Que 1. Professional death sentence
is
a) Imprisonment for life
b) Rigrous imprisonment
c) Erasing of name from the medical register
d) Death by hanging
Answer - (c) Erasing of name from
the medical register
Explanation:
It is the erasure of name from the
professional register due to infamous conduct in any professional respect which
deprives the practitioner of all the privileges.
Causes of erasure:
1) After the death of the registered
practitioner.
2) Entry which is made in error or
as a result of fraud.
3) Penal erasure due to professional
infamous conduct *
professional infamous conduct* : Any conduct of doctor who
might reasonably be regarded disgraceful and dishonorable to the profession
judged by his professional brethren of good repute and competence. Misconduct
are1) Adultery. 2) Performing criminal abortion. 3) Association with bad
people. 4) Advertising: means no photo on sign board, No add on paper (except
on starting practice, changing, on closing temporary). 5) Addiction to any drug
or alcohol. 6) Issuing false certificate. 7) Covering: means assisted by non
medical persons. 8) Dichotomy or fee splitting. 9) Disclosing the secrets of
patient.
Que 2. Arsenic poisoning presents
with symptoms mimicking
a) Cholera
b) Dhatura poisoning
c) Barbiturate poisoning
d) Morphine poisoning
Answer - (a) Cholera
Explanation: It is shown in the case of sub acute
type (Gastroenteritis type) of arsenic poisoning which mimics choleral
sign and symptoms when small dose
of arsenic is given at repeated interval.
The differences which
can observe to confirm that whether it is arsenic poisoning or cholera are as
follows
|
Arsenic poisoning
|
Cholera
|
|
Vomiting proceeds purging
|
Purging proceeds vomiting
|
|
Stool is initially somewhat rice water like and later on
turns in to bloodstained stool
|
Stools are rice water throughout and passes as a
involuntary jet
|
|
Pain in throat
|
No pain in throat
|
|
No effect in toning of voice
|
Voice becomes rough and whistling
|
|
Conjunctiva in inflamed
|
Conjunctiva is normal
|
|
Vomitus contain mucus bile and streaks of blood
|
Vomitus is watery
|
Que 3. Tentative cuts are seen in a
case of
a) Homicide
b) Suicide
c) Accident
d) Fall from height
Answer - (b) Suicide
Explanation: Hesitation cuts/tentative cuts are
parallel superficial cuts suggestive of suicidal motive, seen in the vital
parts of the body such as neck, chest on left side (precordial area), wrists,
etc. and are inflicted by the victim, prior to the final fatal deep cut or
stab, e.g. suicidal cutthroat wound. Usually hesitation cuts are not seen in
homicidal cut throat wound. These less severe cutting marks are often caused by
attempts to build up courage before attempting the final, fatal wound.
Non-fatal, shallow hesitation wounds can also accompany the deeper, sometimes
fatal incisions. Although hesitation cuts are not always present in cases of
suicide, they are typical of suicidal injuries. However, the presence of
hesitation marks alongside or near to the final fatal mark usually indicates a
forensic diagnosis of suicide over other possible causes of death.
Que 4. Smokeless gun powder is
composed of
a) KMnO4
b) HCN
c) Nitrocellulose
d) Sulphur
Answer - (c)Nitrocellulose
Explanation: Smokeless powders was introduced as
a black powder replacement in the 1880's. Besides generating a lot less smoke, smokeless powder burns much cleaner and
more efficiently than black powder, greatly reducing powder fouling and
increasing the performance of the shotgun, handgun, and rifle cartridges in
which it is used. It is also much safer to produce than black powder, which has
saved many lives over the years. Smokeless powder consists of Nitrocellulose
(single-base powders), frequently combined with up to 50 percent nitroglycerin
(double-base powders), and sometimes nitroglycerin and nitro guanidine
(triple-base), corned into small spherical balls or extruded into cylinders or
flakes using solvents such as ether. Other minor ingredients, such as
stabilizers and ballistic modifiers, are also added. Double-base propellants
are common in handgun and rifle ammunition. Triple-base propellants are more
common in artillery guns.
