KUHS MBBS Forensic Medicine Previous Question Paper - May 2025 (313001 2019 Scheme)

313001Kerala University of Health Sciences · Forensic Medicine · 2025 · May · 2019 Scheme

Questions (18)

1.A 32-year-old man found dead laying face down in his apartment. There was a blood stained knife, half empty vine bottle with finger prints in the room. Postmortem revealed incised wounds on right palm and incised penetrating wounds to heart and spleen. Rigor mortis was fully established and retained all over the body. Postmortem staining seen on back
The following measurements helps to identify whether the same weapon in the scene caused the stab wound a) Width of the blade and width of the wound c) Length of the blade and length of the wound b) Width of the blade and length of the wound d) Length of the blade and width of the wound
The postmortem staining in this case indicates, a) Exact manner of death c) Cause of death b) Underlying medical condition d) Body was moved after death
The incised wound has following features a) Tissue bridges in the subcutaneous tissue c) Clean margins b) Crushing of hair bulbes d) Depth is more than length
The time since death could be within ---------- hours of postmortem examination a) 1 to 4 b) 6 to 18 c) 18 to 24 d) 24 to 48
Which evidence suggests the manner of death in this case a) Injuries on right palm c) Blood stained knife with finger prints b) Presence of alcohol d) Presence of stab wound to heart
5 Marks
2.Two statements marked as Assertion (A) and Reason (R). Mark your answers as per the options provided
Assertion (A): Chronic lead poisoning causes Burtonian line on the gums Reason (R): Lead reacts with hydrogen sulfide produced by oral bacteria to form Lead sulfide a) Both A and R are true, and R is the correct explanation of A c) A is true but R is false b) Both A and R are true, and R is not the correct explanation of A d) A is false but R is true
Assertion (A): Methanol poisoning causes blindness Reason (R): Methanol is metabolized to formic acid, which damages the optic nerve a) Both A and R are true, and R is the correct explanation of A c) A is true but R is false b) Both A and R are true, and R is not the correct explanation of A d) A is false but R is true
Assertion (A): Fern like pattern of erythema in skin is seen in lightening Reason (R): Electric current disrupts the normal cardiac rhythm, causing fibrillation a) Both A and R are true, and R is the correct explanation of A c) A is true but R is false b) Both A and R are true, and R is not the correct explanation of A d) A is false but R is true
Assertion (A): Viper is usually nocturnal and its head scales are small Reason (R): Viper venom contains hemotoxins that cause capillary damage and coagulation abnormalities a) Both A and R are true, and R is the correct explanation of A c) A is true but R is false b) Both A and R are true, and R is not the correct explanation of A d) A is false but R is true
Assertion (A): Barrel of a shot gun is scored internally with grooves called choking Reason (R): Tattooing occurs due to the deposition of unburnt gunpowder particles on the skin a) Both A and R are true, and R is the correct explanation of A c) A is true but R is false b) Both A and R are true, and R is not the correct explanation of A d) A is false but R is true
5 Marks
3.Multiple-response type questions. Read the statements & mark the correct answers appropriately
Which of the following are typical features of strangulation 1) Horizontal ligature mark below thyroid cartilage 2) Fracture of lamina of thyroid cartilage 3) Subconjuctival haemorrhage 4) Pale and glislencing subcutaneous tissue a) 1 and 2 are correct c) 1, 2 and 4 are correct b) 1, 2 and 3 are correct d) 2 and 3 are correct
Which of the following dental characteristics help in age estimation 1) Eruption of molar tooth 2) Degree of attrition 3) Carabellis cusp 4) Boyde’s method a) 1 and 2 are correct c) 1, 2 and 4 are correct b) 1, 2 and 3 are correct d) 2 and 3 are correct
Which of the following are late postmortem findings in fresh water drowning 1) Emphysema aquosum 2) Ventricular fibrillation 3) Positive hydrostatic test 4) Hydrocution is typical drowning a) 1 and 2 are correct c) 1, 2 and 4 are correct b) 1, 2 and 3 are correct d) 2 and 3 are correct
Which of the following conditions are associated with cadaveric spasm 1) Sudden death with intense nervous activity 2) Stiffening without primary relaxation 3) Occurs in all muscles simultaneously 4) Commonly seen in drowning cases a) 1 and 2 are correct c) 1, 2 and 4 are correct b) 1, 2 and 3 are correct d) 2 and 3 are correct
Which findings are seen in barbiturate poisoning 1) Putrefaction increases blood levels 2) Central nervous system depression 3) Accidental poisoning due to automatism 4) Metabolic alkalosis a) 1 and 2 are correct c) 1, 2 and 4 are correct b) 1, 2 and 3 are correct d) 2 and 3 are correct
5 Marks
4.Single-response type questions
Dead born child is one who has died a) Soon after birth b) During birth c) In utero d) None of the above
Forensic medicine deals with a) Post mortem examination c) Legal aspects of medicine b) Medical aspects of law d) Investigation of crime
Which test is used as a confirmatory test for human blood a) Kastle-Meyer test c) Precipitin test b) Luminol test d) Benzidine test
Which of the following is a component of bioethics, as per Belmond’s Report a) Autonomy b) Confidentiality c) Paternalism d) Implied consent
Which poison causes “garlic-like” odour in breath and tissues a) Cyanide b) Arsenic c) Phosphorus d) Selenium
5 Marks
5.A 35 year old man found hanging with a shawl tied around neck and attached to ceiling hook, kneeling on the floor. On examination an oblique incomplete ligature mark was seen on neck. There was no signs of struggle in the room a) What is your opinion as to cause of death in this case and explain the reason b) Explain the special autopsy technique adopted in this case c) Discuss the distinguishing features of homicide staged as hanging d) Describe the role of toxicology and other laboratory tests to support your final diagnosis
10 Marks
6.A pedestrian hit by a car brought for autopsy. On examination there was (i) fracture of right tibia and (ii) contusions of scalp with fracture of occipital base and brain contusion a) Explain the different types of injuries expected in this type of traffic accidents b) List four cause/mechanisms of death after sustaining these injuries c) Reconstruct the incident occurred with the help of the postmortem findings d) Legally classify these two injuries based on their fatality and explain
10 Marks
7.Discuss the causes of sudden death following strenuous exercise and explain factors that may increase the risk of such events
6 Marks
8.Warning Notice
6 Marks
9.A child accidently consumed a mango like fruit was brought to casualty with abdominal pain and vomiting; ECG showed variation. List two toxic constituents in the fruit, its fatal dose and describe the management
6 Marks
10.List the samples to be collected for chemical analysis during postmortem examination. Describe how these samples are collected, preserved and sent for chemical analysis maintaining the chain of custody
6 Marks
11.Define Dying declaration. Explain its procedure, role of doctor and its medico legal significance
6 Marks
12.Explain sexual paraphilia in forensic medicine. Discuss its different types and relevant investigations in sexual assault cases
6 Marks
13.Describe pathophysiology and findings in ‘Hide and Die’ syndrome. State its medico legal significance
4 Marks
14.Draw and label differences in the head of viper and cobra
4 Marks
15.Define consent. Briefly explain the rules of informed consent
4 Marks
16.Explain Locard's Exchange Principle in forensic practice. Discuss its significance in criminal investigations and how it aids in linking suspects, victims and crime scenes
4 Marks
17.Discuss the differences between sea water drowning and salt water drowning
4 Marks
18.Super Imposition Technique
4 Marks

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