TRAUMATOLOGY B-8 MCQs
Q:1. A young boy was riding a motor bike at high speed.
Suddenly he slipped on the road. He received multiple
abrasions with reddish base. On examination there was a
heaping up of epithelium at terminal part of the +-
a) Age of injury
b) Direction of force
c) Impact of force
d) Manner of infliction
e) Type of weapon used
Correct answer: (b)
Q:2. Graze is a type of:
a) Abrasion
b) Chop wound
c) Contusion
d) Incision
e) Laceration
Correct answer: (a)
Q:3. The term “friction burn” is also used for:
a) Electric burn
b) Graze
c) Impact abrasion
d) Pressure abrasion
e) Scratch
Correct answer: (b)
Q:4. Most common type of abrasions sustained by the
victims of road traffic accidents is:
a) Avulsion
b) Graze
c) Impact
d) Pressure
e) Scratches
Correct answer: (b)
Q:5. In a roadside accident, a pedestrian was overrun by a
heavy vehicle. On external examination, there were tire
marks of the vehicle all over the chest with distinct margins
which is an example of:
a) Deep bruise
b) Gravitational bruise
c) Graze abrasion
d) Patterned bruise
e) Superficial bruise
Correct answer: (d)
Q:6. In a large bruise colour changes begin from which area
of the wound:
a) Anywhere
b) Centre
c) In between centre and periphery
d) Periphery
e) Uniformly throughout
Correct answer: (d)
Q:7. Tearing of skin and subcutaneous tissues caused by
blunt means is called:
a) Abrasion
b) Contusion
c) Incised wound
d) Laceration
e) Stab wound
Correct answer: (d)
Q:8. Impact of a blunt object on forehead results in
laceration. Similar impact of same force acting in same
direction on buttock will most probably results in:
a) Abrasion
b) Bruise
c) Fracture of underlying bone
d) Incised wound
e) Laceration
Correct answer: (b)
Q:9. In a lacerated wound the hair bulbs of the affected
areas are:
a) Cleanly cut
b) Contused
c) Crushed
d) Intact
e) Swollen
Correct answer: (c)
Q:10. Lacerated wounds appear incised like wound if the
blunt impact is applied perpendicular to the body in the
region of:
a) Abdomen
b) Breast
c) Eye lids
d) Scalp
e) Scrotum
Correct option: (d)
Q:11. Incised wounds appear laceration like wounds on the
body in the region of:
a) Knuckles
b) Patella
c) Scalp
d) Scrotum
e) Shin
Correct option: (d)
Q:12. When skin and soft tissues are crushed between
perpendicular impacting force and underlying bones, the
resulting wound is called:
a) Crush laceration
b) Cut laceration
c) Split laceration
d) Stretch laceration
e) Tear laceration
Correct option: (c)
Q:13. A person received a glancing kick from the toe of a
boot over his abdomen. On examination, there was open
wound with flap formation usually called:
a) Crush laceration
b) Cult laceration
c) Slit laceration
d) Stretch laceration
e) Tear laceration
Correct option: (d)
Q:14. In fractures of bones, histological signs of clot
organization and transformation of osteoid matrix into soft
callus occurs in about:
a) 1 week
b) 2 weeks
c) 3 weeks
d) 4 weeks
e) 5 weeks
Correct answer: (a)
Q:15. An infant was found dead in his cot. On examination
there was a very tiny opening on back of the nape of neck.
Area around the opening was bruised. Brain was congested;
abdominal and chest viscera were congested. No other
cause of death was obvious. Small open wounds on the neck
are consistent with which type of wound:
a) Bruised abrasion
b) Penetrating wound
c) Perforating wound
d) Punctured wound
e) Stab wound
Correct option: (d)
Q:16. The appearance of stab wound which occurs with
double-edged knife is:
a) Elliptical
b) Round and lacerated
c) Simple round
d) Triangular
e) Wedge shaped
Correct answer: (a)
Q:17. A single blow with a curved weapon like sickle can
produce:
a) Abrasion
b) Both stab and lacerated wounds
c) Incised wounds
d) Lacerated wound
e) Stab wound
Correct answer: (b)
Q:18. In deep incised wounds the Lines of Langer’s lined
determine:
a) Direction
b) End of wound
c) Gaping
d) Healing
e) Shelving
Correct answer: (c)
Q:19. A person sustained a clean-cut knife injury in a
quarrel. The defense council took the plea that injury was
attributed to a fall on some crockery that was lying nearby
but his plea was turned down on the basis of:
a) Bruised margins
b) Clean-cut and even margins
c) Crushed hair bulbs
d) Intact tags of tissue in depth
e) Irregular shape of wound
Correct answer: (b)
Q:20. A person was working as cashier in a private firm.
