Medical etiquette is related to:
Foamy liver is seen in:
Cause of death for drowning in cold water:
Burking includes:
A witness, who after taking oath, willfully makes a statement which he knows or believes to be false is guilty of offence under section:
Magistrate inquest is done in?
Lattes' crust test of blood stain is used to detect -
Professional death in medical profession is -
Incest is defined as sexual intercourse between which individuals?
A doctor conducts criminal abortion for a woman with consent. He will be prosecuted under which of the following IPC sections?
NEET-PG 2013 - Forensic Medicine NEET-PG Practice Questions and MCQs
Question 71: Medical etiquette is related to:
- A. Legal obligations of doctors
- B. Professional guidelines for doctors
- C. Courtesy observed between doctors (Correct Answer)
- D. Ethical principles guiding doctors
Explanation: ***Courtesy observed between doctors*** - **Medical etiquette** refers to the code of conduct and conventional rules governing **professional courtesy and behavior between medical practitioners**. - It encompasses the proper way doctors should interact with their **professional colleagues**, including referral practices, respecting each other's patients, and maintaining professional dignity. - This is the classical and specific definition of medical etiquette as taught in forensic medicine and medical jurisprudence. *Professional guidelines for doctors* - This term is **too broad and vague** as it could encompass ethics, etiquette, legal obligations, and clinical protocols. - While etiquette is part of professional conduct, this option lacks the specificity that defines medical etiquette as **interpersonal courtesy among doctors**. *Legal obligations of doctors* - These relate to **medical jurisprudence** and include legally binding duties like maintaining confidentiality, obtaining informed consent, and following medicolegal procedures. - Legal obligations are enforced by law, whereas etiquette deals with **conventional professional courtesy**, not legal mandates. *Ethical principles guiding doctors* - **Medical ethics** encompasses broader moral principles like beneficence, non-maleficence, autonomy, and justice. - Ethics provides the philosophical and moral framework for medical practice, while etiquette is specifically about **conventional rules of professional behavior and courtesy** between doctors.
Question 72: Foamy liver is seen in:
- A. Arsenic poisoning
- B. Electrocution
- C. Hanging
- D. Putrefaction (Correct Answer)
Explanation: ***Putrefaction*** - **Foamy liver** is a characteristic post-mortem finding in **putrefaction**, the process of post-mortem decomposition of body tissues. - **Gas-forming bacteria** (especially Clostridium species) produce gases like **hydrogen sulfide, methane, and carbon dioxide** that accumulate within the liver parenchyma. - This creates multiple **gas bubbles** throughout the liver tissue, giving it a characteristic **frothy or foamy appearance** on sectioning. - This is part of the broader putrefactive changes that include gas accumulation in blood vessels (marbling), body cavities, and soft tissues. *Arsenic poisoning* - Acute arsenic poisoning causes **fatty degeneration of the liver**, congestion, and characteristic gastrointestinal findings. - Post-mortem findings include **"rice water" stools**, gastroenteritis, and hepatic congestion, but NOT the foamy liver appearance. - The liver may show fatty changes and cellular necrosis, but gas bubble formation is not a characteristic feature. *Electrocution* - **Electrocution** causes death primarily through cardiac arrest or respiratory paralysis. - Post-mortem findings include **thermal burns** at entry and exit points, Joule burns, and sometimes arborescent markings. - It does not cause foamy liver; tissue changes are related to current passage and thermal effects. *Hanging* - **Hanging** results in **asphyxial death** with characteristic findings of mechanical asphyxia. - Typical findings include **ligature mark**, petechial hemorrhages, facial congestion, and cyanosis. - Does not cause foamy liver, as gas production within hepatic tissue is not a consequence of mechanical asphyxia.
