DTH ASPHX Flashcards

1
Q

Definition of asphyxia

A

general term applied to all forms of violent death which results primarily from the interference with the process of respiration or the condition in which the supply of oxygen has been reduced below normal levels

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2
Q

Associated with the failure of the arterial blood to become normally saturated with oxygen

A

Anoxic death

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3
Q

Due to decreased capacity of the blood to carry oxygen

A

Anemic anoxic death

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4
Q

Brought about by failure of circulation

A

Stagnant anoxic death

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5
Q

Due to the failure of cellular oxidative process

A

Histotoxic Anoxic death

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6
Q

Phases of asphyxia:

due to lack of oxygen and retention of CO2

A

dyspneic phase

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7
Q

Phases of asphyxia:

Due to stimulation of the CNS by CO2. Examination of visceral organs show Tardieu spots

A

Convulsive phase

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8
Q

Phases of asphyxia:

Apnea is due to paralysis of the respiratory centers

A

Apneic phase

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9
Q

Asphyxia by hanging where ligature runs from the midline above the thyroid cartilage

A

Typical

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10
Q

Asphyxia by hanging where the tie/noose is present on one side of the neck in front or behind the ear, or on the chin

A

Atypical

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11
Q

Asphyxia by hanging in which body is completely suspended

A

Complete

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12
Q

Asphyxia by hanging in which the victim is kneeling, reclining, sitting

A

Partial

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13
Q

Asphyxia by hanging when the knot is at the midline of the body

A

Symmetrical

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14
Q

Asphyxia by hanging when the knot is not in the midline but on one side

A

Asymmetrical

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15
Q

Subpleural or subcardial punctiform hemorrhages

A

Tardieu spots

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16
Q

The following suggest homicide EXCEPT

a. doors and windows forcibly opened
b. signs of struggle
c. unusual position of the body when found
d. presence of defense wounds
e. AOTA (all are false)
f. NOTA (all are true)

A

C;

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17
Q

Homicidal hanging practiced by americans against negroes

A

Lynching

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18
Q

T/F signs of vital reaction in the ligature marks around the neck suggests suicide

A

T

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19
Q

Compression of the neck by means of ligature which is tightened by a force other than the weight of the body

A

Strangulation

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20
Q

The following suggest strangulation EXCEPT

a. Hyoid bone spared
b. Usually, ligature mark is horizontal and knot is on the same horizontal plane
c. ligature above the larynx
d. no vertebral injury

A

C;
Hanging: hyoid bone injured, inverted v shape ligature mark, ligature at level of hyoid bone, (+) vertebral injury

Strangulation with ligature: hyoid bone frequently spared, ligature mark usually horizonta and knot is on the same horizontal plane, level of ligature below the larynx, no vertebral injury

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21
Q

Strangulation in which constricting force is applied on the neck by the hand

A

Manual strangulation or throttling

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22
Q

Caused by the calosing of external respiratory orifices either by the use of the hand or by some other means

A

Smothering

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23
Q

most common accidental smothering in children. Due to Pressure of the beddings and pillows.

A

Overlaying

24
Q

A person may suffer from seizure and accidentally bury his face on objects like pillow, bedding, or sand and may die

A

Accidental smothering of an epileptic

25
Q

Placing of the bag over the head causing suffocation

A

Plastic bag suffocation

26
Q

Impaction of foreign body in the respiratory passages

A

Choking

27
Q

Sudden heart attack in the middle of dinner due to asphyxia by choking. It is accidental rather than a natural death

A

Cafe coronary

28
Q

The following statement is true EXCEPT

a. Asphyxia by hanging is very rarely accidental
b. Asphyxia by choking is usually accidental
c. Lynching is when murderer kneels or sits on the chest, and with his hands, closes nostrils and mouth of the victim
d. Crucifixion is an example of traumatic Asphyxia
e. Suicidal traumatic asphyxia is very rare

A

C. The one described is burking; lynching is through hanging

29
Q

5 phases of asphyxia by submersion or drowning

A
Respiration de surprise
Phase of resistance
Dyspneic phase
Another apneic phase
Terminal respiration
30
Q

