Medicolegal autopsy, sexual offences Flashcards

(74 cards)

1
Q

Up to how many weeks is MTP permissible for contraceptive failure, according to the Medical Termination of Pregnancy (Amendment) Act, 2021?

A

20 weeks

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2
Q

What is the enhanced upper gestation limit for MTP in special categories of women (like survivors of rape, victims of incest, etc.)?

A

24 weeks

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3
Q

What is the punishment for performing an MTP by an unqualified person or in an unrecognized hospital?

A

Rigorous imprisonment for a term not less than 2 years, but which may extend to 7 years.

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4
Q

What is required for MTP in cases of substantial fetal anomalies?

A

Approval from a medical board consisting of an obstetrician, pediatrician, radiologist, and a person appointed by the state.

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5
Q

What is the upper limit of MTP in victims of rape, incest, fetal anomalies, or congenital malformations?

A

Up to 24 weeks of gestation.

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6
Q

What is the upper limit of MTP for substantial fetal anomalies decided by the medical board?

A

At any gestational age.

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7
Q

How long must a register for recording the details of MTP be kept?

A

At least 5 years.

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8
Q

What information is not to be entered in the MTP register?

A

The patient’s name. Only the reference number is used.

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9
Q

What is the punishment for unlawful disclosure of a patient’s details?

A

1-year imprisonment ± fine.

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10
Q

The term aggravated is used for those acts

A
  • by person of authority
  • in course of communal violence
  • on mentally and physically disabled
  • gang sexual assault
  • deadly weapons
  • grievous hurt
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11
Q

Superfetation

A

Two ova from different menstrual cycles are fertilized, resulting in two children born at the same time with potential differences in maturity?

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12
Q

In some individuals, ovulation may be possible until what point in pregnancy?

A

The first trimester.

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13
Q

Superfecundation

A

Fertilization of two different ova in the same menstrual cycle by separate acts of coitus?

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14
Q

Heteropaternal superfecundation?

A

Instances of two different males fathering fraternal twins.

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15
Q

Haase’s rule and Morrison’s modified law

A

Haase’s rule:
</= 25cm CHL–> age = square root of CHL
> 25cm CHL–> age= CHL/5

Morrison’s modification:
In last 5 months, length/5 gives age in months

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16
Q

Incision preferred in females for autopsy

A

Y shaped

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17
Q

Elongated X shaped incision used in

A

Custodial deaths
For reconstruction of events prior to death

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18
Q

Incision used in infants

A

Inverted Y shaped incision

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19
Q

Types of dissection
1. in situ
2. one by one
3. en bloc
4. en masse

A
  1. Rokitansky
  2. Virchow
  3. Ghon
  4. Letulle
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20
Q

BNS 292
BNS 296

A

292- Frotteurism
296- Exhibitionism

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21
Q

What does Barberio’s test detect?

A

Spermine, which is present in prostatic secretions and helps identify seminal fluid.

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22
Q

What is added to the spermatic fluid in Barberio’s test?

A

A saturated aqueous or alcoholic solution of picric acid.

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23
Q

What is the result of Barberio’s test if spermine is present?

A

Yellow needle-shaped rhombic crystals of spermine picrate.

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24
Q

What does the acid phosphatase test detect?

A

Acid phosphatase enzyme, which is present in high levels in prostatic secretions within seminal stains.

