Q.P. Code: 313001
Reg. no.: .....................
III Professional MBBS Part I Degree Supplementary (SAY) Examinations
May 2025
Forensic Medicine and Toxicology
Time: 3 Hours
Total Marks: 100
Answer all questions to the point neatly and legibly ? Do not leave any blank pages between answers
Indicate the question number correctly for the answer in the margin space
Draw table/diagrams/flow charts wherever necessary
1. Multiple Choice Questions
(20x1=20)
The MCQ questions (Q.No. i to Q.No. xx) shall be written in the space provided for answering MCQ
Responses for MCQs marked in any other part/page of the answer book will not be valued
Question numbers i - v are case scenario- based questions.
A 32-year-old man found dead laying face down in his apartment. There was a blood stained knife,
half empty vine bottle with finger prints in the room. Postmortem revealed incised wounds on right
retained all over the body. Postmortem staining seen on back
i. The time since death could be within ---------- hours of postmortem examination
a) 1 to 4
b) 6 to 18
d) 24 to 48
ii. The incised wound has following features
a) Tissue bridges in the subcutaneous tissue
c) Clean margins
d) Depth is more than length
iii. Which evidence suggests the manner of death in this case
a) Injuries on right palm
c) Blood stained knife with finger prints
d) Presence of stab wound to heart
iv. The following measurements helps to identify whether the same weapon in the scene caused
the stab wound
a) Width of the blade and width of the wound
b) Width of the blade and length of the wound d) Length of the blade and width of the wound
v. The postmortem staining in this case indicates,
a) Exact manner of death
c) Cause of death
d) Body was moved after death
For questions vi - x, there are two statements marked as Assertion (A) and Reason (R). Mark
your answers as per the options provided:
vi. Assertion (A): Chronic lead poisoning causes Burtonian line on the gums
a) Both A and R are true, and R is the correct explanation of A
c) A is true but R is false
b) Both A and R are true, and R is not the correct explanation of A d) A is false but R is true
vii. Assertion (A): Viper is usually nocturnal and its head scales are small
abnormalities
a) Both A and R are true, and R is the correct explanation of A
c) A is true but R is false
b) Both A and R are true, and R is not the correct explanation of A
viii. Assertion (A): Barrel of a shot gun is scored internally with grooves called choking
Reason (R): Tattooing occurs due to the deposition of unburnt gunpowder particles on the skin
a) Both A and R are true, and R is the correct explanation of A
c) A is true but R is false
d) A is false but R is true
ix. Assertion (A): Methanol poisoning causes blindness
Reason (R): Methanol is metabolized to formic acid, which damages the optic nerve
a) Both A and R are true, and R is the correct explanation of A
b) Both A and R are true, and R is not the correct explanation of A
d) A is false but R is true
x. Assertion (A): Fern like pattern of erythema in skin is seen in lightening
Reason (R): Electric current disrupts the normal cardiac rhythm, causing fibrillation
c) A is true but R is false
b) Both A and R are true, and R is not the correct explanation of A
d) A is false but R is true
(PTO)
Question numbers xi-xv are multiple-response type questions. Read the statements & mark
the correct answers appropriately.
xi. Which of the following conditions are associated with cadaveric spasm
1) Sudden death with intense nervous activity
2) Stiffening without primary relaxation
4) Commonly seen in drowning cases
a) 1 and 2 are correct
c) 1, 2 and 4 are correct
b) 1, 2 and 3 are correct
xii. Which of the following are late postmortem findings in fresh water drowning
1) Emphysema aquosum
2) Ventricular fibrillation
3) Positive hydrostatic test
a) 1 and 2 are correct
c) 1, 2 and 4 are correct
b) 1, 2 and 3 are correct
d) 2 and 3 are correct
1) Horizontal ligature mark below thyroid cartilage
2) Fracture of lamina of thyroid cartilage
3) Subconjuctival haemorrhage
4) Pale and glislencing subcutaneous tissue
c) 1, 2 and 4 are correct
b) 1, 2 and 3 are correct
d) 2 and 3 are correct
xiv. Which findings are seen in barbiturate poisoning
2) Central nervous system depression
3) Accidental poisoning due to automatism
4) Metabolic alkalosis
a) 1 and 2 are correct
b) 1, 2 and 3 are correct
d) 2 and 3 are correct
xv. Which of the following dental characteristics help in age estimation
1) Eruption of molar tooth
3) Carabellis cusp
4) Boyde's method
a) 1 and 2 are correct
c) 1, 2 and 4 are correct
d) 2 and 3 are correct
Question numbers xvi-xx are single-response type questions.
