Forensic Medicine

Medical ethics
1. Duties of doctor
2. Professional secrecy
3. Privileged communication
4. Medical malpractice
5. Professional negligence v/s infamous conduct
6. Civil v/s criminal negligence
7. Penal erasure *
8. Doctrine of Res ipsa laquitur*
9. Morus actus intervenes
10. Contributory negligence
11. Vicarious liability
12. Consent
13. Euthanasia

Medical act
1. MTP Act
2. Mental healthcare act
3. Transplantation of human organ act

Legal procedure

1. Police inquest
2. Magistrate inquest
3. Police v/s magistrate inquest
4. Courts of law
5. Summons
6. Dying declaration
7. Testifying
8. Dying declaration v/s dying deposition
9. Perjury

Identification

1. Corpus delicti
2. Klinefelter syndrome
3. Turner syndrome
4. Male v/s female skull
5. Male v/s female mandible
6. Male v/s female Pelvis
7. Male v/s female Sacrum
8. Temporary v/s permanent teeth
9. Medico legal importance of teeth
10. Medico-legal importance of age
11. Dactylography
12. Human v/s animal hair
13. Medico-legal importance of Hair

Asphyxial deaths
1. Asphyxia
2. Hanging v/s strangulation
3. Hanging
4. Cafe coronary
5. Traumatic asphyxia
6. Drowning
7. Dry drowning
8. PM finding in case of drowning

Injuries

1. Injury and classification

2. Abrasion
3. Bruise
4. Lacerated wound
5. Stab wound
6. Incised wound
7. Suicidal v/s Homicidal Cut Throat
8. Fabricated wound

Firearm injuries

1. Bullet
2. Cartridge
3. Smooth bore v/s rifled cartridge
4. Entry v/s exit wound

Regional injuries
1. Skull fractures
2. Drunkenness v/s concussion
3. Coup and counter coup injuries
4. EDH, SDH, SAH
5. Weiblash injury

Thermal injury
1. Heat stroke
2. Burns and classification
3. PM examination in case of burns
4. Fugilistic attitude
5. Fugilistic attitude v/s Rigor Mortis
6. Antemortem v/s Post-mortem burns
7. Lichtenberg flowers

Transportation injury
1. Primary impact injury
2. Secondary impact injury
3. Secondary injury

Medicolegal aspects of injury-

1. Homicide
2. Grievous hurt

Medicolegal autopsy
1. Medicolegal v/s pathological autopsy
2. Skin incisions
3. Evisceration methods
4. Preservation of viscera
5. Exhumation
Death and post-mortem changes
1. Brainstem death
2. Changes after death
3. Suspended animation
4. Algor mortis
5. Rigor mortis
6. PM staining
7. PM staining v/s Bruise
8. Estimation of time since death
9. Cadaveric spasm
10. Rigor mortis v/s Cadaveric spasm
11. Decomposition
12. Mummification
13. Adipocere formation

Sexual offences
1. Rape
2. Duties of doctor in case of an alleged survivor of Rape
3. Section 53 crpc
4. Incest
5. Adultery
6. Sodemy/ Bodemy
7. Bestrality**
8. Sadism
9. Sexual pervertions*
10. Gang rape

Infanticide and child abuse

1. Age of fetus
2. Viability of fetus
3. Cephal hematoma v/s caput succedaneum
4. Signs of live born
5. Signs of still born foetus
6. Signs of dead born foetus
7. Still v/s dead born foetus
8. Unrespired v/s Respired lung
9. Battered baby syndrome
10. Sudden infant death syndrome

Criminal abortion
1. Method of criminal abortion
2. Natural v/s criminal abortion

ED and Sterility
1. Artificial insemination
2. AIH V/S AID

Virginity, pregnancy and delivery

1. Presumptive, probable , positive signs of pregnancy
2. True v/s false virgin
3. Phantom pregnancy
4. Signs of recent delivery

Forensic psychiatry
1. Delusion, hallucinations, illusion, impulse
2. Psychosis v/s neurosis
3. True v/s fligned insanity
4. Civil and criminal responsibility in MIP
5. Restrain of MIP

QUES. Medicolegal importance of bloog groups

Toxicology
1. Toxicology definition
2. Classification of poison
3. Duties of doctor in case of suspected poisoning
4. Ideal suicidal and homicidal poison
5. Antidote
6. Universal antidote
7. Chelating agents
 Feb., 2023/1743N
Roll No
MBBS 3d prof. 2023
Community Medicine including Humanities
Paper A
M. Marks: 100
Time: Three hours

Note: 1. Attempt all of the following questions.

