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LEGAL MEDICINE

LONG EXAM RECALLS


NOVEMBER 2021

would bring about death?


LONG EXAM 1

1.1 INTRODUCTION TO FORENSICS Mr. Tan walked in on his son Parricide


and found him in bed with his
The expert medical witness must A practitioner of medicine and mistress. Enraged, he got his
be a______ . must have been a specialist on gun and shot his son. He
the line he is testifying committed what crime?

What is/are the difference/(s) The ordinary physician usually


between ordinary physician and ignores minor injuries
the medical jurist
Café coronary is a sudden heart Accidental Death
Rulings based on laws that Litigation medicine attack in the middle of dinner due
affect or deal with the practice of to asphyxia by choking.
medicine Legal med - mali ito sa canvas
What manner of death is this?
are covered in:* Forensic med

Med juris Any person guilty of murder shall Without consideration of price,
be punished by a penalty ranging reward or promise

from temporal in its maximum


*We are not sure, sorry*
period to death if the crime
He was the personal physician committed
of Pope Innocent X and Paolus Zacchias with any of the following
Alexander VII and is considered
attendant circumstances,
to be the “Father of Forensic
Note: nakalagay sa trans si EXCEPT:
Medicine”
Bertillon Father of Foresic Med
but wala siya sa choices. When
I googled also, si zacchias daw A man catches his common-law death inflicted under exceptional
doc nila. wife and his lesbian partner in circumstances
the act of having sex in their bed.
Branch or division of law which Criminal Law He shoots the two of them. He is
defines crimes, treat of their liable for*
nature and provide for their Based po sa meaning pero mali
punishment siya sa canvas eto po ibang
choices

Which should NOT be done You can prepare the report from
when preparing the medico-legal memory
report of a Murder

patient? Homicide

Parricide
The first “police surgeon” and Antistius
forensic pathologist
The presence of weapon which Cadaveric Spasm
1.2 INTRODUCTION TO DEATH AND CRIME is tightly grasped by the hand of
INVESTIGATION a victim of a shooting incident is
an example of
A grandmother was insisting that Child less than 3 days old
her helper be charged with
infanticide for the death of her 5-
The following constitute When a man kills his common-
day old grandson. The Assistant
parricide, EXCEPT law wife
City Prosecutor disagreed and
said that an infant is defined in
infanticide as a:
The event which produced the Immediate cause of death
It is the explanation how the Manner of death fatality by initiating a natural and
cause of death came about? continuous sequence of events
unbroken by an efficient
What is the manner of death Natural intervening cause and without
when the body ceases to which the end result would not
function of its own accord or if have occurred is called:
there are mitigating medical
factors such as heart disease,
terminal illness or the like which
1.3 EVIDENCE AND EVIDENCE COLLECTION
1.1 Long Exam Recalls LONG EXAM

Which of the following is NOT a Hearsay testimony


requisite for the admissibility of
expert testimony?

Special methods used to 10% formalin


preserve human tissue sections 1.4 AUTOPSY

Which of the statements is true? The most practical, useful and Errors result in the production of
reliable means of evidence The following are considered desirable artifacts
presentation is photograph, mistakes in autopsies, EXCEPT:
audio, or videotape, microfilm,
photostat and voice tracing P.D. 856 of Code of Sanitation,
Donations of human organs for Section 96
medical, surgical and scientific
purposes falls under:
Which of the following is the Circumstantial Evidence
proof of facts from which when
taken collectively, the existence
of the particular fact in dispute Medico-legal or official autopsy Providing interpretation and
may be inferred as a necessary is an examination performed on correlation of facts and
or probable consequence a dead body for the purpose of? circumstances related to death.