xvi. Which of the following is a component of bioethics, as per Belmond's Report
a) Autonomy
c) Paternalism
d) Implied consent
xvii. Dead born child is one who has died
a) Soon after birth
c) In utero
d) None of the above
xviii. Which poison causes "garlic-like" odour in breath and tissues
a) Cyanide
c) Phosphorus
d) Selenium
xix. Which test is used as a confirmatory test for human blood
a) Kastle-Meyer test
b) Luminol test
d) Benzidine test
xx. Forensic medicine deals with
a) Post mortem examination
b) Medical aspects of law
d) Investigation of crime
Long Essays:
(2x10=20)
kneeling on the floor. On examination an oblique incomplete ligature mark was seen on neck.
There was no signs of struggle in the room
a) What is your opinion as to cause of death in this case and explain the reason
b) Explain the special autopsy technique adopted in this case
d) Describe the role of toxicology and other laboratory tests to support your final diagnosis
(2+3+2+3)
3. A pedestrian hit by a car brought for autopsy. On examination there was (i) fracture of right tibia
and (ii) contusions of scalp with fracture of occipital base and brain contusion
b) List four cause/mechanisms of death after sustaining these injuries
c) Reconstruct the incident occurred with the help of the postmortem findings
d) Legally classify these two injuries based on their fatality and explain
(2+2+3+3)
Short Essays:
(6x6=36)
4. Discuss the causes of sudden death following strenuous exercise and explain factors that may
increase the risk of such events
5. Warning Notice
6. A child accidently consumed a mango like fruit was brought to casualty with abdominal pain and
vomiting; ECG showed variation. List two toxic constituents in the fruit, its fatal dose and describe
the management
7. List the samples to be collected for chemical analysis during postmortem examination. Describe
how these samples are collected, preserved and sent for chemical analysis maintaining the chain
of custody
(2+4)
(2+4)
9. Explain sexual paraphilia in forensic medicine. Discuss its different types and relevant
investigations in sexual assault cases
Short Answers: (6x4=24)
significance
(2+2)
11. Draw and label differences in the head of viper and cobra
(2+2)
(2+2)
13. Explain Locard's Exchange Principle in forensic practice. Discuss its significance in criminal
investigations and how it aids in linking suspects, victims and crime scenes
14. Discuss the differences between sea water drowning and salt water drowning
**********************
Reg. no.: .....................
III Professional MBBS Part I Degree Supplementary (SAY) Examinations
May 2025
Forensic Medicine and Toxicology
--- Content provided by FirstRanker.com ---
(2019 Scheme)Time: 3 Hours
Total Marks: 100
Answer all questions to the point neatly and legibly ? Do not leave any blank pages between answers
Indicate the question number correctly for the answer in the margin space
--- Content provided by FirstRanker.com ---
Answer all parts of a single question together ? Leave sufficient space between answersDraw table/diagrams/flow charts wherever necessary
1. Multiple Choice Questions
(20x1=20)
The MCQ questions (Q.No. i to Q.No. xx) shall be written in the space provided for answering MCQ
--- Content provided by FirstRanker.com ---
questions at page No. 51 of the answer book (the inner portion of the back cover page (PART III)).Responses for MCQs marked in any other part/page of the answer book will not be valued
Question numbers i - v are case scenario- based questions.