While shifting money to the bank, he was attacked by two
robbers and money was snatched. He came back to his firm
and showed wounds on the top of his head which were
multiple, parallel and superficial. Owner of the firm did not
believe in his story and case was sent to police. On medical
examination these wounds were proved to be:
a) Accidental wounds
b) Defence wounds
c) Fabricated wounds
d) Homicidal wounds
e) Suicidal wounds
Correct answer: (c)
Q:21. First sign of wound injury is:
a) Dilation of capillaries
b) Epithelialization
c) Leucocyte infiltration
d) Localized oedema
e) Secondary infection
Correct answer: (b)
Q:22. The most common elected site for suicide with the
firearms in which of the following areas:
a) Centre of forehead
b) Epigastrium
c) Heart area (Pericardium)
d) Mouth
e) Temple region (as per working hand)
Correct answer: (e)
Q:23. A case of cut-throat was brought for autopsy. There
were small, multiple, parallel and superficial cuts at the
beginning of the wounds, having no defence wound on the
body and a negative chemical report suggestive of which
manner of death:
a) Accidental cut throat
b) Homicidal cut throat
c) Suicidal cut throat
d) Surgical wound
e) Undetermined
Correct answer: (c)
Q:24. A young man comes in emergency for medicolegal
examination. He had multiple, parallel and superficial
abrasions more on the left side of his chest. Clothes worn at
the time of incident were undisturbed. He told the story that
he had been attacked by a robber. The pattern of injuries is
indicative of manner of infliction of injury to be:
a) Accidental
b) Defence
c) Homicidal
d) Self-inflicted
e) Suicidal
Correct answer: (d)
Q:25. During labour, the patient went into shock, right side
of the heart and pulmonary vasculature were found filled
with fetal squamous cells, lanugo hairs and vernix caseosa
indicative of death due to which of the following conditions?
a) Air embolism
b) Amniotic fluid embolism
c) Bone marrow embolism
d) Fat embolism
e) Venous embolism
Correct answer: (b)
Q:26. A man died of heart attack while walking on the road.
His dead was subsequently run over by a car. The relatives
claimed that the deceased died because of car accident. The
course of event was reconstructed by the enzyme
histochemical studies of injuries which established that the
injuries sustained by the victim were postmortem as no
enzymes like amino peptidase and phosphatases were
demonstrated. The above study is helpful of the survival
time between infliction of injury and death is about:
a) 1-8 seconds
b) 0-8 minutes
c) 1-8 hours
d) 8-12 hours
e) 12-16 hours
Correct answer: (c)
Q:27. A sample of wound was examined histologically for
the determination of the time of infliction of injury showing
polymorphs, monocytes and activated fibroblasts forming a
distinct peripheral wound zone suggestive of estimated time
to be in which of the following ranges?
