NEET-PG 2014
68 Previous Year Questions with Answers & Explanations
Forensic Medicine
7 questionsUnder which section of the CrPC can a rape accused be medically examined without their consent?
What does the Gettler test detect in drowning cases?
A patient presents with suspected strangulation injuries. What is the most important initial assessment to perform?
Which section of the Indian Penal Code deals with the offense of attempting to commit murder?
Sparrow foot marks are associated with which type of injury:
A doctor is involved in a medico-legal case concerning medical negligence that comes before a First Class Magistrate. What are the maximum sentencing powers of a First Class Magistrate in such cases involving medical professionals?
Transplantation of Human Organs Act was passed in:
NEET-PG 2014 - Forensic Medicine NEET-PG Practice Questions and MCQs
Question 1: Under which section of the CrPC can a rape accused be medically examined without their consent?
- A. Section 54 - Examination of arrested person by medical officer
- B. Section 84 - Procedure when investigation cannot be completed in 24 hours
- C. Section 53 - Medical examination of accused without consent (Correct Answer)
- D. Section 82 - Proclamation for absconding persons
Explanation: ***Section 53 - Medical examination of accused without consent*** - **Section 53 of the CrPC** permits the medical examination of an arrested person, including a **rape accused**, without their consent when there are reasonable grounds to believe that such examination will afford evidence relevant to the commission of the offense. - This provision is crucial for collecting **forensic evidence** (e.g., DNA samples, injuries, scratches, bite marks) that may prove or disprove the accused's involvement in the crime. - The examination can be conducted by a **registered medical practitioner** at the request of a police officer not below the rank of Sub-Inspector. - Section 53A specifically deals with medical examination of rape accused. *Section 54 - Examination of arrested person by medical officer* - **Section 54 of the CrPC** pertains to the examination of an arrested person by a medical officer **at the request of the arrested person** themselves. - This is used to document **injuries or evidence of torture** while in custody, serving as a safeguard against custodial violence. - It is a **protective measure for the accused**, not for evidence collection against them. *Section 82 - Proclamation for absconding persons* - **Section 82 of the CrPC** deals with issuing a **proclamation requiring absconding persons** to appear before the court. - It is used when a person has absconded or is concealing themselves to avoid execution of a warrant. - It has no connection with medical examination procedures. *Section 84 - Procedure when investigation cannot be completed in 24 hours* - **Section 84 of the CrPC** deals with the procedure when police investigation **cannot be completed within 24 hours** of arrest. - It relates to the **detention of the accused** beyond the initial 24-hour period with magistrate's authorization. - It does not address medical examination of the accused.
Question 2: What does the Gettler test detect in drowning cases?
- A. Weight of lungs in drowning
- B. Magnesium content of blood in drowning
- C. Chloride content of blood in drowning cases (Correct Answer)
- D. Diatoms in drowning cases
Explanation: ***Chloride content of blood in drowning cases*** - The **Gettler test** historically measured the difference in **chloride content** between the left and right sides of the heart. - A significant difference (e.g., higher chloride in left heart blood for saltwater drowning, higher in right for freshwater) was used to infer drowning and the type of water. *Diatoms in drowning cases* - **Diatom analysis** involves detecting microscopic algae from the drowning medium within the body (e.g., lungs, bone marrow). - This test is a separate and more commonly accepted method for confirming drowning than the Gettler test. *Weight of lungs in drowning* - Increased **lung weight** due to water accumulation is a common macroscopic finding in drowning, but it is not what the Gettler test specifically measures. - While indicative of water aspiration, lung weight alone does not differentiate drowning from other causes of death with pulmonary edema. *Magnesium content of blood in drowning* - Changes in **magnesium content** (or other electrolytes like sodium, potassium, calcium) can occur in drowning due to hemodilution or hemoconcentration. - While electrolyte imbalances can be observed, the Gettler test specifically focused on **chloride levels**, not magnesium.
Question 3: A patient presents with suspected strangulation injuries. What is the most important initial assessment to perform?
- A. Assessment of airway patency and breathing (Correct Answer)
- B. Manual in-line stabilization of the cervical spine
- C. Documentation of injury patterns and mechanism
- D. Immediate application of cervical collar
Explanation: ***Assessment of airway patency and breathing*** - This is the **most critical initial assessment** in suspected strangulation cases, following the ATLS primary survey protocol (ABCDE approach) - **Airway compromise** is the immediate life-threatening concern in strangulation: laryngeal edema, tracheal injury, and obstruction can cause rapid deterioration - Assessment should be performed **with simultaneous cervical spine precautions** (manual in-line stabilization), but airway patency takes absolute priority - **Without a patent airway**, no other intervention matters—this is the foundation of trauma management *Manual in-line stabilization of the cervical spine* - This is performed **simultaneously with airway assessment** in trauma patients with suspected cervical spine injury - Manual stabilization provides immediate protection while airway is being assessed and secured - A cervical collar is then applied for sustained immobilization, but this comes **after** confirming airway patency *Immediate application of cervical collar* - While cervical spine protection is important in strangulation cases, the collar is applied **after initial airway assessment** - Collar application should never delay airway evaluation in a potentially compromised patient - The sequence is: assess airway (with manual stabilization) → secure airway if needed → apply cervical collar *Documentation of injury patterns and mechanism* - Essential for **forensic evaluation** and legal proceedings in strangulation cases - Important for identifying patterns (ligature marks, petechiae, fingernail marks) and mechanism - However, this is a **secondary priority** after life-saving interventions and patient stabilization
Question 4: Which section of the Indian Penal Code deals with the offense of attempting to commit murder?
