Remembrances Flashcards Preview

Forensic Pathology Board Exam > Remembrances > Flashcards

Flashcards in Remembrances Deck (240):
1

Picture of red burnt foot, straight line of demarcation on ankle.

Immersion

2

Isopropanol is?

Twice as intoxicating as ethanol

3

What is the most common cause of death in the 24 hours following tonsillectomy?

Bleeding (other
choices aspiration pneumonia)
 

4

Slide: decomp man with elevated blood alcohol and this finding in kidney. Cause?

Q image thumb

Poisoning (ethylene glycol)

5

How to calculate perimortem blood ETOH based on urine?

Urine 1.3 to Blood 1.0

6

Man is assaulted and presents to the ED the following day with abdominal pain. He collapses and
undergoes vigorous resuscitation. At autopsy- marked CAD and anterior liver laceration with 450 cc
hemoperitoneum. What is COD?

heart disease

7

What kind of current is lightning?

direct, high

8

Two separate questions with images of pons, one gross, one luxol fast blue, both showing central
pontine myelinolysis, associated with?

Chronic EtOH

9

Gross picture of brain with periventricular plaques.

Autoimmune disease (MS)

10

REPEAT:

What type of ammunition is being shown?

Q image thumb

ACP ammunition

core and jacket separate so you see small little balls of core and then the jacket

11

What is definition of stopping power?

Police term

Stopping power is the ability of a firearm or other weapon to cause enough ballistic trauma to a target (human or animal) to immediately incapacitate (and thus stop) the target

12

Man with helium tank running into bag over head, mechanism of death?

Exclusion of oxygen

13

slide: Duodenum with black pigment on mucosal surface (?charcoal). What is cause of death?

poisoning

14

Best sample for Channelopathy testing?

EDTA tube (other choices fresh frozen heart, blood spot card)

15

Hypoxia in the perinatal period causes what change in the neurons?

Basophilia (other choices
karyorrhexis)

16

Xray of child’s head with small, radio-opaque round object (BB sized), ID.

Low-velocity weapon vs
radiology marker (other choices high velocity weapon)

17

What chemical is a/w an elevated CO?

methylene chloride (other choices methyl chloride, methyl bromide, ethylene chloride)

18

Why is benzidine used as a presumptive test for blood?

Sensitive and specific (other choices
nontoxic)
 

19

At what speed does a .38 caliber bullet penetrate the skin?

About 200 ft/sec

20

How many CME credits per year do you need?

35

21

Picture of detached mandible with soft tissue removed, teeth have pink discoloration, cause?

Postmortem change

22

Armpit with charring/burns, what type of electrical injury?

High voltage (other choices water
electrocution, low voltage)
 

23

Virtual slide: two hippocampi, one sclerotic. Result?

Epilepsy

24

Coronary artery dissection associated with?

peripartum

25

Slide of ARVD-COD?

Arrhythmia

A image thumb
26

Traumatic SAH is associated with?

Blow to neck

27

18 yo truck driver pulled from water with scalded-looking skin, burns on face, cause?

Burn from battery acid

28

What knife caused this wound?

Q image thumb

Ricasso

A image thumb
29

Virtual slide: 2 day old infant with gross photo of mass around adrenal and this micro appearance

Q image thumb

Neuroblastoma

30

slide: lung

Q image thumb

coccidioides

31

Close up picture of child’s neck with dried yellow fold, and grouped vertically-oriented parallel
“abrasions”, cause?

Ligature vs serrated knife vs clothing

32

What is most important to examine in lightning death?

clothing

33

Which is last epiphysis to close?

Medial clavicle/proximal humerus (other choices included lateral clavicle, proximal radius, sacroiliac joint – always two given at once)

34

A 16 year old was at party, presented unresponsive to the ER with hyperthermia, most likely
intoxicant?

MDMA

35

Picture man with dicing injuries (versus road rash) on left side of forehead. What can you tell about
position in car?

driver

36

Alcoholic cardiomyopathy associated with?

age greater than 60

37

What is different about cocaethylene compared to cocaine?

more potent

38

Which medication causes agranulocytosis?

Clozapine

39

Mechanism of death in acute mountain sickness?