2.Answer Part I and Part Ilin separate answer books.
PART-
a.1 What is natural history of disease? What are different levels of prevention? Wrte 2+3+3+2=10
the modes of intervention for each level of prevention. Give suitable examples of

each.
5x6-30
.2 Write short note on the following:
(a) Prudent diet.
(b) Adverse effects following immunization (AEFI)
(c) Social security.
(d) Principles of chlorination.
(e) Charts and diagrams and their uses in statistics.
( Measures for health protection of workers.
1x10-10
Q.3
Multiple choice questions.
1. A home health nurse who provides skin care and repositioning of a
client on bed rest is conducting activities in:
(a) Health promotion (b) Health protection
(c) Health prevention (d) Rehabilitation
2. A worker of a brick kiln was brought to the emergency departmentinan
unconscious state. He was hypotensive and sweating profusely. The
likely condition he suffered from:
(a) Heat stroke (b) Heat exhaustion
(c) Heat hyperpyrexia (d) Heat cramps
3. Which of the following statements is true about parboiling?
(a) Also known as cool soaking process.
(b) Greater part of vitamins and minerals present in outer aleurone
layer of the rice grain are driven into the inner endosperm.
(c) Starch gets gelatinized which degrades the quality of rice.
(d) Best advantage of parboiled rice is the aroma.
Hill's criteria of causation are all, except:
(a) Temporality of association (b) Strength of association
(c) Non-specificity of association (d) Coherence of association
5. If the caiculated value of Chi-square test is less than critical value, then
Ho is always be:
(a) Accepted and rejected both (b) Accepted
(c) Rejected (d) None of these
6. Characteristics of propagated epidemics are all, except:
(a) When person to person transmission of an infectious agent occurs
(b) Continues till all susceptible individuals are exposed
(c) Occurs when there is lowered immunity
(d) Curve rises and falls rapidly

PTOfor the remaining questions

 7. Secondary attack rate is minimum in:
(a) TB (b) Diphtheria
(c) Measles (d) Whooping cough
8. If a child presents with protein energy malnutrition and shows signs of
subcutaneous fat loss and weight reduction. The level of prevention
suggested at this point is:
(a) Primordial prevention.
(b) Health promotion.
(c) Early diagnosis and prompt treatment.
(d) Disability limitation and rehabilitation.
The smoking history of pregnant woman is taken in the antenatal period
and correlated with birth weight at the time of delivery. To find an
association between them would be example of:
(a) Clinical trial (b) Nested cohort study
(c) Retrospective study (d) Prospective study
10. Anindividual intending to travel to a malaria endemic area has come to the
outpatient department for suggestion regarding some way to avoid
suffering from malaria during his stay there. He has been given Cap.
doxycycline as chemoprophylaxis. This is an example of which of the
following level of prevention?
(a) Primordial prevention (b) Primary prevention
(c) Secondary prevention (d) Tertiary prevention

PART-
Q4 What are the types of occupational hazards and enumerate the occupational 4+6=10
diseases caused due to these hazards.

Q.5 Write short note on the following: 5x6-30

(a) Temporal association and its relevance
(b) Role of herd immunity in public health.
(c) Biomedical waste management of plastic and sharp waste.
(d) Role of a doctor as a good communicator.
(e) Health problem in a 25 year married female not using iodized salt regularly.
( Health hazards to an intern doctor never using hand gloves.

a.6 Differentiate betweenthe following terms:

(a) Disability and handicap.
5x2-10

(b) Food fortification and food adulteration.