- A. Sec. 300 IPC (Definition of murder)
- B. Sec. 302 IPC (Punishment for murder)
- C. Sec. 307 IPC (Relevant section for attempts under IPC) (Correct Answer)
- D. Sec. 301 IPC (Culpable homicide by causing death of person other than intended)
Explanation: ***Sec. 307 IPC (Relevant section for attempts under IPC)*** - **Section 307** of the Indian Penal Code specifically addresses the **attempt to commit murder**. - It outlines the punishment for individuals who, with the intention or knowledge requisite for murder, do any act towards its commission. *Sec. 301 IPC (Culpable homicide by causing death of person other than intended)* - **Section 301** deals with cases where a person causes the **death of a person other than the one whose death was intended**. - It relates to the principle of **transferred malice** in culpable homicide, not the attempt to commit murder. *Sec. 300 IPC (Definition of murder)* - **Section 300** defines what constitutes **murder** in the Indian Penal Code. - It specifies the various circumstances under which an act causing death is classified as murder, differentiating it from culpable homicide. *Sec. 302 IPC (Punishment for murder)* - **Section 302** prescribes the **punishment for murder**, which is either death or imprisonment for life, along with a fine. - While related to murder, this section does not deal with the attempt to commit murder itself, but rather the sentencing for the completed act.
Question 5: Sparrow foot marks are associated with which type of injury:
- A. Under-running or tail gating
- B. Motor cyclist's fracture
- C. Steering wheel impact
- D. Windscreen impact (Correct Answer)
Explanation: ***Windscreen impact*** - **Sparrow foot marks** are characteristic **fracture patterns** seen on a laminated windscreen following an impact. - They occur when a body part (e.g., head) strikes the windscreen, causing **concentric radiating cracks** that resemble the splay of a bird's foot. *Under-running or tail gating* - This type of injury typically involves a vehicle driving under another, leading to severe **decapitation** or **neck injuries** in the lower vehicle occupants. - It does not produce characteristic sparrow foot marks on the windscreen. *Motor cyclist's fracture* - This term usually refers to specific fracture patterns common in motorcycle accidents, such as **tibial plateau fractures** or **Colles fractures**, sustained during falls or impacts. - It describes bone injuries, not specific windscreen fracture patterns. *Steering wheel impact* - Impacts with the steering wheel primarily cause injuries to the **chest (sternal fractures, cardiac contusions)**, **abdomen (organ lacerations)**, and potentially **facial fractures**. - While it can cause internal injuries, it does not typically produce the sparrow foot mark pattern on the windscreen.
Question 6: A doctor is involved in a medico-legal case concerning medical negligence that comes before a First Class Magistrate. What are the maximum sentencing powers of a First Class Magistrate in such cases involving medical professionals?
- A. Unlimited fine and 7 years imprisonment
- B. Fine upto 10,000 and 5 years imprisonment
- C. Fine upto 3000 and 5 years imprisonment
- D. Fine upto 10,000 and 3 years imprisonment (Correct Answer)
Explanation: ***Fine upto 10,000 and 3 years imprisonment*** - Under the **Criminal Procedure Code (CrPC) 1973** as it stood in 2014, a **First Class Magistrate** had the power to impose a maximum fine of **Rs. 10,000** and imprisonment for up to **three years**. - This was the **correct answer for NEET-PG 2014** when this question was asked. - **Note:** The CrPC was subsequently amended, and as of 2018, First Class Magistrates can impose imprisonment up to **5 years** for certain offenses under Section 29. However, this question reflects the legal provisions applicable at the time of the examination. *Unlimited fine and 7 years imprisonment* - **Unlimited fines** and **seven years of imprisonment** exceed the powers of a First Class Magistrate under the CrPC. - Such extensive sentencing powers are reserved for **Sessions Courts** or higher judiciary for more serious offenses. *Fine upto 10,000 and 5 years imprisonment* - While this option reflects the **current law** (post-2018 amendment to Section 29 CrPC), it was **incorrect in 2014** when this question was set. - At the time of NEET-PG 2014, the maximum imprisonment term for a First Class Magistrate was **three years**, not five. *Fine upto 3000 and 5 years imprisonment* - The **fine of Rs. 3000** underestimates the maximum fine that could be imposed by a First Class Magistrate, which was **Rs. 10,000** even in 2014. - The **five-year imprisonment** term was also incorrect for the 2014 examination period.