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25
How long after ejaculation can a positive reaction be found in the acid phosphatase test?
Up to 36 hours.
26
What does the Florence test detect?
Choline, which is secreted by seminal vesicles.
27
What is added to the suspected seminal stain in the Florence test?
Florence solution (potassium iodide, iodine, and water).
28
What is the result of the Florence test if semen is present?
Dark brown rhombic or needle-shaped crystals of choline iodide appear immediately.
29
What does the presence of fructose in seminal fluid indicate?
A patent efferent ductal system.
30
What is the absolute proof of semen?
Finding at least one unbroken spermatozoon or electrophoretic LDH isoenzyme detection of sperms.
31
Tests for seminal stains
Barberio test Florence test Acid phosphatase test Creatine Phosphokinase test Immunological test to detect PSA
32
Tests for blood stains
Benzidine test Phenophthalein (Kastle Meyer) test Takayama hemochromagen crystal test Teichmann's hemin crystal test Spectroscopic test
33
BNS 103 deals with
punishment for murder
34
What test is used to detect vaginal cells on the penis of a rape accused?
Lugol's iodine test.
35
What color does Lugol's iodine test show on filter paper due to the presence of glycogen in vaginal epithelial cells?
Brown color.
36
What is the precipitin test used for?
Species identification of semen stain. Positive means human
37
Teichmann test- if bloodstain is present what is formed?
yellowish red to brownish black rhombic crystals of hemin or hematin chloride When H2O2 added, hematin crystals give bubbles of gas
38
Takayama test uses _____ to detect ____
takayama reagent (sodium hydroxide, pyridine, glucose) bloodstains
39
Result of Takayama test
Pink feathery crystals of hemochromagen or reduced alkaline hematin
40
What is Raygat's test used to determine?
Whether a newborn has respired or not.
41
What is another name for Raygat's test?
Floatation test / Breslau's first life test / Hydrostatic test.
42
Under what conditions might a respired lung (live birth) sink in water?
Lung edema, lung collapse, pneumonia (consolidation), congenital syphilis.
43
What is Fodere's test used to determine?
If respiration has taken place by measuring the weight of the lungs before and after respiration.
44
What is the weight of lungs before respiration in Fodere's test?
30-40g
45
What is the weight of lungs after respiration in Fodere's test?
60-66g
46
What is Ploucquet's test used to determine?
If respiration has taken place by comparing the lung weight to body weight before and after respiration.
47
What is the lung weight relative to body weight before respiration in Ploucquet's test? What is the lung weight relative to body weight after respiration in Ploucquet's test?
1/70 of body weight. 1/35 of body weight.
48
What does Wredin's test assess? What indicates respiration has taken place in Wredin's test?
The gelatinous substance in the middle ear is replaced by air.
49
What are some conditions that can lead to a false-positive result in the Hydrostatic Test?
Putrefied foetus, Artificial inflation.
50
Changes seen in a fetus born dead at 6 months
Mummification Resorption Maceration
51
Nobbing # is a feature of?
Battered baby syndrome/ Infantile whiplash syndrome String of beads appearance in paravertebral region of xray. D/t violent squeezing of chest from side to side causing # of costochondral junctions and # along posterior angles of rib
52
Atavism
Reappearance of a characteristic in an individual after several generations of absence
53
What are the prerequisites for maceration to occur?
The dead fetus should be in utero for 3-4 days and surrounded by the liquor amnii.
54
What happens if air enters the liquor amnii after the death of the fetus?
Putrefaction occurs instead of maceration
55
Declaration of-- 1. Oslo 2. Tokyo 3. Helsinki 4. Geneva 5. Malta 6. Lisbon 7. Sydney 8. Istanbul 9. Taipei
1. Therapeutic abortion 2. Torture 3. Human experimentation 4. Medical ethics 5. Hunger strikes 6. Patient rights 7. Death determination 8. Organ traficking 9. Biobanks, health databases
56
What happens to the gall bladder in starvation?
It becomes distended. Bile does not get secreted into the duodenum due to the absence of food entering the stomach and intestine, leading to bile accumulation.
57
How long does the feeling of intense hunger last?
30-48 hours.
58
How long can a person survive without food and water?
10-12 days.
59
What percentage of body weight loss is usually fatal?
40%
60
What percentage loss of body fat and protein is fatal?
70-90% of body fat and 20% of body protein.
61
What happens to the weight and size of organs in starvation?
There is a reduction in the weight and size of all organs except the brain.
62
Mobile sperms in vagina detected upto ___ hrs after intercourse Sperms (not motile) can be detected upto ___ hrs and semen upto ___ hrs
6-12 hrs 72 hrs 96 hrs
63
BNS section dealing with indignity to human corpse
BNS 301
64
Where is the position of the diaphragm before respiration?
At or above the 4th/5th rib.
65
Where is the position of the diaphragm after respiration?
At or below the 6th/7th rib.
66
What are the lung margins like before respiration and after?
Sharp before Rounded after
67
What is the lung color before and after respiration?
Uniform reddish-brown or bluish red Mottled or marbled appearance
68
What is the specific gravity in the hydrostatic test after respiration?
940
69
What is Breslau's second life test based on?
Air entering the stomach and intestine during respiration in a live-born fetus.
70
In what order are the body cavities opened during a fetal autopsy?
Head > Abdomen > Thorax. Abdomen is opened first to note the highest point of the diaphragm
71
What is the first body cavity opened in a poisoning case autopsy?
Cranium
72
What is the order of opening body cavities in asphyxial death autopsies?
Cranium > Thorax > Abdomen > Neck.
73
What are some specific fetal measurements taken during a fetal autopsy?
Head, chest, and abdominal circumference.
74
Diagnostic tests for suspected anaphylactic deaths are
Serum tryptase RAST for IgE