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Forensic Medicine & Clinical Pathology > Exam Practice > Flashcards

Exam Practice Flashcards

1
Q

What is post-mortem hypostasis (livores)

A

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

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2
Q

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

A

Vischnevsk’s gastric lesions

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3
Q

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

A

Compressive Asphyxia

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4
Q

Pedestrian trauma mechanism in RTA injuries with a car?

A

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

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5
Q

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

A

More than 9-14 days

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6
Q

Correct statements about immunohistochemical reactions…

A

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

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7
Q

Correct statement about TNM

A

TNM determines extent of neoplasm

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8
Q

Tissue material for scheduled pathology testing is contained in:

A

cointainer with formalin solution

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9
Q

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

A

Empty container

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10
Q

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

A

Low

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11
Q

Definition of forensic medicine

A

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

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12
Q

Incorrect statement about TNM

A

It is a constant, nonchanging classification

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13
Q

Who fills in death certificate in hospital setting 106/a

A

supervising doctor

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14
Q

Correct statements about subcutaneous hemorrhage?

A

Not always just in impact area, depends on many factors

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15
Q

What technical electric current depends on

A

All correct: thermal exposure, mechanical effects, special effects

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16
Q

Cause of death in ethanol intoxication

A

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

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17
Q

Objective morphological sign of strangular asphyxia

A

Strangulation mark

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18
Q

Typical colour for CO intoxication?

A

Bright red

19
Q

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

A

simple

20
Q

Morphological features of incised wounds

A

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

21
Q

Objective indication person was alive at time of fire is

A

Carboxyhemoglobin

22
Q

Objects of medico-legal investigation

A

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

23
Q

Typical fracture in bumper impact

A

Wedge-shaped tibia bone fracture

24
Q

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

A

Physiological solution

25
Q

Morphological features typical for EPIDURAL hemorrhage?

A

Hemorrhage on same side as skull fracture, injured meningial branches

26
Q

TNM classification stages pTis, means

A

malignant neoplasm non-invasive

27
Q

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

A

Immunohistochemical reactions
Decalcification procedure

28
Q

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

A

Sudden or unexpected death

29
Q

What are real early post-mortem changes

A

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

30
Q

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?

A

Perforating stub-cut wound

31
Q

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

A

Direct immunofluorescence

32
Q

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

A

Death after interventions: surgery, diagnostic, treatment

33
Q

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

A

Detection of connective tissue fibers

34
Q

Which of presented histological testing method require embedding into paraffin?

A

Detection of lipids

35
Q

Morphological features are typical for traumatic SUBDURAL hemorrhage?

A

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

36
Q

Histochemical methods are helpful in determining:

A

type of connective tissue fibers

37
Q

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

A

Gunshot entrance wound in close range

38
Q

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

A

Forensic medicine dr
Doctor pathologist

39
Q

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?

A

Laceration

40
Q

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

A

Endoscopic biopsy

41
Q

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

A

fragments & where it was obtained from

42
Q

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

A

all previous morphological test results

43
Q

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

A

indicate about radiological test results

44
Q

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

A

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

Forensic Medicine & Clinical Pathology (1 decks)

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