Postmortem changes MCQs

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1. PM Identification is difficult in cases of:
A) Severe burns.
B) Severe putrefaction.
C) Multiple stab wounds.
D) Complete charring. ***
E) Absence of the head (decapitation)


2. Adibocere occurs in bodies submerged under the water after death for a period of:
A) 5 days
B) 1 week
C) 2 weeks***
D) 3 weeks


3. Which of the following causes pressure at ….:
A) Stone
B) Knife
C) Rope***
D) Stick


4. Which of the following is a mechanism of RM:
A) Loss of muscle tone
B) Loss of reflexes
C) Depletion of ATP***
D) Sever nervous stress


5. Hypostasis in case of hanging is found in:
A) The back
B) Head & neck
C) Shoulder
D) Lower limbs***


6. Mummification occurs when the climate is:
A) Dry & hot***
B) Dry & cold
C) Moist & hot
D) Moist & cold


7. The time passed since death in a cold & stiff cadaver:
A) 2-4 hours
B) 4-8 hours
C) 8-12 hours
D) More than 12 hours***


8. Hypostasis is:
A) PM hemolytic changes
B) PM gravitation of blood***
C) Extravasations of blood
D) Subcutaneous hemorrhage


9. Red color hypostasis:
A) Asphyxia
B) Co poisoning***
C) Severe burns
D) Morphine poisoning


10. Rigor Mortis appears First in:
A) Ms. of hand.
B) Ms. of neck.
C) Eyelid. ***
D) Ms. of abdominal wall.
E) Ms of lower limbs.


11. Sure signs of death start to appear:
A) At the moment of death
B) After 1 hour
C) After 2 hours***


12. Primary flaccidity is due to:
A) Loss of muscle tone***
B) Depletion of ATP


13. Cadaveric spasm is due to:
Ante-mortem tension


14. A body which feels warm & stiff has been dead:
A) 8-36 hrs
B) Less than 3 hrs
C) 3-8 hrs***
D) More than 36 hrs


15. Red colored hypostasis is usually seen in death due to:
A) CO poisoning
B) Cyanide poisoning
C) Cold exposure
D) All of the above ***


16. Cherry red color of the cadaver indicates that the death is due to:
A) Asphyxia
B) Cyanide poisoning ***
C) Carbon dioxide poisoning


17. Secondary flaccidity occurs due to:
A) ATP depletion
B) Loss of all reflexes
C) Autolysis of the muscles***


18. Cadaveric spasm is a post mortem change which occurs in:
A) A group of voluntary muscles only ***
B) All voluntary muscles
C) All involuntary muscles
D) Both voluntary & involuntary muscles


19. Post mortem lividity is unlikely to develop in a case of:
A) Drowning in well
B) Drowning in fast flowing river ***
C) Post mortem submersion
D) Drowning in clorinated swimming pool
E) none of the above


20. Post mortem staining due to carbon monoxide is:
A) Cherry red ***
B) Yellow
C) Chocolate
D) Deep blue
E) None of the above


21. Rigor mortis appears first in:
A) small muscles of the hand
B) sterno-mastoid muscle
C) orbicularis occuli ****
D) rectus abdominls
E) quadriceps femoris


22. A general practitioner may confuse rigor mortis with:
A) cold stiffness
B) heat stiffness
C) cadaveric spasm
D) all the above***


23. Hypostasis complete after:
8 hrs


24. We found dead body after 48 hours which one will see
Putrefaction


25. In putrefaction greenish discoloration of skin 1st develop in
Right iliac fossa


26. Rigor mortis is due to :
a. Depletion of ATP ***
b. Loss of muscle tone
c. Loss of reflexes


72.Cadaveric spasm is essential in diagnosis of:
a. Firearm injuries
b.Criminal death****
c. Suicide
d.Stab injuires


28.Hypostasis:
a. Is faint in asphyxial death
b.Diagnose the cause of death
c. Indicates the PM position
d.Helps in estimation of the time of death


29. greenish discolouration , the earliest sign of putrefaction is due to :
a) haemoglobin
b) methaemoglobin
c) sulphmethaemoglobin ***
d) carboxyhaemoglobin
e) none of the above


30. The usual postmortem interval required for the appearance of marbling :
(A) 18 hours.
(B) 24 hours.
(C) 36 hours.
(D) 48 hours.

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Dr. Ahmed Hafez
CEO & Founder of MEDICINE21 corporation

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