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Revision of L 1 diagnosis of death, forensic

Revision of L 1 diagnosis of death, forensic



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1- Somatic death can be defined as stoppage of…….…...…………………… 

 a- respiratory functions.

 b- circulatory functions.

 c- brain functions.

 d- all vital functions of the body. 

2- Progressive disintegration of the body tissues after cardiopulmonary arrest is known as…………………………………………………………… 

a- somatic death. 

b- molecular death. 

c- persistent vegetative state. 

d- moribund state.

 3- After somatic death, the body tissues die after varying periods, these periods depend on…………………………………………………………..

 a- cause of death.

 b- health of tissue before death. 

c- ability of tissue to function without blood supply. 

d- histological structure of the tissue.

 4- After death, the spermatozoa remain viable in the epididymis for the period of few…………………………………………………………………

 a- seconds. 

b- minutes.

 c- hours. 

d- days. 

5- After death, the muscles contract to electrical stimulation for period of………… hours.

 a- three. 

b- six.

 c- ten. 

d- twelve. 

6- The examination of a middle-aged dead man showed that the muscle didn’t respond to electrical stimulations while the pupils responded directly to atropine. In this case the time of death may be………………… hours.

 a- less than 3.

 b- between 3 and 20.

 c- between 24 and 36 . 

d- more than 36. - 2 

7- The aim of diagnosis of molecular death can be…………………………... 

a- determining the moment of death.

 b- stopping the life supportive measures.

 c- harvesting organ for transplantation. 

d- differentiating between somatic death and death like state.

 8- The suspended animation is defined as……………………...vital process

a- maximum elevation of.

 b- temporary stoppage of all.  

c- permanent stoppage of all. 

d- minimum depression of.

 9- During the death like state, the body of the person shows……………….. 

a- metabolic needs of the body are low.

 b- pulse is palpable but weak. 

c- respiratory movements are irregular. 

d- reflexes are usually present. 

10- Suspended animation can be seen in case of poisoning by……………...

 a- benzodiazepine. 

b- digitalis.

 c- morphine. 

d- cocaine. 

11- Causes of suspended animation includes…………………...……...……. 

a- hypokalemia. 

b- hyperthermia.

 c- hyperkalemia.

 d- hypoglycemia . 

12- The aim of diagnosis of suspended animation is………………………... 

a- declaring that person is dead. 

b- determination time of death. 

c- stopping of life supportive measures. 

d- preventing premature certification of death.

 13- Cessation of circulation in a suspected dead person can be confirmed by…………………………………………………………………………… 

a- palpation of radial pulse.

 b- palpation of carotid pulse.

 c- auscultation of heart sounds.

 d- electrocardiogram

 14- During diagnosis of death, the period of auscultation of heart and respiratory sounds should be at least…….…minutes.

 a- two. 

b- three.

 c- four. 

d- five. 

15- The best area for auscultation of respiratory sounds for diagnosis of death is over the……………………………….…………………………….. 

a- trachea. 

b- mediastinum.

 c- lung base.

 d- lung apex. 

16- During diagnosis of death, the spontaneous respiration is checked after ventilating patient by……………………………………………….

 a- 100% O2.

 b- 95% O2 and 5% CO2.

 c- 90% O2 and 10% CO2.

 d- 80% O2 and 20% CO2. 

17- When cardiopulmonary arrest occurs, loss of brain functions become irreversible within……………minutes. 

a- 1 to 2.

 b- 3 to 7.

 c- 10 to 15.

 d- 20 to 30.

 18- After death, contact flattening developed due to………………………... 

a- collapse of skin. 

b- collapse of subcutaneous fat. 

c- loss of muscle elasticity. 

d- damage of muscle cells.

 19- In the normal caloric test, the fast movement of the eye is to the…….

a- right with ice cold water in left ear. 

b- left with ice cold water in left ear.

 c- right with ice cold water in the right ear.

 d- left with warm water in the right ear.

