md 2009 3

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M.D. Forensic Medicine Degree Examination, May 2009 (2004 Scheme) Paper III : FORENSIC PATHOLOGY AND TOXICOLOGY Time: 3 Hours Max. Marks: 100  Instructions : Dr aw diagrams wherever necessary. Answer  all questions. I. A 32 yr. old female underwent caesarean section in a private hospital under spinal anaesthesia. Soon after the baby was delivered, the mother had hypotension, cyanosis, respiratory distress, convulsions and post partum bleeding. Death occured within minutes. Relatives allege medical negligence. Body is brought for autopsy : 1) How wil l you proceed wi th this case ? Wha t findin gs will hel p you to find out the cause of death ? What lab. tests will you do to confirm your diagnosis ? 2) What is negl igenc e ? Describe the typ es and prerequi sites for each . What are the procedural formalities to be adopted before a doctor can be arrested in Kerala for alleged negligence ? (10+10=20) II. Writ e brief ly on : 1) Skul l fra ct ure s 2) Ewing’s post ul at es 3) Tr anssexua li sm 4) Chr oni c ars eni c poi soni ng. (10×4=40 Marks) III. Write s hort not es on : 1) Acu te neur oge nic ca rdi ac fail ure 2) Right ventri cular fibrof atty dyspla sia 3) Ghost we ll 4) Corr osive sublimate poiso ning. (10×4=40 Marks) _____________________

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M.D. Forensic Medicine Degree Examination, May 2009

(2004 Scheme)

Paper – III : FORENSIC PATHOLOGY AND TOXICOLOGY

Time: 3 Hours Max. Marks: 100

 Instructions : Draw diagrams wherever necessary. Answer  all questions.

I. A 32 yr. old female underwent caesarean section in a private hospital under spinal

anaesthesia. Soon after the baby was delivered, the mother had hypotension,

cyanosis, respiratory distress, convulsions and post partum bleeding. Death

occured within minutes. Relatives allege medical negligence. Body is brought

for autopsy :

1) How will you proceed with this case ? What findings will help you to find out

the cause of death ? What lab. tests will you do to confirm your diagnosis ?

2) What is negligence ? Describe the types and prerequisites for each. What are theprocedural formalities to be adopted before a doctor can be arrested in

Kerala for alleged negligence ? (10+10=20)

II. Write briefly on :

1) Skull fractures

2) Ewing’s postulates

3) Transsexualism

4) Chronic arsenic poisoning. (10×4=40 Marks)

III. Write short notes on :

1) Acute neurogenic cardiac failure

2) Right ventricular fibrofatty dysplasia

3) Ghost well

4) Corrosive sublimate poisoning. (10×4=40 Marks)

_____________________