NEET-PG 2013 - Forensic Medicine PYQs Practice Questions

Q: In forensic pathology, what term describes neck compression injuries caused by forearm pressure?

Mugging. ***Mugging*** - This is the **standard forensic pathology term** for neck compression injuries caused by **forearm or arm pressure**, typically applied in a "chokehold" or "arm-hold" position. - Also known as **"bansdola"** in Indian forensic literature, this mechanism involves **circumferential or lateral neck compression** by the forearm/arm, often seen in assault or robbery scenarios. - The injury pattern shows **broad, diffuse bruising** without the linear marks of ligature or discrete fingerprint marks of manual strangulation. - Distinguished by the **absence of a ligature mark** and the presence of **deep soft tissue hemorrhages** in the neck structures. *Garrotting with a stick* - This involves **ligature strangulation** where a **ligature is tightened using a stick** or similar implement as a tourniquet. - The injuries show **specific patterned marks** consistent with the ligature and the **twisting mechanism**. - This differs from mugging, which uses direct arm/forearm pressure without any ligature. *Strangulation with rope* - This refers to **ligature strangulation** using a **rope**, resulting in a **distinct linear mark** consistent with the rope's texture and diameter. - The ligature mark is typically **oblique, ascending** in hanging or **horizontal/variable** in strangulation. - The mechanism involves external compression by a **specific ligature object**, not the human forearm. *Manual strangulation with hands* - This involves **direct neck compression** by the **hands, fingers, or thumbs** of an assailant. - Injuries typically include **fingernail abrasions**, **fingertip bruises**, and **crescent-shaped marks** corresponding to individual digits. - These discrete marks are distinct from the **broad pressure pattern** seen in mugging with forearm compression. [Practice more Forensic Medicine PYQs on OnCourse]

Q: Which of the following is NOT a recommended primary management option for a patient with a snake bite?

Wash with soap and water. ***Wash with soap and water*** - Washing the bite with soap and water is **NOT** a recommended primary management option for a snake bite as it can spread the **venom**, potentially worsening the local effects and systemic absorption [1]. - The focus should be on **immobilization and minimizing movement** to restrict venom spread [1], [3]. *Splinting and immobilization* - **Immobilization** of the bitten limb is crucial to reduce venom dissemination through the **lymphatic system** [1], [2]. - This helps to **slow the absorption** of venom into the systemic circulation [1], [3]. *Reassure the patient* - **Anxiety and panic** can increase heart rate and metabolism, potentially accelerating venom absorption. - **Reassurance** helps to calm the patient, which can slow the spread of venom and improve cooperation with treatment [1], [2]. *Keep the site of bite below heart level* - Keeping the affected limb **below heart level** helps to reduce blood flow and, consequently, the systemic spread of venom [1]. - This simple maneuver can **delay the onset** of systemic toxic effects [1]. [Practice more Forensic Medicine PYQs on OnCourse]

Q: Muttering delirium is seen with: NEET 13

Datura. ***Datura*** - **Datura poisoning** is characterized by an **anticholinergic toxidrome**, which includes central nervous system effects like **muttering delirium, hallucinations**, and disorientation. - The patient exhibits features like **dilated pupils, dry mouth, flushed skin**, and **tachycardia** due to the blockage of muscarinic acetylcholine receptors. *Castor oil plant* - The **castor oil plant** contains **ricin**, a potent toxin that causes **gastrointestinal symptoms** (nausea, vomiting, abdominal pain, bloody diarrhea) and eventually multi-organ failure. - It does not typically cause the central nervous system effects like **muttering delirium** seen with Datura poisoning. *Cocaine (stimulant)* - **Cocaine** is a central nervous system stimulant that causes **euphoria, agitation, paranoia, dilated pupils**, and **tachycardia**. - While it can cause psychosis, the specific **muttering delirium** is not its hallmark presentation; instead, it is associated with a hyperadrenergic state. *Monkshood (Aconitum)* - **Monkshood** contains **aconitine**, a neurotoxin that primarily affects cardiac and neurological function, causing **paresthesias, muscle weakness, bradycardia**, and potentially fatal arrhythmias. - It does not typically cause the **muttering delirium** with features of an anticholinergic syndrome. [Practice more Forensic Medicine PYQs on OnCourse]

Q: Which of the following statements about Platauf's hemorrhages is correct?

