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Question 1
1. This specific sign is seen in:
A. a. Lead Poisoning
B. Zinc poisoning
C. Organophosphorus poisoning
D. Arsenic poisoning
Question 2
2. Identify the poison:
A. Aconite
B. Digitalis purpura
C. Nerium odorum
D. Cerbera thevetia
Question 3
3. In poisoning with hydrocyanic acid, nitrates in this antidote kit are given in order to:
A. Reduce cyanide
B. Induce vasodilatation
C. Produce methemoglobin
D. Oxidise cyanide
Question 4
4. Identify the false statement:
A. Commonly used as stupefying agent
B. Railway poison
C. All part of the plant is poisonous
D. Active principle is physostigmine
Question 5
5. A 10-year-old girl has been brought to casualty with history of accidental consumption of the above shown seeds. She has been admitted with intense convulsions. The following is true:
A. It is a neurocerebral poison
B. Inhibition of GABA
C. Active principle is strychnine and conine
D. Toxin acts at the ventral horn cell of spinal cord
Question 6
6. The toxic compound responsible for this disease is:
A. Mercuric chloride
B. Mercurous chloride
C. Methyl mercury
D. Mercuric sulphide
Question 7
7. A woman is brought unconscious with suspicious poisoning. Her relatives request the doctor not to inform the police. What is the correct medico-legal duty?
A. Respect relatives’ wishes
B. Treat and discharge without reporting
C. Inform police as it is a medico-legal case
D. First report the police & then start treatment
Question 8
8. A decomposed body is recovered. Autopsy shows garlic odor from viscera and phosphorescence in dark. Most likely poison:
A. Arsenic
B. Phosphorus
C. Cyanide
D. Aluminium phosphide
Question 9
9. A poison causes death by inhibiting cytochrome oxidase and preventing cellular respiration. Type of poison:
A. Neurotoxic
B. Asphyxiant
C. Cardiotoxic
D. Hepatotoxic
Question 10
10. During autopsy of a suspected poisoning death, the stomach mucosa appears bluish discoloration. Powdery blue granules are seen adherent to the mucosal folds. Most likely poison:
A. Copper sulfate
B. Nitric acid
C. Carbolic acid
D. Arsenic
Question 11
11. Correctly matched antidote with mechanism:
A. Atropine – Reactivates acetylcholinesterase
B. Pralidoxime – Reactivates acetylcholinesterase
C. Naloxone – Muscarinic receptor blockade
D. Flumazenil – Enhances acetylcholine release
Question 12
12. In chronic lead poisoning, which of the following clinical features are present?
A. 1, 2, 3, 5
B. 1, 2, 3, 5
C. 2, 3, 4
D. 1, 3, 4, 5
Question 13
13. This line is called
A. Mees’ lines
B. Burtonian line
C. Aldrich–Mees line
D. Kayser–Fleischer line
Question 14
14. During a mass casualty incident following consumption of illicit country liquor at a local festival, several patients are brought to the emergency department. They present with severe abdominal pain, vomiting, blurring of vision progressing to near blindness, and altered mental status. Laboratory evaluation reveals severe high anion gap metabolic acidosis. A forensic investigation suspects contamination of the liquor. Which of the following metabolites are most likely to be detected in these pat
A. Formic acid & lactic acid
B. Glycolic acid & oxalic acid
C. Glyoxylic acid & formic acid
D. Oxalic acid & formic acid
Question 15
15. All of the following are characteristic of strychnine poisoning EXCEPT:
A. Stimulus-triggered spasms
B. Consciousness preserved
C. Opisthotonus
D. Flaccid paralysis before death
Question 16
16. Which of the following poison–source pairs is INCORRECTLY matched?
A. Strychnine — Nux vomica seeds
B. Aconite — Aconitum napellus root
C. Abrin — castor seeds
D. Digitalis — Foxglove leaves
Question 17
17. A railway passenger is found unconscious with shallow breathing and pinpoint pupils after consuming sweets offered by a co-traveler. Most likely poison:
A. Datura
B. Opium
C. Atropine
D. Alcohol
Question 18
18. Which is NOT a feature of chronic cocaine abuse?
A. Nasal septal perforation
B. Formication
C. Increased appetite
D. Paranoid psychosis
Question 19
19. Which of the following is a feature of this snake bite envenomation
A. Ptosis
B. Neuroparalysis
C. Disseminated intravascular coagulation
D. Respiratory muscle paralysis
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