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COMPETITIVE EXAM

DOCTORS LISTING

FMT-F4 Language : English Your FMT SCORE

Text Size A- A+

Total Score : 6.03

Q.1 Heat stiffening in muscles occurs above temperature (°C) -

A. 30

B. 40

C. 50

D. 60

Explanation : Heat stiffening or heat coagulation is found in bodies exposed to heat i.e. temperatures above 65°C (Reddy)/70°C (Parikh) as is seen in death due to burning, high voltage electrocution (electric shock), or falling into hot liquid.

Q.2 Longer rigor mortis occurs with -

A. Vegetable poisons

B. Strychnine

C. Opium

D. Septicemia

Explanation :

Prolonged rigor mortis occurs with strychnine.
Note : There is controversy about the duration of rigor mortis in deaths due to strychnine poisoning. According to some textbooks, rigor mortis starts early and stays longer, while other textbooks says that it has rapid onset and passes of early.
Thus, i have to read so many textbooks for this and i came to the conclusion that each and every textbook is correct. Both can occur in strychnine poisoning :-

If death occurs with violent contractions (during convulsions) for some time prior to death, it causes complete exhaustion → Rapid onset and short duration of rigor mortis.
If death is almost instantaneous, with a very short convulsive phase, there is no exhaustion →3 Rapid onset and longer duration of rigor mortis.

In both conditions, onset is early (rapid). It is the only duration which varies.

Q.3 Cadaveric spasm -

a) Immediate after death

b) After 2 hours of death

c) Affects voluntary muscles

d) Affects involuntary muscle

A. ac

B. bc

C. ad

D. b

Explanation :

Cadaveric spasm occurs immediately after death and affects voluntary muscles.

Q.4 Correct order of putrefaction -

A. Brain, Heart, Uterus

B. Brain, Uterus, Heart

C. Uterus, Heart, Brain

D. Heart, Brain, Uterus

Explanation :

Order of appearance of putrefaction - larynx, trachea> stomach, intestine> liver, spleen > brain, lungs> heart, kidney > bladder, uterus/prostate> skin, muscles, tendon> bones.

Q.5 Last organ to be affected in putrefaction-

a) Prostate

b) Uterus

c) Kidney

d) Thyroid

A. ab

B. ac

C. bd

D. cd

Explanation :

Last soft tissue affected in male → Prostate
Last soft tissue affected in female → Uterus
Overall, last tissue affected (both in male & female) →3 Bone

Q.6 What is the importance of studying postmortem interval (PMI) in case of Burn, Electrocution related deaths?

A. burned or electocuted

B. incinerated in the woods

C. Murdered

D. None of the above

Explanation : For instance, a person can be killed and incinerated in the woods etc, or in a case of suspect death (burned or electrocuted), the body is exposed for some time before it is found.

Q.7 True about Molecular death -

a) Same as cellular death

b) Same as cellular death as indicated by rigor mortis

c) Indicated by stopping of heart function and flat ECG

d) Brain death

e) All cells of body die.

A. abe

B. abc

C. bcd

D. cde

Explanation :

Molecular death, also called cellular death, refers to the death of all individual cells.
It is characterized by an early sign e.g. rigor mortis and late signs of death.
Cessation of heart with flat ECG and brain death indicate somatic death.

Q.8 All of the following are tests to determine the stoppage of circulation except -

A. Magnus's test

B. Diaphanous test

C. Icard's test

D. Mirror held in front of a nostril

Explanation :

Mirror held in front of nostril (mirror test) is for cessation of respiration.
Tests for cessation of respiration : (i) Mirror test, (ii) Winslow's test, (iii) Feather test.
Tests for cessation of circulation : (i) Magnus ligature test, (ii)Diaphanous test (transillumination test), (iii) Icard's test, (iv) Finger nail test.

Q.9 Postmortem caloricity is -

A. ↑-ed temp within 2 hours of death

B. Rapid fall in temp after death

C. ↑-ed temp after 6-8 hours of death

D. Decreases in temperature followed by rise

Explanation :

In some situation, for initial 2-3 hours, dead body may gain temperature, known as postmortem caloricity.

Q.10 True statement regarding postmortem hypostasis is/are -

a) Also known as rigor mortis

b) Starts within 8 hours of death

c) Present all over the body

d) It is present on dependent part

e) Starts as blotchy discolouration

A. ab

B. de

C. cd

D. bd

Explanation :

Postmortem hypostasis is known as liver mortis (not rigor mortis).
It starts after 1 hour of death as small discolored (blotchy) patches.
It is present an dependent part (not all over) the body.