Que 5. Pond’s fracture is common in
a) Children
b) Adolescent
c) Adult
d) Old age
Answer - (a) Children
Explanation: Ping pong skull
fracture or pond skull fracture refers to a depressed skull
fracture seen in the cranial vault (e.g., occipital, frontal or parietal)of
the infant skull caused by inner buckling of the calvarium. It is seen in
newborns because of the soft and resilient nature of their bones.
This is a simple dent in the skull, which results from an
obstetric forceps blade, or a blow from blunt object or forcible impact against
some protruding object. This is basically due to the elasticity of the skull,
and is especially likely to occur in the infants. The inner table of the skull
here is usually intact. However, fissured fractures may be seen around the
periphery of the dent. The duramater is also seen intact here and brain tissue
is rarely injured. In an infant it resembles dent on a ping-pong ball
Que 6. Choking is a constricting
device within barrel at the muzzle end of
a) Revolver
b) 303 rifle
c) Shotgun
d) Semiautomatic pistol
Answer - (c) Shotgun
Explanation : Normally when a shotgun is fired,
the lead pellets spread out soon after their exit from the muzzle end and the
degree of dispersion (or area of spread) increases with the range of firing.
Choking is a mechanical narrowing mechanism or constriction device at the
muzzle end of the shotgun. which can control to some extent the area of
dispersion of the pellets.
Various chokes are devised depending on fraction of an inch
by which the muzzle end of the firearm is constricted. Thus, we have shotguns
of following types:
• Full choke shotgun (with constriction of 40 thousandth's
of an inch)
• 3/4th choke shotgun (with constriction of 30 thousandth's
of an inch)
• 1/2 choke shotgun (with constriction of 20 thousandth's of
an inch)
• 1/4 choke shotgun (with constriction of 10 thousandth's of
an inch).
• Improvised cylinder (with constriction of 3-5 thousandth's
of an inch)
• True cylinder is a shotgun with no choking (any
constriction at all).
Advantages of Choking for a Shotgun
• It enables the lead pellets or shot to remain together for
long distance during their flight from muzzle end to the target.
• It can reduce spread area of the pellets, on the target
(victim) aimed.
• It makes the weapon more lethal.
Que 7. Brush burn refers to
a) Injury due to friction
b) Injury due to electrocution
c) Injury due to steam
d) Injury due to burns
Answer - (a) Injury due to friction
Explanation: brush burn is an abrasion caused by violent lateral (tangential) rubbing against
a surface as in dragging over the ground is called brush burn or gravel rash.
It is a scraping injury over a large area. It is also known as "Friction
burn" (scuff or brush burn) is an extensive, superficial, reddened
excoriated area without serous ooze or bleeding and with little or no linear
mark. It may occur due to tangential contact with a smooth surface or when the
skin is covered by clothing. Brush bums and friction bums are seen in motor
cyclists, persons ejected from vehicles, pedestrians, cyclists thrown forward
after the primary impact from a motor vehicle. If a victim is struck a glancing
blow with a rough object, such as a stone or a stick, brush bum will be caused.
Que 8. A dead body is found to have
marks like branching of a tree on front of the chest. The most likely cause of
death could be due to
a) Firearm injury
b) Lightning injury
c) Injuries due to bomb blast
d) Road traffic accident
Answer - (b) Lightning injury
Explanation : A tree branching mark or
fern-like injury present on the chest is known as an arborescent marking or as
filigree burns or lightning prints, etc. on the skin are pathognomonic of
lightning injury. It is a patterned area of transient erythema which appears
within an hour of accident and gradually fades within 24 hours.
It was thought that these markings were due to the
photographs of the neighbouring trees imprinted on the body by the discharge of
lightning, but in reality they are the result of the passage of lightning
stroke along the skin and consequent rupture of the superficial vessels.
Que 9. Irresistible sexual desire in
male is known as
a) Nymphomania
b) Tribadism
c) Satyriasis
d) Sadism
Answer - (c) Satyriasis
Explanation : a) Nymphomania : Excessive sexual desire, urge or drive in a woman.