 20- At the moment of death, the intraocular tension is………………gram.

 a- 9. 

b- 12.

 c- 15.

 d- 18. 

 21- After death, the intraocular tension drops to 3g within……………… 

a- half an hour. 

b- 1 hour.

 c- 1.5 hour.

 d- 2 hours. 

22- After death, segmentation of the retinal blood vessels appears within…………minutes.

 a- 5. 

b- 10.

 c- 15.

 d- 25.

 23- Clouding of the cornea appears within………………………………….. 

a- 0.5 an hour.

 b- 1 hour. 

c- 1.5 hours.

 d- 2 hours. 

24- Primary muscular flaccidity starts………………………………………. 

a- immediately after death.

 b- within 1 hour after death.

 c- within 2 hours after death. 

d- within 3 hour after death. 

25- Persistent vegetative state is a deep coma caused by………………death. 

a- whole brain. 

b- cortical. 

c- brain stem.

 d- cerebellar.

 26- Persistent vegetative state occurs due to………………………………… 

a- Barbiturate overdose.

 b- Long period of brain hypoxia.

 c- Brainstem tumors.

 d- Brainstem hemorrhage. 

27- After diagnosis of persistent vegetative state, the clinician’s decision should be……………………………………………………………………

 a- Withdrawal of artificial feeding.

 b- Withdrawal of artificial hydration.

 c- Withdrawal of mechanical ventilation. 

d- keeping the life support measures. 

28- Brain stem death can be defined as…………………………………….... 

a- reversible loss of capacity for consciousness and to breath.

 b- irreversible loss of capacity for consciousness.

 c- irreversible loss of capacity to breath.

 d- irreversible loss of capacity for consciousness and to breath. 

29- When the brainstem death occurs, the following structures should be damaged…………………………………………………………………... 

a- the respiratory centers only.

 b- the ascending reticular activating system only. 

c- both respiratory centers and ascending reticular activating system.

 d- higher cortical centers. 

30- A 25-year-old man, presented to hospital in deep coma after car accident with loss of spontaneous respiration while weak carotid pulsation is felt, this case can be diagnosed as……………………..…… 

a- somatic death.

 b- suspended animation. 

c- persistent vegetative state.

 d- brain stem death. 

31- A 25-year-old man, presented to hospital in deep coma after car accident with spontaneous respiration while weak carotid pulsation is felt, this case can be diagnosed as……………………………………….... 

a- somatic death.

 b- suspended animation. 

c- persistent vegetative state. 

d- brain stem death.

 32- A 25-year-old man, presented to hospital in deep coma after car accident with no spontaneous respiration or carotid pulsation are detected while ECG showed electrical activity, this case can be diagnosed as………………………………………………………………... 

a- somatic death.

 b- suspended animation.

 c- persistent vegetative state. 

d- brain stem death. 

33- Before diagnosis of brain stem death case, the following feature should be found…………………………………………………………………….

 a- body temperature should be less 35 c. 

b- apneic coma. 

c- remediable structural brain stem damage.

 d- circulatory arrest. 

 34- Presence of the following feature should be excluded before diagnosis of brain stem death………………………………………………………...

 a- hyperthermia.

 b- severe acid base disturbance.

 c- apnea.

 d- heart beating. 

35- Harvesting of organs for transplantation can be done in the case

a- suspended animation. 

b- cortical death. 

c- deep coma.

 d- brainstem death.

answers

1- Diagnosis of Death

1 d

2 b

3 c

4 d 

5 a 

6 b 

7 d

8 d 

9 a

10 c

11 d 

12 d 

13 d 

14 d

  15 a

16 b

17 b

18 c

19 a 

20 b 

21 a

22 c

23 d

24 a

25 b

26 a 

27 d

28 d

29 a 

30 d

31 c 

32 b 

33 b

34 b

35 d 




 

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