Mcqs
Mcqs
c. Cyanide poisoning
d. Strangulation
18. Tardieu spots in hanging are common at all the following sites except
a. Scalp
b. Eyebrow
c. Chest wall
d. Face
19. Tardieus spot
a. Septicemia
b. Endocarditis
c. Meningococcemia
d. All of the above
20. Earliest sign of death is
a. loss of skin elasticity
b. Corneal clouding
c. Cooling of body
d. Postmortem lividity
21. Tache noire refers to
a. Postmortem staining
b. Flaccidity of eyeball
c. Wrinkled dusty sclera
d. Maggot growth
22. Rectal temperature does not appreciably fall till what time after death
a. 15-30 mts
b. 30-60 mts
c. 60-90 mts
d. none of the above
23. Postmortem caloricity seen in poisoning from
a. Arsenic
b. Strychnine
c. Cyanide
d. Organophosphorus
24. Postmortem lividity well developed with in
a. 2 hrs
b. 4 hrs
c. 6 hrs
d. 8 hrs
25. Fixation of postmortem staining occurs in
a. 2 hrs
b. 4 hrs
c. 6 hrs
d. 8 hrs
b. Phospholipase
c. Streptokinase
d. Hyaluronidase
35. First external sign of putrefaction of body lying in air is around
a. Umbilicus
b. Rt iliac fossa
c. Lt iliac fossa
d. Chest wall
36. Greenish colour earliest sign of putrefaction due to
a. Hb
b. Meta Hb
c. SulphmetHb
d. CarboxyHb
37. Combustible gas of autolysis is
a. Nitrogen dioxide
b. Hydrogen sulphide
c. Methane
d. Carbon dioxide
38. Postmortem luminescence due to
a. Photobacterium fischeri
b. Armillaria mellea
39. First internal organ to putrefy is
a. Heart
b. Brain
c. Larynx / trachea
d. Kidney
40. Last organ to putrefy
a. Uterus / prostate
b. Testes
c. Ovary
d. Adrenals
41. Putrefaction occurs more rapidly in
a. Water
b. Air
c. Soil
d. Cold-salt water
42. Adipocere starts early in all of following except
a. Face
b. Breast
c. Buttock
d. Chest wall
b. Intracerebral sued
c. Subdural bleed
61. Most common cause of aneurysm formation
a. Trauma
b. Septic emboli
c. Congenital
d. Syphilitic endarteritis
62. Whiplash is which form of injury
a. Hyper flexion
b. Hyperextension
c. Lateral flexion
d. Atlanto-axial dislocation
63. Blunt abdominal trauma commonest site of GI ruptures is
a. Stomach
b. Duodenum
c. Jejunum
d. Transverse colon
64. In drowning, the epidermis of the hands and feet is separated in the
form of gloves and stocking after:
a. 2 minutes
b. 2 hours
c. 2 weeks
d. 2 months
65. Chadwicks sign is
a. Softening of cervix
b. Increased vaginal mucous secretion
c. Blue colouration of vagina
66. Amount of air necessary to produce fatal air embolism is
a. 20 ml
b. 50 ml
c. 100 ml
d. 250 ml
67. Malignant hyperthermia is a danger with
a. Atropine
b. Succinylcholine
c. Pancuronium
68. Hypothermia is said to exist when Rectal / oral temp less than
a. 35 C
b. 30 C
c. 25 C
d. 20 C
c. 21 years
d. 30 years
78. A person died from a stab wound in the aorta, in winter. His rectal
temperature was 31 C. The post-mortem interval is:
a. 2 hours
b. 3 hours
c. 4 hours
d. 8 hours
79. The presence of tache noire is suggestive that the time since death is:
a. One hour
b. 2 hours
c. 3 hours
d. 8 hours
80. The last organ to putrefy in the young girls is:
a. Uterus
b. Bladder
c. Ovary
d. Heart
81. Exhumation is:
a. Artificial preservation of a dead body
b. Burning of a dead body
c. Getting the dead body from the grave
d. Aseptic autolysis of a dead body
82. flattening remains until:
a. Hypostasis is complete
b. Rigor mortis is complete
c. Putrefaction begins
d. Cadaveric spasm occurs
83. A person died in a hospital 2 weeks after burning of his abdominal and
chest walls and upparemities, the most probable cause of death is:
a. Traumatic asphyxia
b. Pulmonary fat embolism
c. Perforation of an acute duodenal ulcer (curlings ulcer)
d. Suprarenal haemorrhage
84. Polar fracture is a:
a. Comminuted fracture
b. Fissure fracture
c. Depressed fracture
d. Cut fracture
85. The most resistant body tissue to electrical injury is:
a. Dry skin
b. Muscles
c. Bones
d. Blood and body fluid
86. The commonest cause of death in extradural hemorrhage is:
a. Hemorrhagic shock
b. Respiratory failure
c. Cardiac failure
d. Neurogenic shock
87. A 32 year-old farmer received abdominal trauma, after 2 hours the