Question 7: Transplantation of Human Organs Act was passed in:
- A. 1996
- B. 1994 (Correct Answer)
- C. 2000
- D. 2002
Explanation: ***1994*** - The **Transplantation of Human Organs Act (THOA)** was enacted by the Indian Parliament in **1994**. - This act provides legal guidelines for organ donation and transplantation in India, aiming to prevent illegal organ trafficking. *1996* - This year is incorrect; the Transplantation of Human Organs Act was passed earlier than **1996**. - No significant amendments or new acts related to organ transplantation occurred in **1996**. *2000* - This year is incorrect; the primary organ transplantation legislation was not established in **2000**. - The act was already in force by **2000**, having been passed several years prior. *2002* - This year is incorrect; the initial act for organ transplantation was not passed in **2002**. - While amendments and updates to THOA have occurred over time, the foundational act was not from **2002**.
Obstetrics and Gynecology
1 questionsTwin pregnancy, but due to two different men is called:
NEET-PG 2014 - Obstetrics and Gynecology NEET-PG Practice Questions and MCQs
Question 1: Twin pregnancy, but due to two different men is called:
- A. Superfetation
- B. Superfecundation (Correct Answer)
- C. Both of the options
- D. None of the options
Explanation: ***Superfecundation*** - This phenomenon occurs when **two separate ova** are fertilized by **sperm from two different males** during the same menstrual cycle. - This results in fraternal (dizygotic) twins with different biological fathers, which is genetically rare but biologically possible. *Superfetation* - This occurs when a **second, new pregnancy** is established in an already pregnant individual, meaning two pregnancies at different stages of development coexist. - This is extremely rare in humans and typically implies fertilization of an ovum released during an ongoing pregnancy. *Both of the options* - These terms describe distinct biological phenomena with different underlying mechanisms. - Superfecundation involves concurrent fertilization by different fathers, while superfetation involves sequential fertilization resulting in pregnancies of different gestational ages. *None of the options* - Superfecundation accurately describes the scenario of twins conceived by two different fathers. - Therefore, there is a correct option among the choices provided.
Psychiatry
2 questionsMagnan's syndrome is associated with:
Classic tetrad of narcolepsy includes all, except:
NEET-PG 2014 - Psychiatry NEET-PG Practice Questions and MCQs
Question 1: Magnan's syndrome is associated with:
- A. OPC
- B. Snake bite
- C. Alcohol
- D. Amphetamine (Correct Answer)
Explanation: ***Amphetamine*** - **Magnan's syndrome** is a psychotic disorder characterized by **tactile hallucinations** (formication) and delusions of parasitosis, most commonly associated with **chronic amphetamine abuse**. - Users describe a sensation of **small insects crawling under the skin**, often leading to self-mutilation as they try to extract them. *OPC* - **Organophosphate poisoning (OPC)** primarily causes **cholinergic crisis** with symptoms like miosis, lacrimation, salivation, bronchorrhea, and muscle weakness. - It is not typically associated with chronic tactile hallucinations or delusions of parasitosis. *Snake bite* - **Snake bites** can cause a wide range of symptoms depending on the venom type, including localized pain, swelling, tissue necrosis, coagulopathy, and neurological effects. - However, they do not typically lead to the specific pattern of tactile hallucinations and delusions characteristic of Magnan's syndrome. *Alcohol* - Chronic **alcohol abuse** can lead to various psychological and neurological complications, including **alcohol withdrawal delirium (delirium tremens)**, which can involve visual and auditory hallucinations. - While it can manifest with tactile sensations, the classic "bugs crawling" sensation with delusional parasitosis (Magnan's syndrome) is more specifically linked to stimulant abuse, like amphetamines.
Question 2: Classic tetrad of narcolepsy includes all, except:
- A. Catalepsy (Correct Answer)
- B. Hypnagogic hallucination
- C. Sleep paralysis
- D. Sleep attacks
Explanation: ***Catalepsy*** - Catalepsy refers to a **waxy flexibility** and maintenance of postures seen in **catatonia** (a psychiatric condition). - It is **NOT** part of the classic tetrad of narcolepsy. - The classic tetrad includes **cataplexy** (not catalepsy), which is sudden muscle weakness triggered by strong emotions, along with excessive daytime sleepiness, sleep paralysis, and hypnagogic/hypnopompic hallucinations. *Hypnagogic hallucination* - Vivid, often frightening, dream-like experiences that occur while **falling asleep** (hypnagogic) or upon awakening (hypnopompic). - This is a recognized component of the **classic tetrad of narcolepsy**. *Sleep paralysis* - Temporary inability to move or speak upon **waking up or falling asleep**. - One of the four key symptoms forming the **classic tetrad of narcolepsy**. *Sleep attacks* - Sudden, irresistible urges to sleep that can occur at any time, often without warning. - **Excessive daytime sleepiness** leading to these attacks is a core feature and part of the **classic tetrad of narcolepsy**.