FCULTY OF MEDICINE, UNIVESITY OF JAFFNA
SECOND EXAMINATION FOR MEDICAL DEGREES PART II (1ΒΊΒΉ ) AUGUST 2012
DATE: 27.08.2012 TIME ALLOWED: 3 Hours (9.00 ΠΠ β 12.00 PM)
Answer All FIVE Questions
Answer each question in a separate answer book
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A 14 year old pedestrian victim of a road traffic trauma incident was admitted to a surgical casualty ward in unconscious state with multiple fractures on right upper and lower limbs and multiple bruises and abrasions on back. He was subjected to immediate neuro surgical intervention.
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List the medico-legal issues in this case (15 marks)
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Discuss consent in this case (25 marks)
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What are the important issues you have to consider when completing the MLEF? (30 marks)
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How would you reconstruct the incident with the observed injury pattern? (30 marks)
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You are called upon to conduct a postmortem examination on a body found floating in the river
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List the medico legal issues in this case (25 marks)
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How will you proceed to find the answers for the medico-legal issues identified? (75marks)
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Police has produced a 14 year old girl, said to be sexually abused for Medico legal examination.
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Briefly describe how you will proceed with examining this patient? (40 marks)
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How will you interpret the examination findings of the hymen? (30 marks)
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What are the specimens you would collect in this case? (20 marks)
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List the indications to order an Inquest. (40 marks)
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What are the preconditions to do a pathological postmortem examination? (30 marks)
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How will you write a proper cause of death? Explain by giving an example. (30 marks)
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A 3 year old child was brought by the parents to the casualty surgical ward unit with injuries. The medical officer has suspected "non accidental injury".
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How will you diagnose non accidental injury in this child? (75 marks)
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If this is an accidental injury how will you manage this case? (25 marks)
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