Noncardiogenic pulmonary edema and/or Cerebral edema

40

Two photos, one showing head with hole in head and one with torso/extremities with penetrating
injuries, cause?

fireworks injury/blast injury (other choices included electrocution, gunshot wounds)

41

Picture of pretty normal looking GEJ, slightly blue – probably varices, person also has?

Coagulopathy

42

Cross section of lungs from homeless woman with numerous small nodules, consistent with?

TB

43

What is the test for GSR detecting?

Antimony, Bismuth, Lead, Nitrate, and Nitrite

44

How much voltage is in power lines?

7-8000 (high voltage)

45

Which body systems is benzene most toxic to (given 2)?

Brain and bone marrow (other choices liver
and kidney, heart and skin)
 

46

Picture of balcony with shoes and stepstool, manner of death?

suicide

47

One paired stab wound of chest, caused by?

scissors

48

Skeletal survey of infant with healing fracture of left radius/ulna, what is shown?

Remote injury
(other choices included normal, osteogenesis imperfecta)
 

49

Lady with blood coming out of her mouth, chemical burns like injuries described to her tongue esophagus and stomach. Pungent odor when opening the body.

Hydrogen sulfide

50

slide: young woman died suddenly with this liver. cause?

Q image thumb

Eclampsia 

showing liver with periportal necrosis

51

slide: woman with this finding in lung, cod?

Q image thumb

drug overdose

52

What causes brown lividity?

sodium chloride, inorganic nitrate, methemoglobinemia

53

Picture of whole kidney with triangular infarcts.

fat emboli

54

In postabsorptive phase, what site has lowest alcohol level?

Brain (very fatty, alcohol goes toward water)

55

slide: 32 year old woman dead, this finding in lung

Q image thumb

Amniotic fluid embolism

56

What percent of hospitalized patient die from pulmonary emboli?

5-10 percent

57

Which organ has lowest blood alcohol after equilibration?

brain

58

Four pictures of car-pedestrian impact, one of car with front headlight broken, person with 3 parallel
lacs to left occipital skull, stellate lac to right occipital skull, avulsion pocket left thigh, injury caused
by what type of impact?

Secondary (other choices primary, tertiary, quaternary)

59

Man pulled out of water after 3 days, bits of skin all chewed off, cause?

Anthropophagy

60

Cross-section of lung with apical blebs/honeycombing only, cause?

Smoking (other choices alpha-1
anti-trypsin)
 

61

Chasing the dragon, what is present in blood?

Morphine (other choices pcp, cocaine)

62

What disease is characterized by basal ganglia calcification?

Fahr's disease

63

slide: 36 yo man with this heart finding. what would special stains show?

Q image thumb

NOTHING

this is giant cell myocarditis

Difference with sarcoid is no granulomas and no necrosis

both would be negative with special stains

64

Body cavity showing adhesions between liver and chest plate (Fitzhugh Curtis syndrome), A/w?

pid

65

What chemical cannot be detected after embalming?

cyanide

66

Pictures of house, father and son decomposing in separate rooms, and water heater with detached
line and lots of rust, what should emergency responders be careful for?

CO (other choices radon,
natural gas)
 

67

slide: what is this in lung?

Q image thumb

fat embolism

68

REPEAT

micro: Testes of chronic alcoholic

Atrophy

A image thumb
69

Picture of an adult’s neck with a pink, scaly lesion.

Ringworm infection

70

slide: Child’s liver with microvesicular steatosis, cause?

Disorder of fatty acid oxidation

71

Picture of medial aspect pubic symphysis, very rough parallel lines, what is age?

Youngest they give

72

Picture of breasts with two stab wounds, cause?

Stab wounds/due to knife (other choices
therapeutic)

73

Cross section of kidney with changes c/w sepsis. ID

Cross section of kidney with changes c/w sepsis. ID

74

50 kg woman bleeds 1750 ml from a liver laceration. Is this sufficient to cause death?

Yes (70 cc/ kg of body wt = 3500 cc, so she’s lost half her blood volume)

75

Bullet in person is flat with mirror like surface, bullet most likely is?

ricochet

76

What is the most important factor in the damage caused by an electrocution?

amps

77

What organization assumes the central investigative role in airplane crashes?

Where are tox samples sent in plane crashes?

National Transportation Safety Board (NTSB)

Tox samples are sent to the Federal Aviation Administration's Civil Aerospace Medical Institute

78

Purple contusion, what can you tell about age of injury?

nothing

79

Gross picture of diaphragm with plaques, due to?

