Download University of Jaffna (University of Sri Lanka) MBBS (Bachelor of Medicine and Bachelor of Surgery) 2013 August Forensic Medicine Previous Question Paper

UNIVERSITY OF JAFFNA, SRI LANKA
SECOND EXAMINATION FOR MEDICAL DEGREES AUG 2013
FORENSIC MEDICINE
Date: 26.08.2013.
Time: 3 hours
ANSWER ALL THE FIVE QUESTIONS
Answer each part in separate answer book
PART A
1.
The fresh body of a young adult male was found inside a room.
There was disturbance of the furniture. At postmortem examination
there were small oval contusions and crescent shaped scratch
abrasions of the front of neck. Petechial haemorrhages were
detected in the periorbital area
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1.1. Describe the steps in the dissection that should be performed to
determine the cause of death.
(40 Marks)
1.2. Write the possible cause of death in this case.
(10 Marks)
1.3. Explain the mechanism of formation of petechial haemorrhages.
(20 Marks)
1.4. Write two(02) more areas of the body where petechial
haemorrhages may be detected
(20 Marks)
1.5. State two other findings that could support your diagnosis
mentioned in 1.2.
(10 Marks)
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Part B
2.
The Police have recovered a fresh dead body of a young, male in an
abandoned house. There was a firmly held 2 ml syringe in his right
hand. A small empty bottle and partially burnt cigarette butts were
found at the scene. This death was reported to the judicial medical
officer by the Police.
2.1. List five medico-legal issues related to this case.
(10 Marks)
2.2. Describe the possible external examination findings of the deceased. (25 Marks)
2.3. Describe the pathophysiology of the internal findings expected at
the autopsy.
( 25 Marks)
2.4. Discuss the special investigations that you would request in this
case.
( 20 Marks)
2.5. Describe the special precautions you would adopt when performing
the autopsy of this case.
( 20 Marks)
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3.
A 35years old executive officer employed in a private company
sustained severe chest injuries following frontal collision of his car
with a motor truck during an official journey. He was admitted to a
tertiary care hospital and several blood transfusions were given
during the early stage of the management.
The truck driver had minor injuries and was said to have been under
the influence of alcohbl at the time of the incident.
3.1. What are the medico-legal issues of this case?
( 10 Marks)
3.2. Describe the expected medico-legal examination findings of the
hospitalized victim with a view to assess him for compensation.
( 30 Marks)
3.3. Discuss the ethical principles involved in the medico-legal
examination and the further management of this victim?
( 20 Marks)
3.4. Describe how you would examine a person for alleged drunkenness.
(25 Marks)
3.5. Discuss the legal provisions related to drunken driving in Sri Lanka.
(15 Marks)
Part C
4.
A young person was admitted to the casualty ward with the
laceration on the right side of the head and history of loss of
consciousness for a few minutes following the injury. On admission
he was conscious and rational, wound was sutured and the patient
was discharged from the hospital on the same day. The following
day he was brought to the hospital in a state of unconsciousness and
died soon after admission to the hospital.
4.1. What is your most probable diagnosis?
( 10 Marks)
4.2. If you were the Medical officer who attended the patient on the first
admission, how you would have managed this patient?
(40 Marks)
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4.1 What are the post-mortem findings (head only) you expect in this
case?
( 50 Marks)
5.
If a patient under your care died.
5.1. How will you decide whether to order an inquest or not.
( 50 Marks)
5.2. If you are decided to do a pathological postmortem examination,
what are the preconditions to be fulfilled?
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(25 Marks)
53. If you are decided to issue the death declaration form, how will you
write a proper cause of death? Explain by giving an example.
(25 Marks)
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