William The Coroner’s Forensic Files

Friday, 12, December, 2008

ANAT 420 Final

Filed under: Teaching — williamthecoroner @ 22:35

The answers are in BOLD or written in.

This is an example of

A. Radiation burns

B. Chemical burns

C. Scalding burns

D. Third degree burns

2. This is a

A. Contact gunshot wound

B. Intermediate gunshot wound

C. Distant gunshot wound

D. Stab wound

3. What is the red mark on the skin called? Muzzle Stamp

4.

This is a what kind of wound?

A. Stab wound

B. Laceration

C. Chop wound

D. Incised wound

5. The mark at one end is from what part of the knife? The hilt/guard

6. This is

A. Contact gunshot wound

B. Intermediate gunshot wound

C. Distant gunshot wound

D. Stab wound

7. What is the black stuff around the wound? Powder Tattooing


8. If a person is burned on his left leg, front and back, that is what percentage of the total body surface area? (Rule of nines)

A. 1%

B. 4.5%

C. 9%

D. 18%

9. Carboxyhemoglobin levels in inhalation of auto exhaust are lower than they are in house fires. What is the expected carboxyhemoglobin (CO) level in an exhaust suicide of a healthy, young, non-smoker?

A. 1-2%

B. 10-12%

C. 40-60%

D. 90-99%

10. What anatomic location(s) does the pathologist have to examine carefully in a death in custody case?

The neck, the wrists and ankles, the backs of the thighs and calves and the subcutatneous tissue of the back

11. What disease did “pot boys” get from cleaning chimneys?

A. Black lung disease

B. Mesothelioma

C. Carbon monoxide poisoning

D. Scrotal squamous cell carcinoma

12. What did Sir Percival Potts make them do to stop that? Bathe once a year

13. What nutrient is particularly lacking in the diet of hard-core alcoholics?

A. Vitamin D

B. Vitamin A

C. Thiamine

D. Protein

14. What anatomic location is particularly affected by this deficiency?

A. Mammilary bodies

B. Pons

C. Occipital cortex

D. Cauda equina

15. What is name of the brain disease alcoholics get?  Wernecke’s encephalopathy

16. At what distance (range of fire) do you find soot from a gunshot?

A. 0-6”

B. 6-12”

C. 12-24”

D. Over 24”

17. What is the most common drug seen by forensic pathologists? Ethanol

18. What are the characteristics of an auto-erotic asphyxial death?

Usually young men, some padded noose with a quick-release mechanism, sometimes women’s clothing worn/around, sometimes pornography is present

19. What agricultural implement did the South Africans use to enforce their policy of Apartheid?

A. Tractors

B. Chipper-shredders

C. Cattle prods

D. Chainsaws

20. How much neck pressure is needed to occlude the airway, i.e. a “breath choke?”

A. 5#

B. 12#

C. 40#

D. 65#

21. How much neck pressure is needed to occlude the carotid arteries, i.e. a “blood choke?”

A. 5#

B. 12#

C. 40#

D. 65#

22. What is proof? 1/2 of 1% ethanol

23. Give the cause and manner of death of Julia Stoner in The Speckled Band Snake envenomation, Homicide

24. List and define the five manners of death.

Natural-due to natural disease, Accident due to the unintentional actions of oneself or others, Suicide due to the intentional actions of oneself, Homicide, due to the intentional actions of another Undetermined.

25. Define cause of death  That injury or illness that was incompatible with life.

26. Define mechanism of death  How the cause caused death

27. Define the T-T ratio  Tooth to tattoo. Inversion is a bad sign.

28. What is the difference between a laceration and an incision?

A laceration is a tear of soft tissue or an organ, with tissue bridging in the wound.  An incision is a cut from a sharp object, and there is no tissue bridging


29. What is brain fungus?  Cerebral edema where the brain’s cortex protrudes from the craniotomy defect

30 Mitochondria are inherited from

A. Your mother

B. Your father

C. Your crazy uncle, Ralph

D. Both your parents

31. The two phases of a trial are:

A. Advice and Consent

B. Guilt and Innocence

C. Guilt and Penalty

D. Truth and Consequences

E. Direct and Cross

32. Define caliber  The diameter in thousanths of an inch or millimetres of a firearm’s barrel between opposing lands or grooves.