A 32-year-old man found dead laying face down in his apartment. There was a blood stained knife,
half empty vine bottle with finger prints in the room. Postmortem revealed incised wounds on right
--- Content provided by FirstRanker.com ---
palm and incised penetrating wounds to heart and spleen. Rigor mortis was fully established andretained all over the body. Postmortem staining seen on back
i. The time since death could be within ---------- hours of postmortem examination
a) 1 to 4
b) 6 to 18
--- Content provided by FirstRanker.com ---
c) 18 to 24d) 24 to 48
ii. The incised wound has following features
a) Tissue bridges in the subcutaneous tissue
c) Clean margins
--- Content provided by FirstRanker.com ---
b) Crushing of hair bulbesd) Depth is more than length
iii. Which evidence suggests the manner of death in this case
a) Injuries on right palm
c) Blood stained knife with finger prints
--- Content provided by FirstRanker.com ---
b) Presence of alcohold) Presence of stab wound to heart
iv. The following measurements helps to identify whether the same weapon in the scene caused
the stab wound
a) Width of the blade and width of the wound
--- Content provided by FirstRanker.com ---
c) Length of the blade and length of the woundb) Width of the blade and length of the wound d) Length of the blade and width of the wound
v. The postmortem staining in this case indicates,
a) Exact manner of death
c) Cause of death
--- Content provided by FirstRanker.com ---
b) Underlying medical conditiond) Body was moved after death
For questions vi - x, there are two statements marked as Assertion (A) and Reason (R). Mark
your answers as per the options provided:
vi. Assertion (A): Chronic lead poisoning causes Burtonian line on the gums
--- Content provided by FirstRanker.com ---
Reason (R): Lead reacts with hydrogen sulfide produced by oral bacteria to form Lead sulfidea) Both A and R are true, and R is the correct explanation of A
c) A is true but R is false
b) Both A and R are true, and R is not the correct explanation of A d) A is false but R is true
vii. Assertion (A): Viper is usually nocturnal and its head scales are small
--- Content provided by FirstRanker.com ---
Reason (R): Viper venom contains hemotoxins that cause capillary damage and coagulationabnormalities
a) Both A and R are true, and R is the correct explanation of A
c) A is true but R is false
b) Both A and R are true, and R is not the correct explanation of A
--- Content provided by FirstRanker.com ---
d) A is false but R is trueviii. Assertion (A): Barrel of a shot gun is scored internally with grooves called choking
Reason (R): Tattooing occurs due to the deposition of unburnt gunpowder particles on the skin
a) Both A and R are true, and R is the correct explanation of A
c) A is true but R is false
--- Content provided by FirstRanker.com ---
b) Both A and R are true, and R is not the correct explanation of Ad) A is false but R is true
ix. Assertion (A): Methanol poisoning causes blindness
Reason (R): Methanol is metabolized to formic acid, which damages the optic nerve
a) Both A and R are true, and R is the correct explanation of A
--- Content provided by FirstRanker.com ---
c) A is true but R is falseb) Both A and R are true, and R is not the correct explanation of A
d) A is false but R is true
x. Assertion (A): Fern like pattern of erythema in skin is seen in lightening
Reason (R): Electric current disrupts the normal cardiac rhythm, causing fibrillation
--- Content provided by FirstRanker.com ---
a) Both A and R are true, and R is the correct explanation of Ac) A is true but R is false
b) Both A and R are true, and R is not the correct explanation of A
d) A is false but R is true
(PTO)
--- Content provided by FirstRanker.com ---
Question numbers xi-xv are multiple-response type questions. Read the statements & mark
the correct answers appropriately.
xi. Which of the following conditions are associated with cadaveric spasm
1) Sudden death with intense nervous activity
2) Stiffening without primary relaxation
--- Content provided by FirstRanker.com ---
3) Occurs in all muscles simultaneously4) Commonly seen in drowning cases
a) 1 and 2 are correct
c) 1, 2 and 4 are correct
b) 1, 2 and 3 are correct
--- Content provided by FirstRanker.com ---
d) 2 and 3 are correctxii. Which of the following are late postmortem findings in fresh water drowning
1) Emphysema aquosum
2) Ventricular fibrillation
3) Positive hydrostatic test
--- Content provided by FirstRanker.com ---
4) Hydrocution is typical drowninga) 1 and 2 are correct
c) 1, 2 and 4 are correct
b) 1, 2 and 3 are correct
d) 2 and 3 are correct
--- Content provided by FirstRanker.com ---
xiii. Which of the following are typical features of strangulation1) Horizontal ligature mark below thyroid cartilage
2) Fracture of lamina of thyroid cartilage
3) Subconjuctival haemorrhage
4) Pale and glislencing subcutaneous tissue
--- Content provided by FirstRanker.com ---
a) 1 and 2 are correctc) 1, 2 and 4 are correct
b) 1, 2 and 3 are correct
d) 2 and 3 are correct
xiv. Which findings are seen in barbiturate poisoning
--- Content provided by FirstRanker.com ---
1) Putrefaction increases blood levels2) Central nervous system depression
3) Accidental poisoning due to automatism
4) Metabolic alkalosis
a) 1 and 2 are correct
--- Content provided by FirstRanker.com ---
c) 1, 2 and 4 are correctb) 1, 2 and 3 are correct
d) 2 and 3 are correct
xv. Which of the following dental characteristics help in age estimation
1) Eruption of molar tooth
--- Content provided by FirstRanker.com ---
2) Degree of attrition3) Carabellis cusp
4) Boyde's method
a) 1 and 2 are correct
c) 1, 2 and 4 are correct
--- Content provided by FirstRanker.com ---
b) 1, 2 and 3 are correctd) 2 and 3 are correct
Question numbers xvi-xx are single-response type questions.