Exposure to crocidolite

80

What is vitreous alcohol after equilibration?

Same (other choices higher, lower than blood alcohol)

81

Man with bag over head and belt around neck with cloth underneath, MOD?

accident

82

Slide: 46 yo man found dead with this finding in brain

Q image thumb

Neurocysticercosis

83

Child with zig-zag pattern on head, caused by?

Run over by truck

84

Nurse administers medication, patient has peaked T waves then dies, what did she give?

potassium

85

REPEAT

Microscopic photo of plant debris barried by bullet through body. What organ did it perforate?

Stomach

86

Blood cysts on heart valve

Blood cysts on heart valve

87

3 separate questions with pictures of striae of groin—

stretch injury from pedestrian struck from
behind by vehicle (some people thought one of them was postmortem insect activity)

88

ragment of skull with yellow discoloration associated with?

Tetracycline

89

How long after trauma does fat embolism usually occur?

1-3 days

90

Picture of emaciated baby, best test to determine mechanism of death?

Vitreous electrolytes (other
choices GI sections, liver sections, BMI calculation)

91

Slide: 77 yo man found behind bar with this finding in brain. cause?

Q image thumb

Trauma/contusion

92

Gross picture of heart with pericarditis. Organ system failing?

renal/GU

93

Picture of crack pipe, identify

Picture of crack pipe, identify

94

There will be pic of young woman with what look like sharp force injuries on face

PICK DOG BITE

95

What antipsychotic drug has been known to cause paralytic ileus and bowel obstruction (sometimes fatal) in schizophrenics?

Clozapine

96

Best way to determine shotgun gauge?

Examine wad (other choices weigh pellets)

97

Hands of black woman with clubbing of fingers, a/w?

vsd

98

What is most common valvular cause of sudden death?

mitral insufficiency (other choices aortic stenosis, tricuspid insufficiency)

99

Story about person got in a car accident, car caught on fire, picture of epidural hemorrhage over
right cerebral convexity, brown and crumbly.

Postmortem fire artifact (versus traumatic)

100

Virtual slide: Woman from southeast Asia with cough/cold for 3-4 weeks, given antibiotics. COD?

Q image thumb

PCP pneumonia

101

slide: lung with marked fibrosis

cause?

Paraquat

other choices include berylliosis which would have granulomas

102

Skull with fracture, hair embedded in fracture, how can you tell that fracture occurred before
skeletonization?

hair in crack

103

Sudden death in sewer or tank associated with?

Exclusion of oxygen

104

Picture of .25 expanding point bullet (lead and separate pellet – may have been an xray). ID

Picture of .25 expanding point bullet (lead and separate pellet – may have been an xray). ID

105

What is the half life of carbon monoxide on room air?

4 hours

106

Slide: vet tech found dead in apartment, brain with empty holes. Cause?

Postmortem change

107

Picture of birdshot with fairly tight spread, no central hole, wad mark, range?

5-10 feet (other
choices 12-20)

108

Patients treated with vincristine die after what kind of inadvertent administration?

Intrathecal

109

slide on EVERY TEST

Gunshot wound with maggot

postmortem change is answer

110

At what depth does decompression sickness become a problem?

33 ft

111

Skeletal survey of infant with lipping of epiphyses.

Rickets

112

What is most useful in comparing a stab wound to a blade?

Cartilage marks (other choices wound width, wound depth)

113

What is this ammunition?

Q image thumb

Air Rifle Pellet

114

slide: 11yo died acutely in hospital and had this finding in kidney. COD?

Q image thumb

Dehydration and ATN

(other choices included lead poisoning and diabetes)

115

Old man’s mouth with radiating red lines coming out, cause?

Gunshot wound of mouth (didn’t look
right, but other choices didn’t make sense)
 

116

slide: what is this skin finding due to?

Q image thumb

senile purpura

117

Picture of elderly woman’s face with yellow punctate lesions, cause?

Postmortem/cockroach activity

118

Flannel shirt with small white particles.

filler from buckshot

119

Long QT syndrome associated with?

Spontaneous mutations (other choices family history of drowning, normal EKG in parents rules it out)

120

Plastic bag on face, what is finding?

Moist face

121

What ammunition?