Time required for death in drowning

considered fatal:

A

1-2 minutes

31
Q

Time required for death in drowning

Average time required for death in drowning

A

2-5 minutes

32
Q

Emergency treatment by drowning

Patient in prone position and the operator exerts pressure on the lower ribs at the rate of 12-15 times a minute

A

Schaefer method

33
Q

Emergency treatment by drowning

Swings the arms of the patient forward and then pressing the chest wall. This is repeated every 3-5 seconds

A

Sylvester method

34
Q

Skin is puckered, pale in the form of _____ (post-mortem findings in asphyxia by drowning)

A

cutis anserina or goose skin, or gooseflesh

35
Q

Skin of hands and feet are bleached, corrugated and sodden in appearance. This phenomenon is called

A

Washerwoman’s hands and feet

36
Q

Poste-mortem lividity is mostly marked on these areas in death by asphyxia by drowning

A

head, neck, chest

37
Q

If there are pices of stone or heavy objects may be recovered in the pocket or clothings, death by drowning could be

a. homicidal
b. suicidal
c. accidental

A

B

38
Q

Drowning:

Whitish foam that accumulates in the mouth and nostrils

A

Champignon d’ocume

39
Q

Blood cloride content is greater in the left side of the heart. this finding is consistent with death by drowning in

a. salt water
b. freshwater
c. bath tub
d. swimming pool

A

A

40
Q

Quantitative determination of the chloride conent of the blood in the right and left ventricle of the heart

A

Gettler test

41
Q

Demonstration of difference of at least ___mmHg Chloride content proves that death occured in fresh or salt water pool and drowning is the cause of death

A

25

42
Q

Why does dead body float withing 24 hours?

A

due to deocmposition causing accumulation of gases

43
Q

Bronze color of the head and neck of a person who dies in water during the process of decomposition

A

Tete de negri

44
Q

The free exchange of air in the lungs is prevented by the immobility of the chest and bdomen during external pressure or crush

A

Traumatic or crush asphyxia

45
Q

The murderer kneels or sits on the chest, and with his hands, closes the nostrils and mouth of the victim

A

burking

46
Q

Colorless gas, insoluble in water, and alcohol. Main action is oxygen deprivation, causes painless death. Bright pink lividity

A

Carbon monoxide

47
Q

colorless heavy gas, often mixed with carbon monoxide and hydrogen sulfide; white ppt in barium nitrate and silver nitrate test

A

Carbon dioxide

48
Q

Colorless transparent gas, sweetish taste and emitting an odor similar to rotten egg. Litmus paper moistened with lead acetate will turn black

A

Hydrogen sulfide

49
Q

Most toxic rapid acting gas, 60-90mh is fatal, average span of life after partaking the drug is 2-19 mins. Eyes are bright and glistening, heart is engorged with bright red blood

A

Hydrogen Cyanide

50
Q

Colorless gas which is heavier than air with a pungent odor. Gas produces irritation of the respiratory passage

A

Sulfur dioxide

51
Q

Bitter almond smell

A

Cyanide poisoning

52
Q

Chlorine, phosgene, chloropicrine, diphosgene

a. lacrimator or tear gas
b. vesicant or blistering gas
c. lung irritants
d. sternutator

A

C

53
Q

lewisite, mustard gas

a. lacrimator or tear gas
b. vesicant or blistering gas
c. lung irritants
d. sternutator

A

B

54
Q

Diphenyl chlorasine, dihpenylamine chlorasine

a. lacrimator or tear gas
b. vesicant or blistering gas
c. lung irritants
d. sternutator

A

D

55
Q

Chloracetophenone

a. lacrimator or tear gas
b. vesicant or blistering gas
c. lung irritants
d. sternutator

A

A

56
Q

War gas that causes inactivation of cholinesterase and condequent increase of acetylcholine causing paralysis

A

Paralysants

57
Q

Hydrcyanic acid hydrogen sulfide and carbon monoxide are what type of war gas?

A

blood poisons