Subpleural hemorrhage. ***Subpleural hemorrhage*** - **Platauf's hemorrhages** are **defined as subpleural hemorrhages** found on the surface of the lungs, particularly in cases of **asphyxial death** related to drowning. - This is the **most accurate and specific statement** as it describes the **pathological nature** of Platauf's hemorrhages. - These hemorrhages result from the rupture of small capillaries due to sudden increase in intrathoracic pressure and aspiration of water during drowning. - They appear as **small petechial hemorrhages** on the **anterior, lateral, and inferior surfaces** of the lungs. *Mostly seen in middle lobe* - This is **incorrect**. Platauf's hemorrhages can occur in **any lobe** of the lungs, not specifically the middle lobe. - They are more commonly described as being present on the **anterior and lateral margins** and **inferior surfaces** of the lungs, regardless of lobe. *All are true* - This statement is **incorrect** because the statement about the middle lobe is false, making "All are true" false. *Sign of drowning* - While this statement has merit, it is **less specific** than "subpleural hemorrhage." - Platauf's hemorrhages are indeed **strongly associated with drowning** and are considered one of the **internal findings in drowning deaths**. - However, they are **not absolutely pathognomonic** - they can occasionally be seen in other forms of acute asphyxia or conditions involving severe acute pulmonary congestion. - The **defining characteristic** is that they are **subpleural hemorrhages**, which is a more precise pathological description than calling them simply a "sign of drowning." - Therefore, when asked "which statement is correct," the **most accurate and specific answer** is "Subpleural hemorrhage." [Practice more Forensic Medicine PYQs on OnCourse]

Q: What is the time limit for exhumation in India?

No specific time limit. ***No specific time limit*** - In India, there is **no specific legal time limit** for exhumation; it is subject to the discretion of a magistrate or judicial authority. - Exhumation is ordered if there is a **reasonable suspicion or compelling grounds** to believe that an examination of the remains will provide crucial evidence for a criminal investigation. *One month* - This is **incorrect** as there is no such restrictive time frame for exhumation in Indian law. - Exhumations are ordered based on the investigative needs, not arbitrary short deadlines. *One year* - This time limit is **not stipulated** in Indian legal provisions for exhumation. - The decision to exhume is made on a case-by-case basis, considering factors like the preservation status of the body and the potential evidentiary value. *Ten years* - There is **no fixed legal period** like ten years limiting exhumations in India. - The decaying state of a body over an extended period might reduce its forensic value, but technically, exhumation can still be ordered if deemed necessary for justice. [Practice more Forensic Medicine PYQs on OnCourse]

Question 1

In forensic pathology, what term describes neck compression injuries caused by forearm pressure?

Accepted Answer

Mugging

Answer

Garrotting with a stick

Answer

Strangulation with rope

Answer

Manual strangulation with hands

Question 2

Which of the following is NOT a recommended primary management option for a patient with a snake bite?

Accepted Answer

Wash with soap and water

Answer

Reassure the patient

Answer

Splinting and immobilization

Answer

Keep the site of bite below heart level

Question 3

Muttering delirium is seen with: NEET 13

Accepted Answer

Datura

Answer

Castor oil plant

Answer

Cocaine (stimulant)

Answer

Monkshood (Aconitum)

Question 4

Which of the following statements about Platauf's hemorrhages is correct?

Accepted Answer

Subpleural hemorrhage

Answer

All are true

Answer

Mostly seen in middle lobe

Answer

Sign of drowning

Question 5

What is the time limit for exhumation in India?

Accepted Answer

No specific time limit

Answer

One year

Answer

Ten years

Answer

One month

Question 6

Immersion syndrome is also known as?

Accepted Answer

Hydrocution

Answer

Wet drowning

Answer

Dry drowning

Answer

Secondary drowning

Question 7

Which of the following statements about exit wounds of a bullet in bone is correct?

Accepted Answer

Bevelled

Answer

Abrasion collar

Answer

Smaller than entry wound

Answer

Presence of COHb

Question 8

In blast injury, which organ is most likely to be damaged first?

Accepted Answer

Tympanic membrane

Answer

Liver

Answer

Lung

Answer

Gastrointestinal tract

Question 9

What does testamentary capacity refer to?

Accepted Answer

Ability to make a valid will

Answer

None of the options

Answer

Ability to create a will

Answer

Ability to understand legal documents

Question 10

Which of the following is NOT a sign of somatic death?

Accepted Answer

Rigor mortis

Answer

Cessation of heart

Answer

No response to external stimuli

Answer

Cessation of respiration

NEET-PG 2013 — Forensic Medicine