Some of such women may turn lesbianists
b) Tribadism: Tribadism or tribbing, commonly known by
its scissoring position, is a lesbian sexual practice in which a
woman rubs her vulva against her partner's body for sexual
stimulation, especially for stimulation of the clitoris. This may involve
vulva-to-vulva contact or rubbing the vulva against the partner's thigh,
stomach, buttocks, arm, or other body part (excluding the mouth). A variety
of sex positions are practiced, including the missionary
position
c) Satyriasis : It is excessive sexual desire,
arousal and drive in case of males. These subjects are liable to commit sex
offences or pervasive acts.
d) Sadism: In sadism, the person gets sexual
gratification by torturing sex partner by beating, biting, whipping or
ill-treating the partner.
Que 10. Most common pattern of
fingerprint is
a) Arches
b) Loops
c) Whorls
d) Composites
Answer - (b) Loops
Explanation : All fingerprints are divided into three classes on the
basis of their general pattern: loops, whorls,
and arches. Sixty to 65 percent of the population have loops, 30 to 35
percent have whorls, and about 5 percent
have arches. These three classes form the basis for all ten-finger classification
systems presently in use.
Que 11. Post mortem caloricity is
seen in all, except
a) Burns
b) Sunstroke
c) Tetanus
d) Septicemia
Answer - (a) Burns
Explanation : Conditions causing postmortem
caloricity:
▪ Disturbance
in heat regulation – sunstroke, pontine haemorrhage
▪ Increased
heat production in muscles – tetanus, strychnine poisoning
▪ Bacterial
/ viral activity – septicemia / infections
▪ Intense
asphyxia
Que 12. ‘La Facie sympathique’ is a
condition seen in
a) Hanging
b) Strangulation
c) Myocardial insufficiency
d) Railway accident
Answer - (a) Hanging
Explanation : Etienne Martin (1950) described
La Facie sympathique as peculiar change, wherein right eye remaining open with
dilated pupil and the left eye closed with small pupil. Thus, in the eyes of
victim of hanging, wherein one of the eyes may be opened with dilated pupil,
while the other eye may be closed. This occurs due to the pressure of the
ligature/knot on the cervical sympathetic ganglia in the neck. Thus, the side
on which the ligature/knot presses the cervical sympathetic ganglia, the eye
remains open with dilatation of its pupil
Que 13. Split laceration resembles
a) Incised wounds
b) Abrasion
c) Gunshot wound
d) Contusion
Answer - (a) Incised wounds
Explanation : Split laceration occurs when the
skin is crushed between two hard objects, e.g. incised-like laceration of the
scalp and forehead. During a fall, the scalp, getting crushed between skull
from inside and hard ground outside, splits, resulting in a wound, which
usually mimics an incised wound, unless, examined closely
Que 14. Signature fracture is
a) Gutter fracture
b) Depressed fracture
c) Ring fracture
d) Sutural seperation
Answer - (b) Depressed fracture
Explanation : Depressed Fractures are produced
with an object having relatively large amount of kinetic energy but small
surface area, or when an object with a
large amount of kinetic energy impacts only a small area of the skull. They are produced by local deformation
of the skull. In this, fractured bone
is driven inwards into
the skull cavity. Rarely, in
depressed fracture, only the inner table may get fractured and the outer remain
intact, and vice versa may also be true. A violent blow with full striking area
in operation, such as with a hammer, may detach almost the same diameter of the
bone, which is driven inwards, thus often producing a pattern consistent with
the offending object. This is why these fractures are also called ‘fracture
signature’ or ‘signature fracture’,
as their pattern often resembles the weapon or agent which caused it.
Que 15. A man hits his neighbour,
next day; he feels that police is behind him and his brain is being controlled
by radio waves by his neighbour. The possible diagnosis is
a) Personality disorder
b) Passivity feeling
c) Delusion of persecution
d) Organic brain syndrome
Answer - (c) Delusion of persecution
Explanation : The above mentioned condition is
associated with the Persecutory delusions which are the most common type of
delusions and involve the theme of being followed, harassed, cheated, poisoned
or drugged, conspired against, spied on, attacked, or otherwise obstructed in
the pursuit of goals. Persecutory delusions are a condition in which the
affected person wrongly believes that they are being persecuted.
Specifically, they have been defined as containing two central elements: The
individual thinks that:
1. harm
is occurring, or is going to occur.
2. the
persecutor(s) has (have) the intention to cause harm.