SRINIVAS INSTITUTE OF MEDICAL SCIENCES & RESEARCH CENTRE
Mukka, Mangaluru
Max. Marks:100
20.12.24 FORENSIC MEDICINE & TOXICOLOGY
3rd year CBME batch 2021- RETEST Internal Examination for eligibility - Theory
LONG ESSAY 10x2=20 marks
1. A deceased body of an adult woman was brought for postmortem examination with the history
of firearm accident. On examination, the entire body was stiff except at the jaw, pale
discolouration of purplish-blue color was present on the back aspect of the body which was
fixed. Greenish discolouration was present at the right iliac fossa. There was a circular defect
present on the back of the head, with multiple punctate abrasions around it. Another irregular
defect was present on the front of the head with brain tissue oozing out of that defect.
(2+3+1+4)
a. Identify the type of Firearm used in this case. Calculate the approximate time since death.
b. With appropriate reasons, identify the entry and exit wound in this case.
c. Explain the manner of death in this case with. Give reasons.
d. Enumerate the steps involved in the medicolegal autopsy of this case.
2. Define infamous conduct. List the 6 important examples of infamous conduct. Enumerate the
6 important duties of medical practitioners to their patients. Differentiate between civil and
criminal negligence. (1+2+3+4)
SHORT ESSAYS 5 x 8 = 40marks
3. Describe symptoms and signs, specific Laboratory investigations and Specific management
of Plumbism.
(2+2+1)
4. Define Consent. Briefly discuss the various components of ‘informed consent.’ Enumerate
the exceptions of informed consent.
(1+3+1)
5. Define and classify inquest. Discuss in detail the type of inquest held in an alleged case of
suicide of a prisoner. (2+3)
6. A 12-year-old boy was brought to Emergency department with history of fall while playing in
the school. On examination he appeared delirious, and disoriented. His right forearm was
tender and deformed. There was multiple six penny bruises in his inner thighs and buttocks.
An x ray examination of his chest showed, “string of beads” appearance and multiple hair line
fractures of ribs. (1+2+2)
a. Reason out your probable diagnosis.
b. Enumerate the various other external and internal clinical findings you will look for
towards confirming of your diagnosis.
c. Enumerate the duties of the treating doctor in such cases.
7. Classify post mortem changes. Enumerate the modifications of putrefaction. Describe in
detail any one of them.
(1+1+3)
8. Briefly describe the relevance of colour changes in age estimation of injuries due to blunt
force.
9. HOOCH tragedy: Discuss the clinical features and specific management of the case.
(2.5+2.5)
10. Describe the principle, procedure, results, drawbacks, and medicolegal aspect of
narcoanalysis.
(1+1+1+1+1)
SHORT ANSWER: 3x10=30marks
11. Enumerate 3 poisons each causing miosis and mydriasis.
12. Lucid interval: Define and Give the medicolegal importance.
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13. Differentiate between caput succedaneum and cephalhematoma
14. Enumerate 3 cerebral and 3 cardiac causes of sudden death.
15. Name the poisons causing Lathyrism, Chinese restaurant syndrome and ichthyotoxicosis.
16. Enumerate the duties of doctor in a case of criminal abortions.
17. Briefly discuss three important radiological signs relevant in Forensic pathology.
18. Give three important differences between the neck findings in Hanging and strangulation.
19. What are arborescent marks. Give its medicolegal importance.
20. Enumerate 6 precautions to be considered in medical documentation.
21. MCQ 5x1=5 marks
I. Puppe’s rule is associated with:
a. Calculating percentage of burns.
b. Defence of professional negligence.
c. Multiple impact injury on skull.
d. Tail gating injuries.
II. Commotio cordis is concussion of:
a. Brain.
b. Spine.
c. Heart.
d. Vocal cords.
III. Amongst the following, the earliest postmortem sign to be seen is:
a. Algor mortis.
b. Kevorkian sign.
c. Tache Noire.
d. Rigor mortis
IV. Rule of Hasse is used to estimate:
a. Age of the foetus
b. Percentage of burns in children
c. Time since death based on Rigor mortis
d. Age estimation based on skull suture closure.
V. The technique used to differentiate between monozygotic twins is
a. DNA fingerprinting
b. Dactylography
c. Blood group typing
d. None of the above
22. MCQ 5x1=5
marks
VI. Perthes syndrome is:
a. Autoerotic asphyxia.
b. Café Coronary.
c. Positional Asphyxia.
d. Traumatic asphyxia.
VII. Hippus is seen in poisoning with
a. Aconite.
b. Atropine.
c. Aluminium phosphide.
d. Arsenic.
VIII. ‘Fracture ala signature’is:
a. Depressed fracture of skull.
b. Pond skull fracture.
c. Sutural fracture.
d. Gutter fracture.
IX. Flash back phenomenon is seen in abuse of:
a. Amphetamine.
b. Cocaine.
c. Cannabis.
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d. LSD.
X. Routine viscera to collected in cases of suspected poisoning with organophosphorus compound are all
EXCEPT:
a. Stomach and its contents.
b. Portion of liver.
c. Full gall bladder.
d. Portion of pancreas.
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