بسم هللا الرحمن الرحيم Forensic Medicine Quiz Exam. د /عبد المنعم جودة مدبولى دكتوراة الطب الشرعى و السموم األكلينيكية, مدرس الطب الشرعى و السموم األكلينيكية, استشاري عالج التسمم بمستشفى بنها الجامعى Objectives: 5. Examination design: Short essay …………………………... True or false with explanation …..…. Multiple choice questions…………. Cases…………………………………….. Complete ……………………………... Examples of each one. 1. 2. 3. 4. Case Study HOW TO ANSWER A CASE? 1. Read carefully, better twice (Scenario & all questions). 2. Analyze data (+ve data). 3. Start to answer. CASE I: A female 16 years old was found hanged, with a stab chest wound. There were some patches of hypostasis in the back of body and apparent fixed hypostasis in both lower limbs. Rigor mortis was completely developed. 1- In this case, Explain: - Time pass since death. - Manner of death. 2- Identify age, its MLI in Egypt? 3- Mention the characters of the stab wound? Case II: A 50 year old man died due to acute right sided heart failure and sepecemic shock. Discuss the PM interval in this case? Case III: If a woman has a coronary atheroma with hypertension died of myocardial infarction as a result of coronary thrombosis: The cause of death is …………………..…… The underlying cause of death is …….….. The proximate cause of death is ……..…… The immediate cause of death is……..…… The mode of death is …………………..…….. The manner of death is …………………..….. Hypertension her is a …………………………. Multiple Choice Questions M.C.Qs How to answer? M.C.Qs PM injection of atropine into anterior champer of the eye causes pupil dilatation for up to: a- 10 hours b- 2 hours c- 20 hours d- 12 hours M.C.Qs After death clouding of the cornea appears with in: a- 3 hours b- 12 hours c- 6 hours d- 2 hours M.C.Qs Factors that delay the onset of rigor mortis: 1. Low environmental temperature. 2. Rapid deaths following pressure on the neck. 3. Poisoning by arsenic. 4. All of the above. M.C.Qs As regard the contact flattening: a- Absent in dependent area pressed against hard surface. b- Occur after cellular death. c- The skin is pale due to mechanical compression of the vessels in this area. d- Site of it is fixed on the back of the body. TRUE OR FALSE with explanation How to answer? The new born infant putrefies slowly ( Rigor mortis start first in large and more active muscles ( ). *Putrefaction is a biological process, while adipocere is a physical change ( مهم لها تفسيران فى األجابة ). In some cases a cause of death may be a disease and manner is homicide ( ). A cause of death may have several mechanisms ( ). ). Complete How to answer? Join between right statements of both columns: Appearance of dry scab and epithelial a)6-12 hours regeneration of healed abrasions is at ….. After death temperature of internal b) 18-24 hs organs is the same as environment in …... After death blood dextrose reach a level > 300 mg/dl within……. .. c) 2-3 days Bruises are dark blue in color after ..….. d)2 week Maceration takes about ……. To develop. e) one week Arborization sign appears at end of ….. f) 3 days Hypostasis is completely developed within……… g) 48 hours After death serum enzymes show a slow linear increase for about ………………… After death the body cavities rupture with in …………. At the time of death the IOT reduce to be …………………. After death clouding of cornea appears within ………………….. Short essay How to answer? Compare between hypostasis & bruises. Enumerate factors that hasten rigor. Compare between rigor mortis and cadaveric spasm. Discuss Death-like state (suspended animation). Illustrate the Examination of teeth marks. Enumerate ML deaths. Define the followings: Barany’s test. Arborization of the skin. Doll’s eye sign. Sudden unexpected death. Adipocere formation Molecular death. Dactylography.