Quiz: infanticide-Physical injury

1- destruction of subcutaneous tissues and muscles is considered (Dupuytren's classification):

A a) 2nd degree burn B b) 3rd degree burn C c) 4th degree burn D d) 5th degree burn

2- A female child 9 y.o. was found torture from her grandparents in the lower have of the body starting from the buttocks. The lesion showing horizontal line at the buttocks which shows hyperemia and signs of inflammation with streaks all over her legs directed down word with blisters bullae and sever redness. She was in sever pain and irritability.

A 1- By autopsy the aire passage showing B a) Cherry red colore C b) Soot deposition D c) Normal autopsy

3- Natural causes of death of newly born infant may be due to:*

A a) Drowning B b) Difficult labor C c) Choking. D d) Head injuries.

4- 1- One of the following is not included in C.N.S causes of sudden death

A a) Intracranial hemorrhage B b) Brain abscess. C c) Epilepsy. D d) Acute cholangitis.

5- A father brought his 6 years old male child from an ex-wife to the hospital with epistaxis. The child looked ill and under built. On examination the physician founds the following findings: Broken front teeth. Multiple bite marks in the form of bruises allover the body, some of them are blue and others are brown in color. Recent tears of the anus were detected. From these data answer the following questions: 1- Identification of the age of the child can be detected by:

A a) Eruption of first permanent molar. B b) Appearance of ossific center in the head of ulna. C c) Union of the three parts of the hipbone together. D d) Union of the head of the humerus with the shaft of the bone.

6- A newly born live-born baby was found dead in the street beside a building, he was wrapped in blanket. On examination, the forensic examiner founds the following findings: Well-formed stool in the blanket. Start of ulceration in the ring around the base of the umbilical cord. The lungs are voluminous and filling the pleural cavity with rounded edges. Finger nails abrasions on the neck. Burns caused by applying boiled water on the buttocks and lower limbs. From these data answer the following questions: 1- Presence of ulceration around the base of the umbilical cord indicate that the child survive for:

A a) One day after birth. B b) One week after birth. C c) Two weeks after birth. D d) 3 days after birth.

7- A father brought his 6 years old male child from an ex-wife to the hospital with epistaxis. The child looked ill and under built. On examination the physician founds the following findings: Broken front teeth. Multiple bite marks in the form of bruises allover the body, some of them are blue and others are brown in color. - Recent tears of the anus were detected. From these data answer the following questions: 1- The cause of epistaxis in this child is:

A a) Pathological. B b) Traumatic. C c) Accidental. D d) None of the above.

9- A newly born live-born baby was found dead in the street beside a building, he was wrapped in blanket. On examination, the forensic examiner founds the following findings: - Well-formed stool in the blanket. Start of ulceration in the ring around the base of the umbilical cord. The lungs are voluminous and filling the pleural cavity with rounded edges. Finger nails abrasions on the neck. Burns caused by applying boiled water on the buttocks and lower limbs. From these data answer the following questions: 1- The type of burn which caused by boiled water in this infant is:

A a) Scald. B b) Dry burn. C c) Chemical burn. D d) Microwave burn.

10- Desquamation of the skin started after:

A a) 12 hours after delivery. B b) One day after delivery. C c) One week after delivery. D d) Two days after delivery.

11- If you suspect a case of battered child you have to

A a) Take full documentation. B b) Ask about family and past history. C c) Examine the whole body. D d) All of the above.

12- One of the following signs is not considered as external sign of live- birth:

A a) Changes around the base of umbilical cord. B b) Presence of meconium in its wrapping. C c) Desquamation of the skin. D d) Ante-mortem injury.

13- Asphyxia in burn causes death in.

A a) 6 hours B b) 72 hours C c) One week D d) After 12 day

14- 1- Which of the foll wing is not considered as a sign of emotional abuse in a child:

A a) The child has patterned behavior that is extreme as lying. B b) The child appears defensive or shy. C c) The child is verbally abusive to others. D d) The child appears poorly nourished or inadequately clothed.

5- A newly born live-born baby was found dead in the street beside a building, hewas wrapped in blanket. On examination, the forensic examiner founds thefollowing findings: Well-formed stool in the blanket. Start of ulceration in the ring around the base of the umbilical cord. The lungs are voluminous and filling the pleural cavity with roundededges. Finger nails abrasions on the neck.. Burns caused by applying boiled water on the buttocks and lower limbs. From these data answer the following questions: the respiration was: 1- The macroscopic appearance of the lungs in this infant denote that :-

A a) Natural. B b) Artificially by mouth to mouth breathing. C c) Artificially by external cardiac massage. D d) Artificially by administration of oxygen.

16- A father brought his 6 years old male child from an ex-wife to the hospital with epistaxis. The child looked ill and under built. On examination the physician founds the following findings: Broken front teeth. Multiple bite marks in the form of bruises allover the body, some of them are blue and others are brown in color. Recent tears of the anus were detected. From these data answer the following questions: 1- The scientific terminology of this case is:

A a) Child abuse. B b) Infanticide. C c) Shaken baby syndrome. D d) Sudden infant death syndrome.