Dust in clothing, cerumen in the Foreign bodies Putrefactive changes happen 48 hours
ears and nail scrapings fall after death; the abdomen
under what category? becomes distended in

A dead male baby was 12 months Rigor mortis is first evident in: Eyelids
discovered in the garbaged ump.
Upon examination of the mouth
the temporary first molar has
already erupted. The
approximate age is An autopsy technique that Rokitansky
involved the removal of internal
organs in situ with en bloc

The best kind of evidence is one Direct evidence 1.5 FORENSIC IDENTIFICATION_
which proves the fact without aid
of any inference or presumption. A method of identification that is Dental identification
This type of evidence is known ideally charted, photographed
as___. and xrayed before the body is
released:
A person who gives his/her Expert witness
opinion or conclusion on a given
In the identification of human Ornamentations
scientific evidence is considered:
remains, rings, bracelets,
Dr. Miguel witnessed a shooting Ordinary witness necklace,
incident while he was having his
earrings and lapel pin belong to
morning coffee outside the
this category:
hospital. He was invited to the
court to testify. In this case, what
type of witness is Dr. Miguel? Jose was charged with robbery These are fingerprints which are
with homicide. One piece of readily visible
Dr. Martin witnessed a shooting Ordinary witness evidence was a recovered
incident while he was having his jewelry box which was found to
morning coffee outside the have latent fingerprints which
Emergency room. He was invited was matched to him. Another Other choices:
to the court to testify. In this piece of evidence was a glass by
These are fingerprints which
case, what type of witness is Dr. the sliding door with patent prints
have been made on a soft
Miguel? which was also matched to him.
surface
What are the patent fingerprints
that the police referred to?* These are fingerprints which
have three dimensional
characteristics
Evidence which may assist the Trace Evidence These are fingerprints which
investigator in locating the need further processing to
suspect: render them visible

LEGAL MEDICINE 2 OF 8
1.1 Long Exam Recalls LONG EXAM

Is the art and study of recording


Information included in the Length of the left middle finger
fingerprints as a means of Dactylography Anthropometric measurements,
identification. Length of the left ear
includes the following, EXCEPT:*
One of the basis for using the There are no two identical Length of the left foot
Bertillon System of Identification, fingerprints
includes the following, EXCEPT: Length of the right ear

A verbal accurate and Spoken Picture


picturesque description of the Poroscopy
person identified is called____ In fingerprint work, the term
applied to a specialized study of
The following are mistakes in Errors result in the production of the sweat gland opening of the
autopsies, EXCEPT desirable artifacts papillary ridges of the skin as a
means of identification:

Other Choices:

Error in the collection of


evidence required for
establishing the time of Points of identification applicable Body ornamentations
to both the living and the dead,
Death EXCEPT:* Other choices:

Race
Omission in the collection of
evidence for identification Scars

Moles
Omission in the collection of
evidence required for other
medico-legal

exams The chances of two fingerprints


being the same are calculated to 1 is to 64 Million
be ___.
One of the basis for using the There are no two identical
Bertillon System of Identification, fingerprints
includes

the following, EXCEPT The following are characteristics


Other Choices: which can easily be change in a Grade of profession
living person*
The necessary tool can easily be
taken with the aid of simple Other choices:
instrument
Mental memory

Human skeleton is Degree of nutrition


unchangeable after the 20th
year Speech

It is impossible to find two


1.6 SPECIAL DEATHS
human beings having bones
exactly alike
A human being can survive 10 days
An 18 year old female was found Forensic DNA Analysis without food and water for how
partially charred in remains of many days:
the recent fires in Makati. She
was being claimed by multiple
individuals as their daughter or
wife. The best means of
ascertaining her identity is by
using ____? Which of the following describes Ending the life of a person to
Euthanasia? relieve pain or suffering

A psychological classification of Third Degree Suicide

LEGAL MEDICINE 3 OF 8
1.1 Long Exam Recalls LONG EXAM

suicide due to voluntary self- in odor is called _______.


injury:
A body was discovered in an Putrefaction
abandoned lot. It was bloated
The approximate time for the Minimum of four weeks and smelled of a foul odor and
completion of one case for DNA was covered with maggots. The
testing:* medico-legal expert explained
that this condition was brought
Other choices: about by the breaking down of
complex proteins into simpler
Minimum of eight weeks components, followed by rapid
multiplication of bacteria which
minimum of two weeks results to the release of foul –
smelling gases. What is this
minimum of six weeks process?