Question 73: Cause of death for drowning in cold water:
- A. Inability to breathe (asphyxia) (Correct Answer)
- B. Loss of consciousness due to hypoxia
- C. Cardiac arrest due to vagal inhibition
- D. Cardiac arrest due to ventricular fibrillation
Explanation: ***Inability to breathe (asphyxia)*** - Drowning fundamentally involves **inhalation of water** into the airway, which prevents gas exchange in the lungs, leading to **asphyxia**. - In cold water, the initial gasp reflex can lead to rapid aspiration of water, causing immediate **laryngospasm** and closure of the airway, resulting in inability to breathe. - Asphyxia remains the **most common mechanism** across all types of drowning, including cold water cases. *Loss of consciousness due to hypoxia* - While **hypoxia** certainly occurs in drowning due to lack of gas exchange, loss of consciousness is a *consequence* of prolonged asphyxia, not the primary cause of death. - The immediate cause of death is the inability to oxygenate the blood due to water filling the lungs or severe laryngospasm. *Cardiac arrest due to vagal inhibition* - **Vagal inhibition** (also called **hydrocution** or **immersion syndrome**) is an important mechanism specifically in **cold water drowning**. - Sudden immersion in cold water can trigger massive vagal stimulation leading to immediate cardiac arrest (often asystole) before significant water aspiration occurs. - However, this mechanism occurs in a **minority of cold water drowning cases**, while asphyxia remains the predominant cause of death overall. *Cardiac arrest due to ventricular fibrillation* - **Ventricular fibrillation** can be a terminal event in drowning, often secondary to severe hypoxia and hypothermia, but it is usually not the initial or primary cause of death. - The cessation of breathing and subsequent lack of oxygen directly lead to organ failure, including cardiac dysrhythmias, rather than ventricular fibrillation being the independent initial event.
Question 74: Burking includes:
- A. Ligature strangulation
- B. Drowning mechanism
- C. Hanging technique
- D. Chest compression and airway obstruction (Correct Answer)
Explanation: ***Chest compression and airway obstruction*** - Burking is a **homicidal method** of suffocation that involves **covering the mouth and nose** (airway obstruction) combined with **compressing the chest or abdomen** to prevent breathing. - Named after **William Burke**, this technique was used to kill victims without leaving obvious signs of violence, making deaths appear natural. *Ligature strangulation* - Involves using a **cord, rope, or similar object** around the neck to compress blood vessels and/or airway. - Leaves characteristic **ligature marks** on the neck, which burking aims to avoid by using manual compression instead. *Drowning mechanism* - Involves **submersion in liquid** causing respiratory impairment and asphyxia. - Completely different mechanism from burking, which involves **manual suffocation** on dry land without water involvement. *Hanging technique* - Hanging involves **suspension of the body by the neck**, causing death through compression of neck structures. - This is completely different from burking and leaves distinct **hanging marks** on the neck, which burking specifically avoids.
Question 75: A witness, who after taking oath, willfully makes a statement which he knows or believes to be false is guilty of offence under section:
- A. 192 IPC
- B. 193 IPC (Correct Answer)
- C. 191 IPC
- D. 190 IPC
Explanation: ***193 IPC*** - **Section 193 of the Indian Penal Code (IPC)** is the substantive offense provision that prescribes **punishment for giving false evidence** in a judicial proceeding. - Making a false statement under oath, knowing it to be false, makes a person **guilty under Section 193 IPC**, which provides for imprisonment up to 7 years and fine. - This is the operative section under which prosecution is initiated for perjury. *191 IPC* - **Section 191 IPC** defines what constitutes "giving false evidence" - it describes the act but does not prescribe punishment. - While the question describes an act that fits Section 191's definition, the person is charged and found guilty under **Section 193**, which is the punishment provision. - Section 191 is a definitional section, not the offense section itself. *192 IPC* - **Section 192 IPC** deals with **fabricating false evidence**, which involves creating or manufacturing evidence (making false entries in documents, causing circumstances to exist, etc.). - This focuses on the act of *fabricating* rather than directly *giving* a false statement under oath in proceedings. *190 IPC* - **Section 190 IPC** deals with **threat of injury** to induce a person to refrain from applying for protection to a public servant. - This section is entirely unrelated to giving false evidence or making false statements under oath.
Question 76: Magistrate inquest is done in?
- A. Death by suicide
- B. Death in suspicious circumstances
- C. Death by accident
- D. Death in psychiatry hospital (Correct Answer)
Explanation: ***Death in psychiatry hospital*** - A **magistrate inquest** is **mandatory** under Section 176 CrPC for deaths occurring in **psychiatric hospitals/institutions**, as these are considered deaths in **state custody** or institutional care. - This ensures **judicial oversight** and independent investigation into the cause and circumstances of death of vulnerable individuals under institutional care. - Among all the options, this is the **most specific and universally mandated** scenario requiring magistrate inquest across all jurisdictions in India. *Death by suicide* - While suicide deaths are unnatural and often require magistrate inquest under Section 176 CrPC, the requirement varies by state and circumstances. - In practice, many suicide deaths may initially be investigated by police with magistrate involvement based on specific circumstances or state protocols. - Not as universally mandated as deaths in custody/institutions. *Death in suspicious circumstances* - Deaths in suspicious circumstances typically require investigation, but the type of inquest (police vs magistrate) depends on the specific nature and severity of suspicion. - While magistrate inquest may be ordered, it is not as automatically mandated as deaths in institutional custody. - The investigating authority determines if magistrate involvement is necessary. *Death by accident* - Accidental deaths may require magistrate inquest depending on the circumstances (e.g., railway accidents, factory accidents). - However, not all accidental deaths automatically mandate magistrate inquest. - Deaths in custody or institutional care have **absolute mandatory** requirement, making psychiatric hospital death the most appropriate answer.