17- Which of the following is not considered as a sign of accidental injury in a child:

A a) Abrasion on the knees. B b) Swelling in the occiput. C c) Bleeding from the nose. D d) Subdural hematoma.

18- One of the following is not considered as a natural cause of death of a newly born infant

A a) Precipitate labor. B b) Difficult labor. C c) Choking. D d) Congenital malformation.

19- A newly born live-born baby was found dead in the street beside a building, he was wrapped in blanket. On examination, the forensic examiner founds the following findings: Well-formed stool in the blanket. Start of ulceration in the ring around the base of the umbilical cord. The lungs are voluminous and filling the pleural cavity with rounded edges. Finger nails abrasions on the neck. - Burns caused by applying boiled water on the buttocks and lower limbs. From these data answer the following questions: 1- The scientific terminology of this case is:

A a) Child abuse. B b) Sudden infant death syndrome. C c) Infanticide. D c) Infanticide.

20- A female child 9 y.o. was found torture from her grandparents in the lower have of the body starting from the buttocks. The lesion showing horizontal line at the buttocks which shows hyperemia and signs of inflammation with streaks all over her legs directed down word with blisters bullae and sever redness. She was in sever pain and irritability. 1- Which degree of this burn has:

A a) 1st and 2nd degrees B b) 6 degrees C c) 9 degrees D d) 1st 3rd, and 4th degrees

21- Dupuytren's classification is:

A a) 6 degrees B b) 3 degrees C c) 2 degrees D d) 4 degrees

22- In myocardial infarction death occurs within the first few hours or days due to:

A a) Rupture of the infracted area. B b) Myocardial fibrosis. C c) Myocardial hypertrophy. D d) Acute bacterial endocarditis.

23- Which of the following is not considered as a sign of sexual abuse in a child:

A a) Torn, stained, or bloody underclothing B b) Pain or itching in genital areas C c) Sexually transmitted diseases. D d) Fracture of long bones.

24- Whilsan's classification is

A a) 2 degrees B b) 3 degrees C c) 4 degrees D d) 5 degrees

25- destruction of the superficial skin down to the sensory nerves is considered (Dupuytren's classification):

A a) 1st degree of burn B b) 2nd degree C c) 3rd degree D d) 4th degree

26- A newly born live-born baby was found dead in the street beside a building, he was wrapped in blanket. On examination, the forensic examiner founds the following findings: Well-formed stool in the blanket. Start of ulceration in the ring around the base of the umbilical cord. The lungs are voluminous and filling the pleural cavity with rounded edges. - Finger nails abrasions on the neck. Burns caused by applying boiled water on the buttocks and lower limbs. From these data answer the following questions: 1- Presence of finger nails abrasions on the neck indicate that, the infant was killed by:

A a) Manual strangulation. B b) Ligature strangulation. C c) Smothering. D d) Hanging.

27- A father brought his 6 years old male child from an ex-wife to the hospital with epistaxis. The child looked ill and under built. On examination the physician founds the following findings: Broken front teeth. - Multiple bite marks in the form of bruises allover the body, some of them are blue and others are brown in color. Recent tears of the anus were detected. From these data answer the following questions: 1- The blue color of some bruises indicate that the age of it is:

A a) One day duration. B b) Two days duration. C c) One week duration. D d) Five days duration.

28- Any physician confined with a case of sexual child abuse should:

A a) Notify the family. B b) Admit the child in nearest hospital. C c) Ask for consent before examination. D d) Notify health authority.

29- A father brought his 6 years old male child from an ex-wife to the hospital with epistaxis. The child looked ill and under built. On examination the physician founds the following findings: Broken front teeth. Multiple bite marks in the form of bruises allover the body, some of them are blue and others are brown in color. Recent tears of the anus were detected. From these data answer the following questions: 1- The objectives of notifying the health authority in this case include all of the following except:

A a) Protection of the child from further abuse. B b) Help family members and solve their problems. C c) Give family members psychotherapy. D d) Subjecting the family members to defamation and scandal.

29- A father brought his 6 years old male child from an ex-wife to the hospital with epistaxis. The child looked ill and under built. On examination the physician founds the following findings: Broken front teeth. Multiple bite marks in the form of bruises allover the body, some of them are blue and others are brown in color. Recent tears of the anus were detected. From these data answer the following questions: 1- The objectives of notifying the health authority in this case include all of the following except:

A a) Protection of the child from further abuse. B b) Help family members and solve their problems. C c) Give family members psychotherapy. D d) Subjecting the family members to defamation and scandal.