a) 1-4 hours
b) 4-8 hours
c) 8-12 hours
d) 12-16 hours
e) 16-20 hours
Correct answer: (c)
Q:28. The study of forces responsible for the propulsion of
the projectile within the weapon till the exit of the projectile
is called:
a) Exterior ballistics
b) Interior ballistics
c) Target ballistics
d) Terminal ballistics
e) Wound ballistics
Correct answer: (b)
Q:29. A firearm weapon is identified from the bore of the
weapon which is an indicator of:
a) Internal diameter of barrel
b) Diameter of cartridge
c) Length of barrel
d) Range of weapon velocity of the weapon
e) Velocity of the weapon
Correct answer: (a)
Q:30. The gauge or bore of the smooth bored weapon is
indirectly determined by a known number of spherical balls
of uniform size and each ball is exactly fitting in the barrel
prepared from:
a) One pound of iron
b) One pound of lead
c) One pound of aluminium
d) One pound of copper
e) One pound of zinc
Correct answer: (b)
Q:31. The role of potassium nitrate as a component of gun
powder on burning is to serve as a/an:
a) Fuel
b) Igniter
c) Moisture absorber
d) O2 supplier
e) Propellant
Correct answer: (d)
Q:32. There is less blackening and tattooing around the
injury with a firearm weapon if smokeless powder consists
of:
a) Charcoal
b) Diamide
c) Nitro glycerine
d) Potassium nitrate
e) Sulphur
Correct answer: (c)
Q:33. An abraded contused circular area complete or
incomplete seen in close contact wound caused more
commonly by rifled firearm is called:
a) Collar of abrasion
b) Dirt collar
c) Fouling
d) Muzzle imprint
e) Stippling
Correct answer: (d)
Q:34. The appearance of collar of abrasion produced by the
spinning movement and perforating attempt of the bullet
helps in the determination of:
a) Direction of force
b) Direction fire
c) Manner of death
d) Nature of ammunition
e) Nature of weapon
Correct answer: (a)
Q:35. On examination of a firearm wound present on the
front of chest 2x2 cm surrounded by a circular collar of
abrasion all around the entry wound is indicative of:
a) Fire at right angle
b) Tangential fire
c) Tail wag phenomenon
d) yawning of bullet
e) Ricocheted bullet
Correct answer: (a)
Q:36. There was a single open firearm wound with ragged
torn everted margins and protrusion of subcutaneous tissue
present on right temporal region due to blast effect called:
a) Back spatter
b) Blow back phenomenon
c) Muzzle flash
d) Peppering
e) Punched out opening
Correct answer: (b)
Q:37. A pistol was found at the scene of crime of suicidal
firearm injury over the temporal region. The inside of the
muzzle end of the barrel was matted with blood, fragments
of tissue and hair due to muzzle blast and negative pressure
inside barrel; a phenomenon called:
a) Back spatter
b) Blow back phenomenon
c) Muzzle flash
d) Peppering
e) Punched out opening
Correct answer: (a)
Q:38. During autopsy of a person died due to shot gun
injury. The autopsy surgeon noticed singeing of hair with
tattooing around a circular entry wound. The clothes at the
entry hole were burnt and black. There was pinkish
discolouration of the tissues at and inside the wound. All
these findings are suggestive of which of the following
probable range of fire?
a) Losse contact range
b) Firm contact range
c) Close range
d) Distant range
e) Intermediate range
Correct answer: (c)
Q:39. There is a firearm lacerated circular wound 1x1 cm
with inverted margins, blackening and tattooing spread out
over a large area around the wound with singeing of hair of
charring of skin; indicative of which of the following
probable range of fire?
a) close range
b) loose contact range
c) firm contact range
d) distant range
e) intermediate mediate range
Correct answer: (e)
Q:40. In contact injury over scalp by a pistol, the wound
would acquire which of the following appearance?
a) Circular
b) Cruciate
c) Oval
d) Small and irregular
e) Small punched out areas
Correct answer: (b)
Q:41. On examination of a victim of a firearm injury, the
wound is large, irregular and stellate shaped with everted
margins, present on the forehead. Burning and tattooing
effects are seen inside wound with pinkish discoloration.
Muzzle imprint is surrounding the wound. Findings are
suggestive of which of the following arrange of fire?
a) Close range
b) Loose contact range
c) Firm contact range
d) Distant range
e) Intermediate range
Correct answer: (c)
Q:42. The most common elected site for the suicide using a
revolver or pistol is:
a) Abdomen
b) Epigastrium
c) Left side of the chest
d) Roof of mouth
e) Temple
Correct answer: (e)
Q:43. Blackening and tattooing of skin and clothing in
firearm injury can be best demonstrated by:
a) Infrared photography
b) Luminol spray
c) Magnifying lens
d) Ultraviolet light
e) X - Rays
Correct answer: (a)
Q:44. On the hand paraffin test detects:
a) Blood stains
b) Cyanide
c) Fingerprints
d) Gunpowder
e) Seminal stains
Correct answer: (d)
Q:45. The most commonly affected organ of the body due to
exposure to blast waves generated in bomb blast is:
a) Heart
b) Kidneys
c) Liver
d) Middle ear
e) prostate
Correct answer: (d)
Q:46. The injuries caused by objects that have been
energized by the explosion to become projectiles in a bomb
blast are:
a) Heat effect injuries
b) Primary blast injuries
c) Quaternary blast injuries
d) Secondary blast injuries
e) Tertiary blast injuries
Correct answer: (d)