xvi. Which of the following is a component of bioethics, as per Belmond's Report
a) Autonomy
--- Content provided by FirstRanker.com ---
b) Confidentialityc) Paternalism
d) Implied consent
xvii. Dead born child is one who has died
a) Soon after birth
--- Content provided by FirstRanker.com ---
b) During birthc) In utero
d) None of the above
xviii. Which poison causes "garlic-like" odour in breath and tissues
a) Cyanide
--- Content provided by FirstRanker.com ---
b) Arsenicc) Phosphorus
d) Selenium
xix. Which test is used as a confirmatory test for human blood
a) Kastle-Meyer test
--- Content provided by FirstRanker.com ---
c) Precipitin testb) Luminol test
d) Benzidine test
xx. Forensic medicine deals with
a) Post mortem examination
--- Content provided by FirstRanker.com ---
c) Legal aspects of medicineb) Medical aspects of law
d) Investigation of crime
Long Essays:
(2x10=20)
--- Content provided by FirstRanker.com ---
2. A 35 year old man found hanging with a shawl tied around neck and attached to ceiling hook,kneeling on the floor. On examination an oblique incomplete ligature mark was seen on neck.
There was no signs of struggle in the room
a) What is your opinion as to cause of death in this case and explain the reason
b) Explain the special autopsy technique adopted in this case
--- Content provided by FirstRanker.com ---
c) Discuss the distinguishing features of homicide staged as hangingd) Describe the role of toxicology and other laboratory tests to support your final diagnosis
(2+3+2+3)
3. A pedestrian hit by a car brought for autopsy. On examination there was (i) fracture of right tibia
and (ii) contusions of scalp with fracture of occipital base and brain contusion
--- Content provided by FirstRanker.com ---
a) Explain the different types of injuries expected in this type of traffic accidentsb) List four cause/mechanisms of death after sustaining these injuries
c) Reconstruct the incident occurred with the help of the postmortem findings
d) Legally classify these two injuries based on their fatality and explain
(2+2+3+3)
--- Content provided by FirstRanker.com ---
(PTO)Short Essays:
(6x6=36)
4. Discuss the causes of sudden death following strenuous exercise and explain factors that may
increase the risk of such events
--- Content provided by FirstRanker.com ---
(4+2)5. Warning Notice
6. A child accidently consumed a mango like fruit was brought to casualty with abdominal pain and
vomiting; ECG showed variation. List two toxic constituents in the fruit, its fatal dose and describe
the management
--- Content provided by FirstRanker.com ---
(2+1+3)7. List the samples to be collected for chemical analysis during postmortem examination. Describe
how these samples are collected, preserved and sent for chemical analysis maintaining the chain
of custody
(2+4)
--- Content provided by FirstRanker.com ---
8. Define Dying declaration. Explain its procedure, role of doctor and its medico legal significance(2+4)
9. Explain sexual paraphilia in forensic medicine. Discuss its different types and relevant
investigations in sexual assault cases
Short Answers: (6x4=24)
--- Content provided by FirstRanker.com ---
10. Describe pathophysiology and findings in `Hide and Die' syndrome. State its medico legalsignificance
(2+2)
11. Draw and label differences in the head of viper and cobra
(2+2)
--- Content provided by FirstRanker.com ---
12. Define consent. Briefly explain the rules of informed consent(2+2)
13. Explain Locard's Exchange Principle in forensic practice. Discuss its significance in criminal
investigations and how it aids in linking suspects, victims and crime scenes
14. Discuss the differences between sea water drowning and salt water drowning
--- Content provided by FirstRanker.com ---
15. Super Imposition Technique**********************