30- A female child 9 y.o. was found torture from her grandparents in the lower have of the body starting from the buttocks. The lesion showing horizontal line at the buttocks which shows hyperemia and signs of inflammation with streaks all over her legs directed down word with blisters bullae and sever redness. She was in sever pain and irritability. 1- Type of heat injury in this case is:

A a) Burn B b) Scald C c) Chemical burn D d) Radiation burn

31. A father brought his 6 years old male child from an ex-wife to the hospital with epistaxis. The child looked ill and under built. On examination the physician founds the following findings: Broken front teeth. Multiple bite marks in the form of bruises allover the body, some of them are blue and others are brown in color. Recent tears of the anus were detected. From these data answer the following questions: 1- The physician which confined with this case should:

A a) Notify health authority. B b) Discharge the case from the hospital without notification. C c) Conceal what he found on examination from the father. D d) Admit the child in the hospital.

32- In thermal fracture of the skull

A a) the brain is small and shrunken B b) the brain is large and edematous C c) the brain is normal in size D d) the brain shows a deep wounds

33- Umbilical stump falls off by:

A a) 1 week. B b) 2 week. C c) 3 days. D d) 10 days.

4- One of the following is not true about the main features of sudden infant death syndrome:

A a) The accepted age range is between 2 weeks and 2 years. B b) More common in females. C c) The incidence is markedly greater in one of a twin pair. D d) The great majority of these infants are found dead between midnight and 6 a.m

35- Estimation of the period of survival of live-birth infant depends on the following

A a) Changes in the umbilical vessels. B b) Hydrostatic test. C c) Static test. D d) Microscopic appearance of the lung.

36- The role of forensic pathologist in a case of infanticide is to:

A a) Identify the child. B b) Estimate the maturity and viability of the child. C c) Estimate whether born alive or stillbirth. D d) All of the above.

37- One of the following is not included in respiratory causes of sudden death

A a) Pulmonary embolism. B b) Acute respiratory distress syndrome. C c) Status asthmaticus. D d) Acute hemorrhagic pancreatitis.

38- A father brought his 6 years old male child from an ex-wife to the hospital with epistaxis. The child looked ill and under built. On examination the physician founds the following findings: Broken front teeth. Multiple bite marks in the form of bruises allover the body, some of them are blue and others are brown in color. - Recent tears of the anus were detected. From these data answer the following questions: 1- The child looked ill, under built and on examination, multiple injuries allover the body with recent tears in the anus discovered, all these data indicate that the child is:

A a) Physically abused. B b) Sexually abused. C c) Emotionally abused. D d) Neglected, physically and sexually abused.

39- Sudden infant death syndrome:

A a) It commonly occurs below one week. B b) It commonly occurs in babies about one year. C c) Its incidence in female infants is more than that in male infants. D d) It commonly occurs in summer months.

40- A female child 9 y.o. was found torture from her grandparents in the lower have of the body starting from the buttocks. The lesion showing horizontal line at the buttocks which shows hyperemia and signs of inflammation with streaks all over her legs directed down word with blisters bullae and sever redness. She was in sever pain and irritability. 1- Clothes in this case may be:

A a) Eaten B b) Burnt C c) Wet D d) Colored

41- The most common cause of sudden death:

A a) Coronary artery disease. B b) Intracranial hemorrhage. C c) Bronchial asthma. D d) Pheochromocytom.

42- Sudden death is unexpected death of an apparently healthy person in:

A a) Less than 24 hours of onset of symptoms. B b) Less than two days of onset of symptoms. C c) Less than one week of onset of symptoms. D d) Less than two weeks of onset of symptoms.

43- One of the following signs is not considered as a sign of macroscopic appearance of the respired lungs :

A a) They are voluminous and fill the chest cavity. B b) They cover the heart and thymus. C c) Their surface have uniform purple color with no mosaic appearance. D d) Their edges are rounded.

44- In Wallace's classification Perineum percentage is:

A a) 18% B b) 9% C c) 1% D d) 60%

1- In hanging fracture of hyoid bone:.

A a) Is inward fracture and always occurs B b) Is outward fracture and always occurs C c) Is inward fracture and sometimes occurs D d) Is outward fracture and sometimes occurs t - C

2- Strangulation is commonly occur:

A a) Homicidal B b) Suicidal C c) Accidental D d) Accidental strangulation of the fetus with umbilical cord

3- Repeated intercourse show all the following signs except:

A a) The hymen shows one or two ruptures B b) Loss of tone of the labia and vaginal walls C c) In the lithotomy position the labia separate and the vaginal mucosa is exposed D d) At autopsy the vagina is found to be wide patulous and smooth

4- The most common cause of death in judicial hanging is:

A a) Cerebral anoxia B b) Obstruction of the air passages C c) Sudden cardiac arrest D d) Fracture-dislocation of cervical vertebrae

5- Secondary hemorrhage is due to:*

A a) Sepsis B b) Hypertensio C c) Hypersensitivity to amniotic fluid D d) All of the above

6- Criminal abortion is:-

A a) Termination of illegal pregnancy B b) Termination of pregnancy for any reason other than saving the mother's life C C) Termination of or her husband D d) Termination of pregnancy in a private clinic

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