The term suggilation or livor Postmortem blood pooling


A type of euthanasia where there Dysthanasia mortis refers to:
is an attempt to extend the life
span of a person by the use of All are features of adipocere, Takes about 3 weeks to form
extraordinary treatment without EXCEPT
which the patient would have
died earlier: An ocular sign of death , a Tache noir dela sclerotique
reddish brown discoloration is
transversely arranged across the
1.7 DISPOSAL OF HUMAN REMAINS sclera is

48 hours
The methods of disposing of the Use of body for organ donation
Moving maggots are expected
dead body are the following, and ova of flies are seen in a
EXCEPT: dead body at ______after death.

Permission of cremation of a When the body has already been


dead body should not be embalmed
granted, EXCEPT:
Postmortem Caloricity is Increased temperature within 2
the____. hours of death

To ascertain the cause of death, CHOICES:


exhumation can be requested or
ordered by the following, Police This is a test to determine the Winslow’s Test
EXCEPT:* presence or absence of
Prosecutor or Solicitor General respiration:

Court

Nearest kin

According to the Code of 50 meters from any water source A condition simulating Rigor Cold stiffening
Sanitation (PD 856), which burial mortis, where the body becomes
ground requirement should be rigid or stiff due to the
met? solidification of fats

Exhumations is conducted due to To determine the approximate


the following reasons, EXCEPT: time of death

1.8 MEDICO-LEGAL ASPECT OF DEATH Persistent vegetative state There is brainstem death
occurs when
A condition simulating Rigor Cold Stiffening
mortis, where the body becomes
rigid or stiff due to the
solidification of fats The state of complete cessation Somatic death
of respiration and other vital
A process during decomposition, Saponification functions of the brain, heart,
wherein the fatty tissues of the lungs etc., which maintain life
body are transformed to soft and health. It occurs the moment
brownish-white substance, moldy a physician declared the patient

LEGAL MEDICINE 4 OF 8
1.1 Long Exam Recalls LONG EXAM

(S- Superior I- Inferior

dead __________ A- Anterior P- Posterior)

The cellular or molecular stage of Rigor mortis


death is known as?

This is one of the changes in the


muscles, wherein the body is soft Stage of Primary Flaccidity
and
relaxed, sphincters are relaxed
with urinary incontinence and
defecation: Rody and Sonny got into an Serious Physical Injuries
altercation. In the course of the
fight that ensued involving
The prominence of the superficial
veins during the process of punching and kicking from both
Marbolization parties, Rody’s knee had struck
decomposition, that develops in
the abdomen, neck and Sonny right in the genitals.
shoulders, is Sonny required medical
called: attendance for only 7 days
although he thereafter became
sterile. What is the proper
Appears during the later stages Diffusion lividity criminal charge against Rody?
of its formation when blood is
coagulated already: Consider the picture. What can Choices:
you reasonably infer from the
appearance of the injury a) The full length of the
pictured?* wounding instrument penetrate

b) The injury was self inflicted


Secondary flaccidity occurs due
to:* c) The wounding instrument is
Autolysis of the muscle
double edged

d) The victim was attacked from


behind

LONG EXAM 2
Petechiae may be differentiated Do not blanch with application of
2.1 LEGAL CLASSIFICATION OF PHYSICAL INJURIES from tiny vessels lying close to pressure
the skin surface in that, unlike
Clark was punched in the face Hematoma those vessels, petechiae
by Bruce resulting in the effusion ________.
of blood in a newly formed cavity
underneath the skin over Clark’s Which of the following is NOT a Abdomen
malar prominence. What do you typical location for defense
call the resulting injury to Clark? wounds?

