Exam Practice

Question 1

What is post-mortem hypostasis (livores)

Answer 1

Blood and lymph appears in lowest part of body and shine through the skin

Question 2

In death from hypothermia, round-oval, small red hemorrhages in gastric mucosa are called

Answer 2

Vischnevsk’s gastric lesions

Question 3

Male corpse found under collapsed wall at construction site, multiple rib fractures, cyanosis of face and neck, bruising of tongue. Likely cause?

Answer 3

Compressive Asphyxia

Question 4

Pedestrian trauma mechanism in RTA injuries with a car?

Answer 4

bumper to lower limbs, body rotation, body pushed back on road surface

Question 5

Skin abrasion, elevated scab (above level of surrounding skin), edges partially separated. How old is injury?

Answer 5

More than 9-14 days

Question 6

Correct statements about immunohistochemical reactions…

Answer 6

Antigen antibody binding occurs during this reaction
Snap frozen micro sections applied to perform reactions

Question 7

Correct statement about TNM

Answer 7

TNM determines extent of neoplasm

Question 8

Tissue material for scheduled pathology testing is contained in:

Answer 8

cointainer with formalin solution

Question 9

Tissue material for urgent intra-operative biopsy is contained in:

Answer 9

Empty container

Question 10

Drunk woman falls onto knees, knee is painful on palpation and during active movements. Extent of health impairment?

Answer 10

Low

Question 11

Definition of forensic medicine

Answer 11

Independent science of medicine, analysing problems of medicine and biology in juridical practice

Question 12

Incorrect statement about TNM

Answer 12

It is a constant, nonchanging classification

Question 13

Who fills in death certificate in hospital setting 106/a

Answer 13

supervising doctor

Question 14

Correct statements about subcutaneous hemorrhage?

Answer 14

Not always just in impact area, depends on many factors

Question 15

What technical electric current depends on

Answer 15

All correct: thermal exposure, mechanical effects, special effects

Question 16

Cause of death in ethanol intoxication

Answer 16

All correct: aspiration, respiratory centre paralysis/acute heart failure, various injuries

Question 17

Objective morphological sign of strangular asphyxia

Answer 17

Strangulation mark

Question 18

Typical colour for CO intoxication?

Answer 18

Bright red

Question 19

Man involved in conflict and hit on the eye, nose broken, big purple bruise. Health impairment?

Answer 19

simple

Question 20

Morphological features of incised wounds

Answer 20

All correct, long wound on skin, linear shape, regular margins, V-shaped ends

Question 21

Objective indication person was alive at time of fire is

Answer 21

Carboxyhemoglobin

Question 22

Objects of medico-legal investigation

Answer 22

The dead, medical docs, the living, material and fluids from organism

Question 23

Typical fracture in bumper impact

Answer 23

Wedge-shaped tibia bone fracture

Question 24

Biopsy/surgical material testing duration can be prolonged as a result of these circumstances, except prolonged fixation when tissue material is kept in:

Answer 24

Physiological solution

Question 25

Morphological features typical for EPIDURAL hemorrhage?

Answer 25

Hemorrhage on same side as skull fracture, injured meningial branches

Question 26

TNM classification stages pTis, means

Answer 26

malignant neoplasm non-invasive

Question 27

Which of the following pathology testing methods are not compulsory for all biopsy materials?

Answer 27

Immunohistochemical reactions Decalcification procedure

Question 28

Considering the Lithuanian legal system regulations, the most likely indication for forensic (legal) autopsy is:

Answer 28

Sudden or unexpected death

Question 29

What are real early post-mortem changes

Answer 29

Post mortem hypostasis (livores), stagnation (rigor mortis), Pergamentatio

Question 30

A linear wound is observed on left side of the chest, midline of the clavicle, level of IV rib. Transverse 1.5 cm long, the inner end is blunt, the outer end is pointed, the edges of the wound are smooth, not scratched, the depth of the wound canal is 8 cm, plural cavity. What kind of wound is this?

Answer 30

Perforating stub-cut wound

Question 31

Which of presented testing methods is not applied in molecular pathology?

Answer 31

Direct immunofluorescence

Question 32

Considering the Lithuanian legal healthcare system regulations, what are the indications for pathology (clinical) autopsy?

Answer 32

Death after interventions: surgery, diagnostic, treatment

Question 33

Which of the presented histological testing methods require snap freezing in cryostat?

Answer 33

Detection of connective tissue fibers

Question 34

Which of presented histological testing method require embedding into paraffin?

Answer 34

Detection of lipids

Question 35

Morphological features are typical for traumatic SUBDURAL hemorrhage?

Answer 35

Maybe above one or both hemispheres, +/- skull fractures, bleeding from parasagittal vein or contusive focus in brain

Question 36

Histochemical methods are helpful in determining:

Answer 36

type of connective tissue fibers

Question 37

A wound consists of regular round oval skin defect with soiled edges, abrasion rim and radial skin cracks. What kind of wound is this?

Answer 37

Gunshot entrance wound in close range

Question 38

Considering Lithuanian legal and health system recommendations, a post-mortem examination can be performed by: (select one or more)

Answer 38

Forensic medicine dr Doctor pathologist

Question 39

Occiput, level of the outer occipital tubercle and 4 cm to the right of the midline, a linear 5 cm long up to 1 cm deep wound is observed. The ends of which are blunt at 11 and 5 o'clock, the edges scratched 1 cm wide, crushed, with tissue bridges (bridging fibers). What kind of wound is this?

Answer 39

Laceration

Question 40

Patient with lung cancer, four pieces of affected tissue from left lower segment bronchial wall obtained. Biopsy SAMPLE type?

Answer 40

Endoscopic biopsy

Question 41

Patient with lung cancer, when characterizing the object which is being sent, you will

Answer 41

fragments & where it was obtained from

Question 42

Patient with lung cancer, consider paragraph of previous morphology testing history, you will send

Answer 42

all previous morphological test results

Question 43

Patient with lung cancer, considering paragraph of essential clinical data, you will:

Answer 43

indicate about radiological test results

Question 44

Recommendations in Lithuania, indicate likely chronological order of the legal actions presented above:

Answer 44

2 Fill info card: ID and attach to corpse. 3 Filling in clinical history (form no 003/a) 1 Inform relatives or representative of the deceased 4 Discussion about post-mortem examination