Download University of Jaffna MBBS 2015 October Forensic Medicine Question Paper

UNIVERSITY OF JAFFNA, SRI LANKA

SECOND EXAMINATION FOR MEDICAL DEGREES PART II (2^nd)

Date: 26.10.2015.

October 2015

Time: 03 hours

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ANSWER ALL FIVE QUESTIONS

Forensic Medicine

Answer Part A and Part B in separate answer books.

Part A

1. You are the house officer in a surgical ward. A patient died in the ward few days after the admission
   1. List five (05) circumstances, under which you would request for an inquest. (25 Marks)

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   2. List three (03) important conditions, which should be satisfied before conducting a 'pathological autopsy'. (25 Marks)
   3. If this patient had a stab injury on the chest, outline the important medico-legal duties you would have carried out related to the patient's condition before the death (25 Marks)
   4. List five (05) features, on which the J/140 would suspect that this was a suicidal stab injury (25 Marks)
2. A young unmarried female was found dead with gunshot injury. Jaffna Magistrate ordered to do a postmortem examination on this body.
   1. Briefly describe how you would distinguish rifle firearms from smooth bore weapons based on the injury pattern. (25 Marks)

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   2. 1. State the cause of death according to the WHO classification (25 Marks)
      2. List three (03) medico-legal opinions which can be given in your report giving reasons. (25 Marks)
      3. The genital examination revealed a fresh hymenal tear at 6 `o' clock position. List five samples you would collect from this case (25 Marks)

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3. At postmortem examination there is a circular penetrating injury on the left occipital area measuring 10 mm in diameter, the cerebral laceration extends from this injury to the right parietal area of the brain and a bullet embedded in the right parietal area.

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Part B

4. Discuss the phenomenon of post mortem artefacts in various circumstances and the difficulties they present in being differentiated from ante mortem events. How will you differentiate them? (100 Marks)
5. 1. Briefly discuss consent in relation to medico-legal practice in Sri Lanka (50 Marks)

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   2. Discuss "Medical Negligence" (50 Marks)
6. 1. List five plants bearing poisonous fruits in Sri Lanka (20 Marks)
   2. Name the toxins in each fruit. (20 Marks)
   3. Briefly describe the modes of action of the above toxins. (60 Marks)

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