Consider the picture. It has a sharp edge physical injuries due to beating Less serious physical injuries
that incapacitates the victim for
What does the injury reveal for labor for 30 days is classified
sure about the nature of the under the revised penal code as
wounding instrument?
A classic suicidal cut-throat has Wound edges showing several
which of the following sharp angles
characteristics?

Consider the picture. Which At least 18 hours old


among the following is the
MOST accurate estimate of the
age of the injury pictured?

Consider the picture. Posterior to anterior

What was the direction of the


application of the force that
caused the injury depicted?

LEGAL MEDICINE 5 OF 8
1.1 Long Exam Recalls LONG EXAM

Consider the picture of a cut- Hesitation wounds


throat victim. What do you call
the wounds being exposed by
the two clamps? Walder was found alone and Choices:
dead in his fairly orderly room. a) Wounds tailed downward or
He had two closely located distally and to the left
parallel stab wounds over his
left anterior chest with abrasion b) The incised wounds over his
tailings downward to the left. He wrist were largely horizontal and
had three largely horizontal superficial
superficial incised wounds
over his left wrist tailing c) Walder was holding the
distally and to the left. He was bloody knife with his right hand.
Multiplicity is considered a Homicidal found holding a bloody knife with
d) The stab wounds were
characteristic of _____ stab his right hand, which is his
closely located, parallel and
wounds. dominant hand. Among the
over the left anterior chest
foregoing circumstances
An increase in which of the Velocity of the wounding object surrounding Walder’s death,
following will increase the which would give the most
damage to the body the MOST? reason to suspend foul play?*

Which is the least likely location Thigh Which among the following open Puncture wounds
for a suicidal incised wound wounds would produce the Least
among the following? external hemorrhaging despite
possibly massive internal
Consider the picture. Which of The deceased was originally hemorrhaging
the following can you probably lying on its back
infer from the appearance of the Which is the characteristic of Tissue bridges
cadaver? laceration?

2.2 GUNSHOT AND SHRAPNEL WOUNDS


Lack of burns, stippling, and (a) only
fouling around the gunshot
wound is consistent with which
of the following, if any?

(a) Indeterminate fire


entry wound at chest
Consider the picture. This injury The cadaver has been moved
was seen in a man who died of a post-mortem (a) Shored exit wound at
single stab wound to the chest. left
Which of the following can you
reasonably infer from the injury The smallest shots Birdshot
pictured?
A markedly lacerated gunshot
wound is consistent with which
of the following, if any? both a and b

(a) Firm contact fire entry


wound at the
abdomen

(b) unshored exit wound


at the upper back

In which of the following Both a and b


circumstances, if any, would
there be more gunshot exit
wounds than entry wounds?

(a) In case of exit through

LEGAL MEDICINE 6 OF 8
1.1 Long Exam Recalls LONG EXAM

a natural orifice cause is mainly due to?

(b) Iin case of bullet Which of the following is not a Singeing of hair is absent in
fragmentation correct distinction between burn burns and present in scalds
and a scald burn?
Which of the following may be Fouling
washed and wiped off? In death due by conflagration, Tracheobronchial lumina is
which of the following is the congested and stained with soot
medical proof that the person
was alive before his body is
A gunshot would only injure the False burned?
organs in the bullet trajectory
A charred body recovered from The flexor group is stronger than
The billiard ball ricochet effect Phenomenon of increasing conflagration is always in a the extensor
explains the? dispersal of shots within a pugilistic position because?
distance
Arborescent erythema is a Lightning injury
What is loaded in rifles? Cartridge characteristic of
What is responsible for tattooing Unburnt or partially burnt Which of the following is not Permanent markings in the body
seen in some gunshot entry propellant and primer true about Lichtenberg figures? of the injured person
wounds?
lightning can cause a Compression of air
the branch of ballistics that deals Terminal ballistics sledgehammer blow producing
with the study of the effect of the concussion, shock or
bullet on the target? consciousness. This is due to
which element of lightning?
which is a logical inference from The subject has been smoking
a positive paraffin test? recently Which of the following is true Scalds under light clothing tend
about factors affecting scald to be worse than on exposed
Consider the picture: Which is a possible weapon
burns? skin
used?
Which of the following is NOT a Cerebral hemorrhage
Pistol
mechanism of immediate death
in electric shock?

