

b. Progression of the color of bruise over time
c. Regular and well-defined margins
d. Presence of vesicles
A dead body as found with a wound on the neck, with clean-cut
edges, crushed tissues along disruption of the vertebral bones.
Identify the type of wound.

a. Incised wound
b. Chop wound
c. Lacerated wound
d. Avulsion
During the examination of a victim of assault, you notice a wound
with ragged, irregular, and uneven margins with tears diverging at
an angle from the end of the main wound and typical ‘swallow
tails’. Bleeding from this wound is not significant and shows
crushed blood vessels and hair bulbs. You would document this
wound as a/an.

a. Incised wound
b. Chopped wound
c. Stab wound
d. Lacerated wound
 Dry burn MOIST burn chemical/corrosive

Singeing/blackening
sodden/bleach
blisters
Red line
PATTERNED BRUISE- TRAMLINE BRUISE, BUTTERFLY BRUISE, SIX-PENNY
MIGRATORY BRUISE---BATTLE SIGN- MCF#
SPLIT LACERATION- INCISE LOOKING LACERATION-SCALP,CHIN,SHIN
A 23 year old farm worker from a remote village is brought to the
hospital 8 hours later, following a snake bite at 5 in the morning.
The patient complained of headache, blurred vision, tingling
sensation around the mouth, dizziness, and vertigo and had
multiple episodes of vomiting since the bite. He has signs of
respiratory depression and bradycardia (HR<50). The local wound
showed mild swelling and blistering. There are no apparent
bleeding manifestations. He was administered 10 vials of
antivenom. Which of the following is the subsequent step of
management?
a. Check the blood coagulation profile
b. Neostigmine with atropine
c. Epinephrine injection
d. I.V hydrocortisone
ASV,NEOSTIGMINE+ATROPINE, MECHANICAL VENTILATION-COBRA
ASV,FFP,SX----VIPER
ASV AND MECHANICAL VENTILATION--KRAIT
Which of the following options describes the symptoms seen
classically in a patient bitten by the snake shown in the image
below?

a. Non-poisonous, dry bite

b. Severe edema, necrosis and bleeding
c. Severe muscle necrosis, rhabdomyolysis
d. Neurotoxicity and muscle paralysis
A 19 year old female patient presented to emergency unconscious. A
non-contrast CT revealed hydrocephalus, requiring urgent
neurosurgical intervention. The patient had nobody
accompanying or any identity proof. what should the doctor do?

a. Do not operate without consent

b. Wait for arrival of relatives
c. Operate without consent
d. Take consent by calling the relatives
A patient was referred by a doctor to a radiologist for a CT scan and
the doctor was given money for the referral. What is this unethical
act called?

a. Dichotomy
b. Medical maloccurence
c. Criminal negligence
d. Commission
You are working as an internal medicine consultant at a private clinic.
A patient with chronic renal disease requiring hemodialysis is
admitted under you. You advise diet and fluid control and keep
him under observation. However, the patient progresses to take
ayurvedic supplements and sometimes skips the your
instructions without disclosing it. His conditions worsen and he
develops difficulty in breathing. His attendant files a complaint in
court alleging the negligence of the doctor. Which of the following
acts as a defense for the doctor in court?

a. Vicarious liability
b. Res ipsa loquitur
c. Therapeutic misadventure
d. Contributory negligence
In a case of drowning, the following finding is seen at
autopsy. What is it called?

a. Cadaveric spasm
b. Cutis anserina
c. Rigor mortis
d. Washerwoman’s hands
AM DROWNING ---CADEVERIC SPASM

AM BURN—SOOT IN TRACHEA

AM HANGING---DRIBBLING OF SALIVA
Identify the odor produced by the change seen in the image below.

a. Odorless
b. Pungent
c. Putrid
d. Offensive
Q Number of permanent and temporary teeth in 10 year old ?

a. 20,4
b. 16,8
c. 12,12
d. 24,4
Mixed dentition-----6-11 YEARS 24

PERMANENT-----AGE-5 X 4
Q15 A 10 year old boy consumed iron tablets and brought in
emergency with pain abdomen and GI bleeding. Preferred
treatment of choice is ?

a. BAL
b. Penicillamine
c. Activated charchol
d. Desferrioxamine
 British Anti Lewisite (BAL):aka
BAL is administered in………………………………………….
Used in arsenic, lead, copper, mercury, thallium, antimony poisoning

Chelating Agents- Used in

EDTA (Ethylenediaminetetraacetic acid)

DMSA-2,3-DIMERCAPTOSUCCINIC ACID

Penicillamine:

Desferrioxamine
Q A patient with chronic alcohol history presented with Global
confusion, ophthalmoplegia and ataxia. Which vitamin is deficient
?

a. B1
b. B2
c. B3
d. B4
Wernickes Encephalopathy- Vitamin B1

GOA- GLOBAL CONFUSION, OPHTHALMOPLEGIA, ATAXIA

Korsakoff Psychosis- Late Neurological Disorder Due To Vitamin B1

CAP----CONFABULATION, AMNESIA, POLYNEUROPATHY

Which of the following is not a feature of the stage of excitement in
acute cocaine poisoning?

a. Feeling of well-being
b. Cocaine bugs
c. Tingling and numbness in hands and feet
d. Dilated pupils, rapid pulse and sweating.
MOA---SYMPATHOMIMETIC
HR
BV CONSTRICTED
BP
RR
Temp FEVER
Sweating
Pupils DILATE
CNS Effects EUPHORIA,EXCITE
Q A fetus was found with fused Talus what is the age of fetus?

a. 7 months
b. 5 months
c. 3 month
d. 9 month
Appears -FETAL
5-6 Week- CLAVICLE
5 M- CALCANEUM
Seventh MONTH- STERNUM TALUS

36 Weeks(9th Month) 3-CUBOID 6-FEMUR

Full Term---TIBIA
Which of the following diagnosis give the hematological picture as
given below?

a. Minamata disease
b. Saturnism
c. Chronic iron toxicity
d. Arsenic poisoning
THANK YOU
Q14 In the exception of decreasing post-mortem temperature , PM-caloricity graph
which is taken for next 24 hours . Correct statement about this graph is ?

a. Hyperbolic
b. Parabolic
c. Sigmoid
d. Reverse sigmoid
THANK YOU