UPSC-CMS 2014 - Forensic Medicine PYQs Practice Questions

Q: A G6 P5 L5 with 4 1/2 MA comes to you requesting a medical termination of pregnancy after sex determination. Then,

you will not do it, as it is against the law.. **you will not do it, as it is against the law.** - **Sex determination** followed by an MTP based on fetal sex is **illegal** under the Pre-Conception and Pre-Natal Diagnostic Techniques (PCPNDT) Act, 1994, in India. - Performing such an abortion is an **ethical violation** and carries severe legal penalties for the medical practitioner. *you will do the termination because continuation of pregnancy will affect the mental health of the patient and it is a clause in the M.T.P. Act.* - While mental health is a valid ground for MTP under the M.T.P. Act, 1971, this clause cannot be invoked when the primary reason is **illegal sex determination**. - The M.T.P. Act exists to protect women's health, but it does not supersede the **PCPNDT Act**, which strictly prohibits sex-selective abortions. *you will consult another medical practitioner because it is a mid-trimester pregnancy.* - Consulting another medical practitioner is required for MTPs beyond 12 weeks according to the M.T.P. Act. - However, this procedural requirement does not make the underlying *reason* for the termination (due to **illegal sex determination**) permissible. *you will do both (a) and (b) above.* - This option incorrectly combines an illegal act (MTP after sex determination) with a procedural step (consulting another practitioner). - The foundational issue remains the **illegality** of the reason for termination, rendering both (a) and (b) inappropriate in this context. [Practice more Forensic Medicine PYQs on OnCourse]

Q: Beta oxalyl amino alanine (BOAA) is found in:

Lathyrus sativus. ***Lathyrus sativus*** - **Lathyrus sativus**, also known as **grass pea**, is a legume that contains the neurotoxin **beta-oxalyl-amino-alanine (BOAA)**. - Consumption of **Lathyrus sativus** in large quantities over a prolonged period can lead to **lathyrism**, a neurological disorder causing paralysis. *Argemone mexicana* - **Argemone mexicana**, or **prickly poppy**, contains **sanguinarine** and **dihydrosanguinarine** alkaloids, which can cause **epidemic dropsy**. - Its oil is sometimes used as an adulterant in mustard oil, leading to symptoms like **edema** and **cardiac issues**. *Crotalaria medicaginea* - Species of **Crotalaria** (e.g., Crotalaria retusa, Crotalaria medicaginea) are known to contain **pyrrolizidine alkaloids**, which can be **hepatotoxic** and **pneumotoxic**. - Consumption can lead to **liver damage** and **pulmonary hypertension** in livestock and humans. *Aspergillus flavus* - **Aspergillus flavus** is a fungus that produces **aflatoxins**, potent **carcinogens** and **hepatotoxins**. - Aflatoxins are often found in contaminated food products like peanuts, corn, and tree nuts, causing **liver cancer** and **immunosuppression**. [Practice more Forensic Medicine PYQs on OnCourse]

Question 1

A G6 P5 L5 with 4 1/2 MA comes to you requesting a medical termination of pregnancy after sex determination. Then,

Accepted Answer

you will not do it, as it is against the law.

Answer

you will do the termination because continuation of pregnancy will affect the mental health of the patient and it is a clause in the M.T.P. Act.

Answer

you will consult another medical practitioner because it is a mid-trimester pregnancy.

Answer

you will do both (a) and (b) above.

Question 2

Beta oxalyl amino alanine (BOAA) is found in:

Accepted Answer

Lathyrus sativus

Answer

Argemone mexicana

Answer

Crotalaria medicaginea

Answer

Aspergillus flavus

UPSC-CMS 2014 — Forensic Medicine