 

Q image thumb

Shotgun slug

notice c shape

122

Purpose of carotid sleeper hold?

Compress both carotids, produce quick unconsciousness without
damage to trachea
 

123

What is the purpose of a bullet cartridge?

prevent gas from escaping

124

Iatrogenic air embolism from a central line requires what?

>100cc of air, 14 gauge needle, left lateral
decubitus position, head >30 degrees, PFO

*not sure of answer but first isn't right because as little as 2-3 cc of air can cause it, you definitely don't need a PFO....not sure
 

125

Child’s skull with red discoloration and missing enamel on most teeth, evidence of?

neglect

126

Picture of already shot, blue plastic cartridge with ruler, measures approximately ¾ inch, what is
ammunition?

12 gauge shotgun (other choices .410, .45, .22)

127

What is the most common cause of death during liposuction?

Anesthesia complication (other
choices fat emboli)
 

 

128

What is the most likely to be injured in a bomb blast?

Lungs (other choices brain, liver)

129

Picture of detached toenails with white lines across them (Mee’s lines). What is associated
symptom?

Peripheral neuropathy

130

Hand with gold paint associated with?

Toluene

131

Xray of hyoid with unilateral non-fusion.

normal variant

132

Cannulures on a bullet are used for?

lubricant

133

slide: two hearts with inflammation and myocyte destruction--one child with recent cold and one adult woman without symptoms. Cause?

Viral myocarditis

other choices included bacterial and acute MI

134

Close up picture of child’s back and bottom with U-shaped scars, what are they?

abuse

135

40 yo man with diabetes, hypertension, has a week of flu like symptoms, presents to hospital with
respiratory distress, rapid influenza negative, grows S. pneumo from lungs and dies, what test will
help you determine the proximate COD?

Influenza PCR (other choices blood culture)

136

slide: 36 yo man found dead. Brain slide with what looked like vacuolization in the corpus callosum

Most thought inhalant abuse (solvent leukoencephalopathy causes demyelination of white matter)

Some thought Marchiafava-Bignami disease which is a demyelination of the corpus callosum specifically from chronic ethanolism

 

137

Gross picture of brain with laminar necrosis. Associated with?

Hypoxia/anoxia

138

What are changes in brain seen with boxing?

Atrophy of cerebrum and cerebellum (other choices old SDH)

139

What would cause vfib?

110v alternating (other choices 110v direct, 7296v alternating, lightning)

140

Picture of man with upper body hanging over railing, feet on floor, associated with?

EtOH

141

Brugada syndrome due to mutation in?

Na channel (other choices K channel)

142

Time for adult skin to burn when exposed to water at 140-150?

Less than 5 sec (other choices 5-10 sec)

143

Child with cockroach artifact on face.

postmortem

 

144

slide: heart with this finding--underlying cause?

Q image thumb

Transthyretin mutation

145

Retractor artifact of axilla

Retractor artifact of axilla

146

When does barotrauma occur?

rapid ascent

147

Emphysema aquosum is associated with?

drowning

148

Virtual slide: man assaulted within 24 hours-pons with hemorrhage around 4th ventricle and this finding. What was his initial presentation?

Q image thumb

Coma (retraction balls from DAI)

149

Picture of leg with postmortem rodent activity. ID

Picture of leg with postmortem rodent activity. ID

150

Picture of person with two gunshot wounds of chest and multiple paired punctures, cause?

taser

151

Brain (gross) in coronal section showing random holes in basal ganglia.

Hypertensive CVD

152

Question on current given 120 volts and 1000 Ohms

120 mA

A = V (volts) / R (ohms)

120 / 1000 = .012 A or 120 mA

153

Man with round, dark brown, patterned lesion on center of chest, cause?

Artifact of medical
intervention
 

154

Slide: what is this from?

Q image thumb

Septic emboli in heart (IVDA)

155

What is mechanism of death in inhalant abuse?

Cardiac arrhythmia

156

Gross photo of brain in an elderly person with bacterial meningitis, ID.

Gross photo of brain in an elderly person with bacterial meningitis, ID.

157

Hand of person buried in sealed casket for 5 years, covered with black substance, cause?

Mold
(other choices embalming artifact, ground water, thermal injury)

158

Young man found dead in garage with face next to exhaust, car running, suicide note, CO level 13%,
COD?