(c) Screening test and diagnostic test.
(d) Monitoring and surveillance.
(e) Probability sampling and non-probability sampling.
 Roll No Feb., 2023/1744N
MBBS 3d Prof. Part-, 2023
Community Medicine
Paper-B
Time: Three hours M. Marks: 100
Note: 1. Attempt all of the following questions.
2.Answer Part Iand PartII in separate answer books.
PART
a.1 Define acute respiratory infection (ARI), classification of ARI, how will you 2+2+3+3=10
manage "No Pneumonia" and "Pneumonia" among<5 children as per National
ARI Control Program.
Q.2 Write short note onthe following: 5x6-30
(a) Mortality and morbidity indicators of health.
(b) Essential medicines.
(c) UNICEF.
(d) Common health problems in geriatric age group.
(e) Preventable cancers.
(0 Characteristics of a mentaly healthy person and warning signals of poor
mental health.
Q.3 Multiple choice questions 1x10=10
1. In a village having population 5000, 50 people have a disease and
10 of them died, what is case fatality rate?
(a) 1% (b) 2%
(c) 10% (d) 20%
2. In a marriage party, food poisoning is an example of:
(a) Point source epidemic (b) Continuous source epidemic
(c) Propagated epidemic (d) Slow epidemic
3 Long term fluctuation of disease is seen with:
(a).Cyclic trends (b) Epidemics
(c) Secular trends (d) Seasonal trends
4. High prevalence is associated with:
(a) High cure rate (6) Immigration of health people
(c) Longer duration of disease (d) Less incidence of disease
5. Descriptive epidemiology includes all, except:
(a) Retrospective and prospective study
(b) Disease
(c) Time distribution
(d) Place distribution

6. Most common cancer world-wide is:

(a) Lung (b) Stomach
(c) Oral cavity (d) Breast

PTO for the remaining questions.

 7. Occurrence of disease in a haphazard and irregular pattern is known
as:
(a) Endemic (b) Epidemic
(c) Sporadic (d) Pandemic
8. The risk of cold chain failure is greatest at:
(a) Regional level (b) District level
()PHC level (d) Sub-centre and village level
9. Attack rate is:
(a) Incidence of the disease (b) Prevalence of the disease
(c) Killing power of the disease (d) Incubation period of the disease
10. The ratio between incidence of the disease among exposed and non-
exposed is called:
(a) Causal risk (b) Relative risk
(c) Attributable risk (d) Odds ratio

PART-
Q.4 Discuss in detail on the following: 2+3+3+2=10
(a) Model of health care system in India.
(b) Health problems.
(c) Resources of India.
(d) How mismatch between health problems and resources can be reduced.
5x6-30
Q.5 Write short note on the following:
(a) Sampling methods.
(b) NETWORK analysis.
(c) Indian Public Health Standards of PHC.
(d) Integrated vector control measures.
(e) Fiduciary relationship.
(Mean, median and mode as statistical averages.
a.6 Differentiate between thefollowing terms: 5x2-10
(a) Implied consent and expressed consent.
(b) Qualitative data and quantitative data.
(c) Herd immunity and hybrid immunity.
(d) Natural disasters and man-made disasters.
(e) Objectives and targets.
Roll No Feb., 2023/1745N

MBBS 3rd Prof. Part-, 2023

Forensic Medicine

Time: Three hours M. Marks: 100

Note: 1. Attempt all of the following questions.