Q.11 All are signs of somatic death except

A. Non-responding muscles

B. Cessation of respiration

C. Cessation of heart

D. No response to external stimuli

Explanation : Somatic death is complete and irreversible stoppage of circulation, respiration and brain functions.

Q.12 A dead body with suspected poisoning is having hypostasis of red-brown or deep blue in color. It is suggestive of poisoning due to -

A. Nitrates

B. Carbon monoxide

C. Cyanides

D. Barbiturates

Explanation :

Reddish brown or chocolate colored or deep blue hypostasis is suggestive of poisoning due to nitrates, nitrites, nitrobenzene, due to the formation of methemoglobin.

Q.13 The medicolegal importance of postmortem lividity is all except -

A. Cause of death elsewhere

B. Time since death

C. Manner of death

D. Position of the body at the death

Explanation :

Medicolegal importance of postmortem staining are :-

It is a sign of death.
Helps to know time since death.
Helps to know the position or posture of dead body.
Sometimes cause of death can be known by peculiar distribution, e.g. in hanging or drowning.

Q.14 Cherry red color of hypostasis is seen in-

A. CO poisoning

B. H2SO4

C. HNO3

D. Burns

Explanation : Cherry red color of blood is characteristically found in CO poisoning and in about 50% cases in cyanide/HCN poisoning (in 50% cases of cyanide poisoning it is bright red colored).

Q.15 Rigor mortis starts from -

A. Eyelid muscles and lower jaw

B. Upper extremity and upper eyelid

C. Trunk muscle, lower extremity

D. Lower extremity and face

Explanation :

The order of appearance (and hence also disappearance) of rigor mortis is: it first appears in involuntary muscles (heart) →3 voluntary muscles upper eyelids → neck → jaw → face → chest → upper limbs abdomen lower limbs.

Q.16 Which is true about somatic death -

a) Cooling of the body

b) Cessation of spontaneous respiration

c) Cessation of circulation

d) Flat isoelectric E.E.G.

e) Deep unconsciousness with no response to external stimuli or internal need

A. abc

B. acd

C. ac

D. bcde

Explanation :

Cooling of the body is an early sign of molecular death (not somatic death).
In somatic death, there is a complete cessation of spontaneous respiration, circulation and brain function with flat EEG.
A person is unconscious with no response to external stimuli or internal need. It should be remembered that though the dead person does not respond to external stimuli in somatic death, the individual muscles may respond to external stimuli, e.g. contraction of muscles on electric stimuli or contraction of the pupil in response to a miotic drug. This is due to the persistence of anaerobic enzymatic process.

Q.17 The xiphoid process unites with the the body of the sternum at the age of :-

A. 60 years

B. 40 years

C. 25 years

D. 16 years

Explanation : In cartilaginous sternum five bony centres appear from above downward during the 5th 6th 7th 8th and 9th fetal month.

Fusion is complete by 25 years of age. In only about 10% of subjects fusion may occur in old age. Centre for xiphoid process appears during the third year or later. Fuses with the body at about 40 years

Q.18 Where does Rigor Mortis start from :-

A. Heart

B. Kidneys

C. Stomach

D. Eyes

Explanation : Rigor mortis after death the muscles of the body pass through three stages.

-primary relaxation or flaccidity

-rigor mortis or cadaveric rigidity

-secondary flaccidity

Rigor mortis is the state of stiffening of the muscles sometimes with slight shortening of the fibres. It appears first in the involuntary muscles : the myocardium becomes rigid In an hour. Then in the lower jaws , eyelids and neck and passes upward to the muscles of face and download to the the muscles of chest upper Limb abdomen lower limbs and lastly fingers.

Q.19 Of the the below which is the minimum age of a girl who can give valid consent in writing in the presence of one witness for medical examination in case of rape or kidnapping?

A. 14 years of age

B. 13 years of age

C. 12 years of age

D. 15 years of age

Explanation : In case of rape the victim should not be examined without proper requisition from the investigating police officer or the magistrate. The written witnessed consent of the women is required. If she is under 12 years of age or of unsound mind the consent of her parents or guardians must be taken in writing.

Q.20 The most reliable Diagnostic sign of drowning is ?

A. Foreign bodies in air passage

B. Water in stomach

C. Cutis anserine

D. Froth at nostrils

Explanation : The postmortem sign of drowning are variable and none of them are pathognomonic.

A fine white leathery froth or foam his seen at the nose and mouth, which is one of the most characteristic sign of drowning.

The inhalation of water into the air passages causes irritation of the mucosa due to which the trachea and bronchial glands in large quantity of tenacious mucus.

Vigorous agitation of these secretions produces froth.

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Exam Start Time :03:08:17 pm

Exam Submit Time :04:39:45 pm

Number Of Questions

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