Carbon dioxide poisoning

159

Picture of man with rectangular abrasion on chest with central patterned abrasions and
contusions on arm, cause?

Struck steering wheel (other choices hit with 2x4, hit with pool cue,
caused by vehicle hood ornament, caused by vehicle grill)
 

160

A couple questions on blank: whole blood alcohol content

A image thumb
161

Gross picture of thyroid (in situ) with black discoloration.

minocycline

162

Head with paired injuries, splitting of skin, skull with depressed fractures, consistent with?

claw hammer

163

Photograph of crescentic, non-traumatic hymen

(normal variant)

164

Slide: kidney with this finding--what to check?

Q image thumb

Vitreous glucose

165

What electricity scenario causes V Fib?

Low voltage, alternating current

166

Micro slide: lung

Q image thumb

aspergillus

167

A pH strip that has complicated pattern and the container which shows pattern means pH 12. What is
gastric content?

NaOH

168

Child’s lips with red lesion with white and black center at corner of mouth affecting upper and lower
lip, lips edematous, cause?

Cigarette burn (other choices acid, alkali, electrical)

169

Gross photo of lung with food in bronchus, associated with?

Dementia

170

Gunshot wound of right temple with stippling on shoulder, cause?

Cylinder gap

171

Picture of face, top of head skeletonized, bottom with chunky, chalky white fat, cause?

Adipocere
(other choices mummification)

172

Picture of muzzle flash suppressor injury with 6 petals – ID

Picture of muzzle flash suppressor injury with 6 petals – ID

173

What can decontaminate CJD?

NaOH (other choices formaldehyde – not formic acid)

174

Hemorrhage in the corpus callosum is associated with (this may have been an image, can’t
remember)?

Trauma (DAI)

175

Woman with star shaped wounds on torso (4 points).

Hunting arrow

176

What is the order of increasing penetration of radioactivity?

Alpha particles, beta particles, x-rays

177

slide: seems like there will definitely be a slide of a dural adhesion but not sure what Q will be...

dural adhesion

178

What is associated with hemoperiteneum and intussuscepted ileum?

Typhoid fever

179

What can be seen with HIV encephalitis?

giant cells

180

Which is fully jacketed?

22 magnum (other choices 22 short, 22 long rifle)

181

Man’s face with red discoloration, sparing of mouth, lateral jaw, medial eyes, forehead, cause?

Radiant burns

182

Need to ID what tooth a cap is on.

What is the name of teeth starting from front?

Central Incisor

Lateral Incisor

Cuspid

1st Bicuspid

2nd Bicuspid

1st Molar

2nd Molar

3rd Molar

Universal system starts numbering from right 3rd molar and goes around clockwise (as if you are looking AT patient)

A image thumb
183

Cylinder blast mark (?cylinder gap) useful for calculating?

barrel length

184

Face with gunshot wound with stippling that is large, somewhat irregular, cause of stippling?

Ball powder (other choices flake powder, filler from buckshot)

185

best specimen for detecting cyanide in a decomp?

muscle

186

Psilocybin comes from?

mushrooms

187

slide: infant heart with this finding--cause?

Q image thumb

Rhabdomyoma

A image thumb
188

A woman dies of a small bowel obstruction, what history is most important to determining the
cause of death?

History of TAH/BSO in her 30s

189

Body of alcoholic man with linear excoriations covering torso.

Pediculosis corporis

190

slide: 36 yo day laborer who died-lung with inflammation including many giant cells

Farmer's lung (characterized by non-necrotizing poorly formed granulomas)

other choices included berylliosis which would have well formed granulomas

191

Picture of baby’s face with red nose and dried lips, cause?

Postmortem artifact

192

In a blast injury, what are the bomb fragments considered?

Secondary injury (other choices primary,
tertiary, quaternary)
 

193

slide: this is an aorta--how old is lesion?

Q image thumb

less than 7 hours

RBCs still intact and no hemosiderin laden macrophages

194

Cross section of lung in homeless woman with prominent perivascular fibrosis, cause?

Intravascular
carcinoma (other choices TB)

195

slide: what is this in the brain?

Q image thumb

AVM

196

Xray showing teeth in stomach

Blunt force trauma of head

197

What is the cause of death in an enclosed space (ie well)?

carbon dioxide poisoning

198

Laminar necrosis is associated with?