2.Answer Part I and PartI in separate answer books.
PART-
Q.1 A body is brought for autopsy with ligature mark around neck. In this context 2+3+3+2=10
explain the following:
(a) Partial hanging and complete hanging.
(b) Difference between hanging and ligature strangulation.
(c) Autopsy findings in case of hanging.
(d) Cause of death in hanging.
5x6-30
Q.2 Write short note on the following:
(a) Dying declaration.
(b) Cephalic index.
(c) Various tests for detection of blood stain.
(d) Characters of firearm entry wound.
(e) Section 375 IPC.
(Diatoms test.
Q.3 Multiple choice questions. 1x10=10
1. Tyre marks on thighs in case of road traffic accident is classical
example of:
(a) Patterned bruise (b) Ectopic bruise
(c) Crush injury (d) Pressure abrasion
Suspended animation may be seen in:
y2 (a) Hanging (b) Choking
(c) Drowning (d) Cerebral haemorrhage
3. Post mortem caloricity may be seen in death due to:
(a) Barbiturate poisoning (b) Heat stroke
(c) Hanging (d) Strangulation
Gastric emptying is most markedly influenced by:
(a) Proteins (b) Fats
(c) Carbohydrates (d) Acidity of gastric contents
5 Brush burn is due to:
(a) Thermal application (b) Chemicals
(c) Electricity (d) Friction
y6. Greenish colour in a contusion is due to:
(a) Bilirubin (6) Biliverdin
(c) Haemosiderin (d) Haemotoidin
TFollowing feature of incised wound indicates direction:
(a) Bevelling (b) Tailing
(c) Margins (d) Gaping
Blackish discoloration around firearm entry wound is due to:
(a) Smoke (6) Flame
(c) Deposition of unburnt gun powder (d) Hot gases

PTOfor the remaining questions.

 9 Bevelling of outer table of skull is seen in:
(a) Firearm entry wound (b) Firearm exit wound
(c) Operative burr hole (d) Contrecoup fracture
0 . The shock wave in a bomb explosion causes damage to:
(a) Liver (b) Lungs
(c) Kidney (d) Brain

PART
Q.4 A young female is brought to emergency on morning of 1 January in altered 5+3+2=10
sensorium. Her clothes are torn at places with blood stains on perineal region
and clotted blood is present around nostrils. How will you conduct examination
in this case? What samples will you preserve on examination? What are date
rape drugs?
Q.5 Write short note on the following: 5x6-30
(a) Lucid interval.
(6) Delirium tremens.
(c) Sadism.
(d) Heat haematoma.
(e) Universal antidote.
() Fudiciary relationship.
Q.6 Describe the following with reasoning/differentiate between the following: 2x5=10
(a) Pros and cons of privileged communication.
(b) Benefits of loco-parentis.
(c) Antemortem burns v/s postmortem burns.
(d) Rifled firearm v/s smooth bore firearm.
()Poisonous snakes v/s non-poisonous snake.
Roll No. May, 2023/1745N
MBBS 3rd Prof. Part-i, 2023
Forensic Medicine
Time: Three hours M. Marks: 100

Note: 1. Attempt all of the following questions.

2. Answer Part I and Part Il in separate answer books.
PART-!
Q.1 Apatient is brought in casualty with the history of suffering injuries in road 2+3+3+2=1(
traffic accident. In this context explain the following:
(a) Coup and counter coup injury.
(b) Various brain haemorrhages that can happen.
(c) Enumerate various skull fractures that can occur.
(d) Define lucid interval.
Q.2 Write short note on the following: 5x6=30
(a) Bertillon's system.
(b) Privileged communication.
(c) Rule of nine.
(d) Cadaveric spasm.
(e) Battered baby syndrome.
( Hydrostatic test.
Q.3 Multiple choice questions. 1x10=10
1. Earliest sign of decomposition is:
(a) Marbling of skin (b) Maggot formation
(c) Greenish discoloration of right iliac (d) Loosening of hair
fossa
2. Rigor mortis or post-mortem rigidity 1 starts in:
(a) Eyelids (b) Upper jaw
(c) Neck (d) Upper limb
3. Foamy liver is seen due to:
(a) Drowning (b) Mummification
(c) Saponification (d) Putrefaction
4. Rigor mortis starts early and lasts for longer period in death due to:
(a) Strychnine poisoning (b) Typhoid
(c) Cholera (d) Pulmonary tuberculosis
5. Imprint abrasion is also known as:
(a) Graze (b) Scratch
(c) Patterned abrasion
(d) Brush burn
6. Most frequently occluded coronary artery
is: causing myocardial infarct
(a) Left main
coronary
(c)' Right coronary (b) Left anterior descending
(d) Circumflex branch
7. A heavy edged weapon like
(a) Cut laceration chopper can result in:
(c) Stretch laceration (b) Split laceration
(d) Tears
Þ. Bleeding trom mouth. nostrils and ears is seen in casSes Or:
(a) Hanging (b) Strangulation
(c) Smothering (d) Drowning

PTO for the remaining questions.

