POSTGRADUATE DIPLOMA IN LEGAL MEDICINE EXAMINATION OCTOBER 2009 th Date : 5 October 2009 Time : 1.00 p.m. - 4.00 p.m.

PAPER I Answer all questions. Commence each answer on a separate page. 1. An obese female aged 25 years died 2 days after gastric bypass surgery without regaining consciousness. 1.1. 1.2. List possible causes of death. (20 marks)

Discuss how you would medico legally investigate this death to establish the correct cause of death. (80 marks)

2. 2.1. List major components of the Medico Legal Report in relation to facts and opinions. (10 marks) Discuss the importance of factual components of the Medico Legal Report. (40 marks) Discuss how you would use facts in your report to express opinions. (50 marks)

2.2.

2.3.

3.

You are the JMO who was summoned to investigate a death in Police custody. Police alleged that the deceased was shot dead by the police when he threw a grenade at them while recovering hidden weapons. Discuss the Medico Legal issues that you have to address. (100 marks)

4.

Discuss the effects, complications and causes of death in non penetrating trauma to the chest. (100 marks)

5. 5.1. 5.2. Define Myocardial Infarction. (10 marks)

Describe the macroscopic and microscopic changes in the heart in myocardial infarction. (60 marks) Write notes on sequelae of myocardial infarction. (30 marks)

5.3.

POSTGRADUATE DIPLOMA IN LEGAL MEDICINE EXAMINATION OCTOBER 2009 th Date : 6 October 2009 Time : 1.00 p.m. - 4.00 p.m. PAPER II Answer all questions. Commence each answer on a separate page.

1.

Discuss the circumstances, toxic substance, clinical features and post mortem diagnosis of Aththana (Datura) poisoning. (100 marks) Discuss the post mortem disgnosis of death due to electrocution. Discuss the radiological findings of physical child abuse. Discuss the following in relation to death due to starvation 4.1. medico legal issues 4.2. autopsy findings (100 marks) (100 marks)

2. 3. 4.

(70 marks) (30 marks)

5. 6.

Discuss informed consent and its use in relation to medico legal practice. (100 marks) Describe clinical hymenal findings in different types of sexual assault with vaginal penetration. (100 marks)

7. 7.1. 7.2. 7.3. 8. What is chain of custody ? Discuss how it is maintained in medico legal practice. Discuss its significance in a court trial. (20 marks) (50 marks) (30 marks)

Write short notes on 8.1. excited delirium 8.2. res ipsa loquitur 8..3. spontaneous human combustion Give an account on 9.1. Granulomatous inflammations of lung 9.2. Cirrhosis of the liver Write notes on 10.1. Fracture healing 10.2. Viral Encephalitis

(40 marks) (30 marks) (30 marks)

9.

(50 marks) (50 marks)

10.

(75 marks) (25 marks)