pulse reached 136/min, blood pressure 70/40. The cause is:
a. Shock
b. Sympathetic shock
c. Internal haemorrhage
d. Air embolism
88. The most important sign for identification of contact firearm inlet is:
a. Loss of substance
b. Presence of two wounds
c. Muzzle imprint around the wound margin
d. Abraded inlet
89. A person with a head injury can talk normally and tell about the
circumstantial evidence in case of:
a. Lucid interval
b. Concussion
c. Retrograde amnesia
d. Automatism
90. Tear in the intima of the carotid artery with bleeding into its wall is
seen in cases of:
a. Smothering
b. Antemortem hanging
c. Postmortem hanging
d. Traumatic asphyxia
91. One of the following is a sure external sign of drowning that can be
found in postmortem examination:
a. Goose skin
b. Washer womans hands
c. Peeling of the skin
d. Fine froth at the mouth and nostrils
92. One of the following is not the immediate cause of death in criminal
abortion:
a. Hemorrhage
b. Septic instrumentation
c. Reflex vagal inhibition of the heart
d. Air embolism
101. In poisoning with hydrocyanic acid, nitrates are given in order to:
a. Reduce cyanide
b. Induce vasodilatation
c. Produce methaemoglobin
d. Oxidise cyanide
102. After skin contamination, the patient passed into coma with miosis
and finally acute nephritis, the poison is:
a. Oxalic acid
b. Nitric acid
c. Hydrocyanic acid
d. Carbolic acid
103. The dose of Na thiosulphate for treatment of cyanide poisoning in
children is:
a. 112.5 mg/kg IV over 10-20 min.
b. 412.5 mg/kg IV over 10-20 min
c. 412.5 mg/kg IV over 2 min
d. 412.5 mg/kg IV over 5 min
104. An old traffic policeman in a busy street of Cairo is liable to suffer
from:
a. Spastic gait
b. Tremors
c. Masked face
d. Wrist and ankle drop
105. Blue line in the gingival margin in case of lead poisoning is due to
deposition of:
a. Lead chromate
b. Lead sulphide
c. Lead subacetate
d. Lead iodide
106. In iron poisoning, bloody vomiting and diarrhea, massive fluid loss in
GIT, renal failure and death occur in:
a. Stage 1
b. Stage 2
c. Stage 3
d. Stage 4
107. The specific antidote in case of iron poisoning is:
a. DMSA.
b. Deferoxamine
c. EDTA.
d. Penicillamine
108. Acute toxicity of organophosphates causes:
a. Urine retention
b. Oliguria
c. Urine incontinence
d. Anuria
109. Prolonged prothrombin time occurs in cases of poisoning with:
a. Parathion
b. Warfarin
c. Paraquat
d. Zinc sulphide
110. The second stage of acute acetaminophen toxicity is
characterized by:
a. Abnormalities of liver function tests
b. Bleeding tendencies due to coagulation defect
c. Nausea and malaise
d. Right upper quadrant pain and tenderness
111. Which of the following is specific antidote for acute acetaminophen
toxicity:
a. BAL
b. Mucomyst
c. EDTA
d. DMSA
112. Benzodiazepines act on the CNS through the following mechanism:
a. Increasing catecholamines
b. Increasing serotonin
c. Increasing the activity of GABA
d. Decreasing the activity of GABA
113. In case of foodborne botulism, the toxin is:
a. Formed in the duodenum
b. Formed in the colon
c. Formed in the intestine
d. Formed in the canned food before consumption
114. A 4 year old boy accidentally ingested a clear fluid, vomited twice
then started to cough with tachypnea, 24 hours later he developed fever
of 39 C due to bronchopneumonia. The possible diagnosis is:
a. Phenol toxicity
b. Kerosene toxicity
c. Ethanol toxicity
d. Methanol toxicity
115. MAcEwens sign is a manifestation of massive intake of:
a. Atropine
b. Opium
c. Methanol
d. Ethanol
116. One of the following manifestations is an indication of severe ethanol
intoxication:
a. Euphoria and sense of well-being
b. Marked muscular incoordination
c. Increased confidence
d. Aggressive behaviour
117. In case of acute CO poisoning, coma and death with lively red colour
occur at a carboxy haemoglobin level of:
a. 10-20%
b. 20-30%
c. 30-40%
d. 50- 60 %
118. Pathological jealousy is diagnostic of:
a. Cocaine intoxication
b. Cannabis intoxication
c. Alcoholic intoxication
d. Tobacco intoxication