 9 For diatoms test ideal tissue is:
(a) Lung tissue (b) Bone marrow
(c) Kidney (d) Brain tissue
10. In hanging fracture of hyoid bone is more common in:
(a) Children (b) Adolescents
(c) Adult persons (d) Old person

PART-I|
Q4 A young female is brought to emeigerncy with history of intake of some
unknown agricultural poison. On 5+2+3=10
exainatton she is in altered sensorium and
her eyes show pin-point pupils. How Will you manage this
case? What
samples willyou preserve?Classify poisons?
Q.5 WNrite short note on the following:
(a) Rule of Haase. 5x6=30
(b) Battered baby syndrome.
(c) Dry drowning.
(d) Heat stroke.
(e) Indecent assault.
(f) Consent.
Q.6 Describe the following with reasoning/differentiate between the following: 2x5=10
(a) Positive signs of pregnancy.
(b) Casper's dictum.
(c) Criminal responsibility of insane.
(d) True insanity v/s Feigned insanity.
(e) Still born v/s dead born infant.
Roll No May,2023/1743N
NBBS 3 Prof. -2023
Community Nedicine ihcluding Humanities
Paper-A
Time Three hous M. Marks: 100

Note: 1. Attempt all of the following questions.

2 Answer Part land Part Il in separate answer books.
PART-!
Q1 Define eodemiology. Wnte the uses of epidemioloay What are the elements of 2+3+3+2=10
cohort study? Whatare the adantages of cohor stuov over case control study?
Q2 Write short note on the following: 5x6=30
(a) Evauation of a soreening test
() Global Hunger index.
(c) Dimensions of heath.
(d Swachh Bharat Missicn.
(e) Endemic fiuorasis
( Measures of dispersion.
Q3 1x10=10
Multiple choice questions.
The number of deaths of children 0-5 years is expressed as percentage of
totaldeaths of age groups in the same period is known as:
(a) Expectancy of fe at 5 years D) Proportional nmortality rate
(c) Crude death rate (O) Under five mortality rate
2 Open vial policy does not appBy to:
(a) OPV (b) BCG
(c) PV (d) Allof the abOve
is the least toxic organo-chlorine
3 Which of the following insecticide
compound for human beings:
(a) HCH (b) Dieldrin
(c) Chlordane (d) DDT
index case is:
community.
a) First detected case of communicable disease in
(b) First registered case by investigator
(c) First treated case
with pimary case
(d First detectedcase developing after contact
of all the followina
5 Human Development Index (HDI)) is a composite
components, except for:
(a) Life expectancy at birth.
b Adut teray rate and mean years of schooling.
(c) GDP per cacita in US collars
(d Life expectancy at one year.
subcutaneous
A child of one year presents with muscle wasting, loss of WHO standards.
fat with no signs of oedema and weight below 60% of
enough proteins and other
The mother gives history of not giving diagnosis is:
nutrients to the child after 6 months of age. The likely
(a) Kwashiorkor (b) Marasmus
(c) Marasmic-Kwashiorkor (c) Under nutnition

PTO for the remaining questions.

 I. Youwere required to chlorinate woll water., you added required amount or
Dleaching powder solution to the water and allowed an overnight contact
me. What is your recommendation regarding consumption of water for
drinking?
(a) Fit for consumption (b) To be used after 12 hours
(c) To be used after 24 hours (d) Rechlorinate
8.
Mental
(a) retardation
Trisomy 21 is seen in which of the following childhood condition?
(b) Marasmus
(c) Juvenile diabetes
(d) Congenital Hepatitis B virus
infection
Which one of the following is correct regarding daily upper limit of noise
without substantial damage to hearing?
(a) 50db (b) 70db
(c) 75db (d) 85db
10. The
in
sloughed off layer in the trickling filter duringthe treatment of sewage
modern plants is known as:
(a) Humus (b) Scum
(c) Sullage (d) Sludge