What is the range of fire? Close- Effect of burns in the body is Women can resist burns better
contact influenced by several factors. than men
Which of the following
statements is NOT valid?

What is the manner of death? 2.4 ASPHYXIAL DEATHS


Homicide Garroting or the Spanish method Strangulation
of judicial execution falls in what
classification of asphyxia?

True about the transverse tears There is no transverse intimal


in the intima of the carotid tears in hanging
arteries except?

Abrasion from wadding is seen In some shotgun entry wounds This special kind of asphyxia is Mugging
in which wounds? defined as the application of
pressure to the neck by means
Abrasion at the margins of a Both (a) and (b) of arm crooked from the rear?
gunshot wound is consistent with
which of the following, if any? Placing a plastic bag over the Smothering
head is the most common form
(a) firm contact fire entry by accident of this type of
wound at the head asphyxial death.
(b) shored exit wound at Throttling belongs to what Strangulation
the flank classification of asphyxia?
A .22 caliber firearm has a ___. Land-to-land distance in the This refers to the light red Paltauf’s spot
bore of 22 hundredths of an inch washed out appearing fingertip-
sized spots in drowning
Which is another name for the Gonzales test
paraffin test? Burking is a combination of what Mechanical asphyxia plus
types of asphyxia? Smothering
2.3 THERMAL, CHEMICAL, AND ELECTRICAL
INJURIES
In death due to lightning, the Electric shock

LEGAL MEDICINE 7 OF 8
1.1 Long Exam Recalls LONG EXAM

Which of the following is NOT a Contraction of right chambers of which of the following It is a crime against persons
classical sign of asphyxial the heart statements is true about the
death? crime of rape?

The diffusion of particulates in Diatom test the test determines whether Biological test of farnum
blood in the left ventricle from semen is of human origin or not-
the water can be seen in which
test? This refers to the presence of an True physical virginity
intact hymen with distinct and
This refers to strangulation with Throttling regular and regular edges and
use of hands that may leave where the opening barely admits
extensive bruising tip of the smallest finger even if
the thighs are...
Ttrue about ligature marks in Located high in the neck
hanging? one of the following is not a Impotence
complication of hymenal
cafe coronary syndrome is Choking lacerations
associated in which type of
asphyxia? Carnal knowledge refers to Slightest penetration of the
female sexual organ by the male
In case of Human Pile deaths Mechanical Asphyxia sexual organ
what type of asphyxia usually
occurs? Sexual intercourse is NOT Abduction
necessary in this crime
This test is used to determine Gettler’s test
the chloride content difference in This test is deemed conclusive Acid phosphatase test
the right and left chambers of the of the presence of semen
heart

This refers to a situation when a Overlay


bigger person rolled over a baby
compressing the chest and face

Which of the ff. is not a correct Sphincter constriction leading to


explanation of asphyxia clinical voiding of urine
effect with its pathophysiology?

In secondary drowning, death Exhaustion


may occur due to the following
except

a) infection

b) pneumonitis

c) pulmonary edema

d) exhaustion

2.5 SEXUAL ASSAULT


Laceration or rupture of the Defloration
hymen as a result of sexual
intercourse

Kaka is 10 years old. She gave Kaka is a victim of statutory rape


consent to have carnal
knowledge with a male tourist
provided she is paid money.
Which is true?

Which of the following is NOT Inserting 2 fingers into another


considered as rape by sexual
assault?

This test is produced by the Florence test


action of iodine on choline which
may result to a presumptive
evidence of seminal fluid

LEGAL MEDICINE 8 OF 8

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