Question 77: Lattes' crust test of blood stain is used to detect -
- A. Nature of stain
- B. Blood group
- C. None of the options
- D. Detection of species (Correct Answer)
Explanation: ***Detection species*** - **Lattes crust test** is a method used in forensic serology to determine the **species origin of a blood stain**. - It involves overlaying a crust of dried blood with **anti-sera** from different animal species to observe for agglutination, indicating a reaction and thus the species. *Nature of stain* - The **nature of the stain** typically refers to whether it is blood, semen, saliva, etc., which is usually determined through preliminary presumptive tests like the **Kastle-Meyer test** for blood. - The **Lattes crust test** specifically aims to identify the species from which the blood originated, not its general nature. *Blood group* - **Blood grouping tests** are designed to determine the ABO, Rh, or other blood types within a single species, typically humans. - While important in forensic investigations, these tests are distinct from the **Lattes crust test**, which focuses on **species identification**. *None of the options* - This option is incorrect because the **Lattes crust test** is indeed used for the **detection of species**, making option B the correct answer. - The test has a specific purpose in forensic analysis related to species identification.
Question 78: Professional death in medical profession is -
- A. Removal of name of doctor from panel of RMP (Correct Answer)
- B. Death sentence ordered by judge
- C. Death during police firing
- D. Death of doctor
Explanation: ***Removal of name of doctor from panel of RMP*** - **Professional death** in the medical context refers to the permanent revocation of a doctor's license to practice. - This typically occurs when a physician's name is removed from the **Register of Medical Practitioners (RMP)**, making it illegal for them to practice medicine. *Death sentence ordered by judge* - This is a legal punishment for severe crimes and does not relate to the **professional standing** or *licensure* of a physician. - A death sentence is a judicial outcome for criminal offenses, distinct from *professional misconduct*. *Death during police firing* - This describes a cause of actual physical death and is unrelated to a doctor's **professional status** or ability to practice. - While tragic, it has no bearing on a physician's *professional licensure* or *ethical standing*. *Death of doctor* - This refers to the **biological death** of an individual, which naturally ends their professional career. - However, "professional death" specifically denotes the **loss of professional credentials** while still being alive, due to disciplinary action.
Question 79: Incest is defined as sexual intercourse between which individuals?
- A. Closely related individuals (Correct Answer)
- B. Individuals other than spouse
- C. Humans and animals
- D. Unrelated individuals of same gender
Explanation: ***Closely related individuals*** - **Incest** refers to sexual intercourse between individuals who are considered too **closely related** by lineage or kinship to marry each other legally. - The definition of "closely related" varies across cultures and legal systems but generally includes **immediate family members** such as parents, children, and siblings. *Individuals other than spouse* - This definition describes **adultery** or **extramarital affairs**, which are distinct from incest. - While both involve sexual acts outside of legally or socially accepted norms, they differ significantly in the relationship between the involved parties. *Humans and animals* - This describes **bestiality** or **zoophilia**, which is a form of sexual activity involving humans and animals. - This is a separate and distinct concept from incest, which specifically concerns sexual relations between humans within a prohibited degree of kinship. *Unrelated individuals of same gender* - This describes **homosexual** sexual acts between adults, which are not inherently illegal or considered incestuous. - Incest is defined specifically by the **familial relationship** between the individuals, not their gender or lack of marital ties.
Question 80: A doctor conducts criminal abortion for a woman with consent. He will be prosecuted under which of the following IPC sections?
- A. 316 IPC
- B. 313 IPC
- C. 312 IPC (Correct Answer)
- D. 317 IPC
Explanation: ***312 IPC*** - This section of the **Indian Penal Code (IPC)** specifically deals with **causing miscarriage** or criminal abortion. - Doing so with the woman's consent, but outside of legal provisions, falls under this section. *316 IPC* - This section deals with **causing the death of a quick unborn child**, an act amounting to culpable homicide. - It would apply if the act intended to cause the death of the child, not just to induce an abortion. *313 IPC* - This section addresses **causing miscarriage without the woman's consent**. - Since the question states the abortion was done "with consent," this section is not applicable. *317 IPC* - This section pertains to the **exposure and abandonment of a child** under twelve years of age by parent or person having care of it. - This is unrelated to the act of performing an abortion.