PART-II
Q4 Your health centre in a slum with population of 25000 is reporting large
number of 4+3+3=10
diarrhoea cases among under children.
(a) Develop a plan of health promotion and disease
prevention
undertake to prevent diarrhea and deaths due to diarrhea in this activities you will
area.
(b) ldentify the key stakeholders and their roles in these
(c) ldentify the principles of health activities.
education and good communication you will use in
carrying out such activities.
Q.5 Write short note on the following:
(a) Importance of sanitation barrier in 5x6-30
(b) Barriers of prevention of infection.
communication faced by a physician.
(c) Problem of antimicrobial
resistance.
(d) Radiation hazards to a
(e) Role of life style
technician working in radiotherapy unit.
modification in prevention of
() Social
determinants of health in Indian society.coronary heart disease.
Q.6
(a)
Differentiate between the following terms:
(b)
Demographicandtransition and epidemioloaical transition. 5x2=10
Elimination eradication.
(c) Association and
causation in relation to disease
(d) Eugenics and euthenics. occurrence.
(e) PQLI and HDI.
 Roll No... May, 2023/1744N
MBBS 3rd Prof. Part-l, 2023
Community Medicine
Paper-B
Time: Three hours M. Marks: 100

Note: 1. Attempt all of the following questions.

2. Answer Part I and Part Il in separate answer books.
PART-I
Q.1 Define epidemic, how you will establish the
discuss the steps for investigation of an existence of an epidemic? Briefy
epidemic of dengue fever and
1+2+5+2=10
suggest its preventive and control measures.
Q.2 Write short note on the following: 5x6=30
(a) Rule of halves in hypertension.
(b) Modes of transmission of infectious disease.
(c) Syndromic management of urethral discharge and genetic ulcer.
(d) Complications of diabetes mellitus and measures to prevent them.
(e) WHO (World Health Organization).
() Mentalretardation.
Q.3 Multiple choice questions. 1x10=10
1. Glycosylated haemoglobin HbA1Creflects the mean blood glucose
level of previous:
(a) 15 days (b) 1month
(c) 3 months (d) 6 months
2. All about incidence are false, except:
(a) Measures old and newcases (b) More than prevalence
(c) Used for chronic conditions (d) Not affected by duration of disease
3. Specificity of atest refers to its ability to detect:
(a) True positive (b) True negative
(c) False positive (d) False negative
4. Vector of Japanese encephalitis is:
(a) Culex (b) Anopheles
(c) Aedes (d) Sandfly
5 Modifiable risk factors in coronary heart disease are all, except:
(a) Personality (b) Smoking
(c) Obesity (d) Hypetension
6. The most common cancer affecting lndian urban women is:
(a) Cervical cancer (b) Ovarian cancer
(c) Breast cancer (d) Uterine cancer
7. Commonest cause of blindness in India is:
(a) Cataract (b)Trachoma
(c) Refractive errors (d) Injury
8. Sentinel surveillance is done to detect:
(a) Missing number of cases (b) Total number of cases
(c) Incidence of disease (d) Factors affecting occurrence of disease

PTO for the renmaining questions

 9. Incubation period of plasmodium vivax malaria is:
(a) 5-7 days (b) 7-10 days
(c) 10-14 days (d) 15-30 days
10. Most common cause of stroke in India is:
(a) Cerebral thrombosis (b) Cerebral embolism
(c)Cerebral haemorrhage (d) Sub-archnoid haemorrhage

PART-H!
Q.4 Describe (a) Health care delivery systems in India, (b) lts official organs at the 2+3+3+2=10
level of centre, (c) State health administration & (d) District level health
administration.
5x6=30
Q.5 Write short note on the following:
(a) Planning cycle.
(b) Patient autonomy.
(c) Triage in disaster management.
(d) Bhore committee recommendations.
(e) Standard Normal curve.
(0 Functions of Primary Health Centre (PHC).
5x2=10
Q.6 Differentiate between the following terms:
(a) Informed consent and assent.
(b) Data and information.
(c) Histogram and bar diagram.
(d) COVID-19 injectable vaccine and nasal vaccíne.
(e) Cost benefit analysis and cost effective analysis.