Barbiturate overdose and anoxia

3rd layer is most susceptible

199

Gross picture of heart with many white plaques, young man.

sarcoid

200

SLIDE: Liver with this finding...cause?

Q image thumb

IVDA

201

Most common position in adults associated with positional asphyxia?

Neck hyperflexion

202

Positional asphyxia in adults associated with?

intoxication

203

FREQUENT REPEAT

What is this showing?

Q image thumb

Calculi

204

Slide of heart with cytoplasmic clearing of all myocytes (hard to even ID as heart), cause?

Q image thumb

Storage disease

205

Gross picture of stomach with black spots?

Hypothermia

206

What % of blood volume lost to cause shock?

33% (other choices 40%, 50%)

207

slide: Woman with this lung finding?

Q image thumb

pulmonary hypertension

this is a plexiform lesion

208

Brain (gross) in coronal section showing caudate atrophy.

Huntington disease

209

Virtual slide: 11yo girl dropped dead with this finding-diagnosis?

Q image thumb

Hypertrophic Cardiomyopathy

210

What causes chloracne?

digoxin

211

What is this lesion in lung?

Q image thumb

Pulmonary hamartoma

212

What % carboxyhemoglobin to see cherry red livor?

35%

213

Picture of green, dilated colon and small intestines in person with diabetes, htn, anemia, COD?

Degenerative (other choices toxic, metabolic, infectious)

214

Slide: 88yo man assaulted--brain with organizing hemorrhagic area, overlying cortex intact

Infarct

215

nfant with petechial rash on upper chest and neck, cause?

viral exanthema (versus asphyxia)

216

not sure about this calculation, but in ALL the remembrances, the numbers are the same....

170 lb man drinks 86 proof alcohol. How many ounces to get maximum BAC of 0.1?

6

217

Picture of elderly woman’s face with red burns. ID as burns

Picture of elderly woman’s face with red burns. ID as burns

218

Tamponade, PE and rupture of chordate tendinae are associated with?

Pulseless electrical activity

219

Velocity for bullet to penetrate skin?

191 ft/s

220

Man enters industrial storage tank and rapidly dies, cause?

Hydrogen sulfide

221

REPEAT

Scombroid poisoning associated with eating?

Fish

222

Spontaneous epidural hemorrhage in a child is most likely due to?

Coagulopathy (other choices
AVM)
 

223

Torso with numerous small round punctures covering nearly entire chest in no particular pattern,
cause?

Icepick (other choices included birdshot)

224

Picture of brain with SAH. What kind of trauma sustained?

blow to neck

225

MICRO: What is this heart muscle showing?

Q image thumb

Right ventricular dysplasia/ARVD

226

At what age is primary dentition complete?

3

227

Calculate ethanol level of zero after drinking certain amount....

A image thumb
228

slide: Kidney with postmortem bacterial overgrowth, otherwise normal. Cause of death?

Sepsis (other
choices included lead poisoning, hyperosmolar coma, other things ruled out by normal kidney)

229

What do you see in barotrauma?

Results in venous air embolism versus can be confined to lungs

230

What does subpoena duces tecum mean?

Appear in court with documents

231

Picture of transtentorial herniation

Picture of transtentorial herniation

232

Multiple paired stab wounds of face, caused by?

barbecue fork (other choices included pinking
shears)

233

Thin man found decomposing in 70F home, no corneal clouding, rigor breaking, no abdominal
discoloration, how long dead?

<2 days (versus 2-3 days, versus longer)

234

Skull with hyperostosis frontalis, what can you tell about decedent?

Postmenopausal (other choices
acromegaly, hypoparathyroidism)
 

235

Slide: kidney with this finding--cause?

Q image thumb

Autolysis

236

Three stock jars, all over 1 year old, one with bright red contents, COD?

house fire (other choices
included cyanide, but should be degraded by formalin)
 

237

Number of deciduous teeth?

20

238

75 yo woman dies after a 7 year h/o progressive dementia, hallucinations, constipation and frequent
falls. Most likely neuro disease?

Alzheimers with Lewy bodies

239

Question about embalming and vitreous

a small amount of embalming fluid will enter the vitreous and create a minor dilution but the ethanol present in vitreous even after embalming can be considered antemortem

240

The Hydro-Shok bullet is ID'd by its?

lead post