33. Define gauge The number of lead balls that fill the diameter of a shotgun that can be made from one pound of lead

34. In Ohio, a person is under the influence of alcohol at what blood alcohol concentration?

A. 0.01 %

B. 0.05 %

C. 0.08 %

D. 0.10 %

35. A stab wound is

A. Longer than it is deep

B. Deeper than it is long

C. Wider than it is deep

D. Wider than it is long

36. A stab wound can be

A. As long as the length of the blade that made it

B. Shorter than the length of the blade that made it

C. Longer than the length of the blade that made it

D. All of the above

E. None of the above.

37. How much fluid in the pericardial sac will be lethal?

A. 10 mL

B. 30 mL

C. 100 mL

D. 300 mL

E. 1000 mL

F. 3000 mL

38. Can a revolver be silenced? Explain your answer. No, the cylinder gap lets the noise escape

39. What is required for a toxicologic examination? IE What does tox take? Time

40. What is a “Key party?”A swinger’s party where people pull keys out of a hat to determine the partner du nuit.  Said to have been indulged by the Sheppards

41. What are the characteristics of the so-called “Homosexual homicide?”

Overkill with massive sharp force injury


42. Do humans have snouts? No

43. What is SIDS? Sudden Infant Death Syndrome

44. What is the most common tattoo? Mom

45. Erin and Sam are driving to the shooting range when they get into an accident. The EMTs pull them from the wreck, and try to save them, but to no avail. They come to the coroner’s office. Erin has multiple, linear and punctate red abrasions on the left side of her face. Her right leg is broken at the midshaft of the shin. Sam had multiple linear and punctate red abrasions on the right side of his face and arm. Who was driving the car?

A. Erin

B. Sam

46. How do you tell if someone took heroin or morphine on toxicological examination?  6-MAM will be found in the CSF or vitreous humor

47. When are children most at risk of dying of domestic violence?

A. As neonates

B. Age 2-3

C. Age 8-11

D. Age 15-57

48. Differentiate between accidental and inflicted scalds

Accidental scalds will have splash marks.  Inflicted scalds will have sparing of the backs of the knees and other skin folds due to limb retraction when being dunked in scalding water

49. What are restraint marks and how are they caused? Linear bruises of wrists and ankles from handcuffs and leg irons

50. Who killed Marilyn Sheppard?  I think it was her Husband

51. What are the four phases of testimony? Direct, Cross, Redirect, re-cross

52. What is the mandibular nerve hold? Sam Sheppard’s signature wrestling move when he turned pro.

53. What was the first recorded use of forensic odontology that I told you about?  Paul Revere identifying a victim of the Boston Massacre

54. What is the most accurate way to determine when a person died?

A. Temperature of the body

B. Examination of the stomach contents

C. When was he last seen and when was he found

D. The condition of the house, the mail

E. The amount and stage of decomposition.

55. In Cleveland, the bones of which animals can be mistaken for human bones? Give two.  Dogs, Deer, Pigs

56. Coup contusions occur

A. On the surface of the brain under a fracture

B. On the surface of the brain under the point of impact

C. On the surface of the brain away from the point of impact

D. Between the white matter and the grey matter

57. Your child brings home a date who is covered with tattoos. Which one would reassure you?

A. Born to Lose

B. A pretty little butterfly

C. Outlaw

D. FTW

58. A woman is found with cuts on both her wrists. There are faint linear scars in both intracranial fossae. There are multiple, shallow cuts surrounding each deep cut. These are called:

A. Hesitation marks

B. High-tide marks

C. Defense wounds

D. Chop wounds

59. A man is found on the floor of a fourth-story warehouse. He has four linear wounds of his face, three measuring 8 inches in length and one measuring 6 inches long. The wounds have two sharp angles, with ¼” marginal abrasions on both edges. The wounds are deep, and do not taper. The wounds go into the bone which is grooved or splintered. These are:

A. Stab wounds

B. Chop wounds

C. Incised wounds

D. Defense wounds

60. The most common body modification is:

A. Ear piercing

B. Neck stretching

C. Branding

D. Tongue splitting

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4 Comments »

  1. Question 8… Maybe I read it wrong. You said the front and back of the left leg. 9% is highlighted. I thought I learned in EMT class all those years ago that the front was 9% and the back was 9% so the answer would be 18%. What am I missing.

    D. Scruggs

    Comment by BCFD36 — Saturday, 13, December, 2008 @ 03:18 | Reply

    • Your missing the fact that I can’t add properly.

      Comment by williamthecoroner — Saturday, 13, December, 2008 @ 18:31

  2. I always liked teachers who put one wacky answer in the multiple choice.

    Also, any professor who gives me finals credit for knowing what a key party is gets all “Strongly Agree”s in my book.

    Comment by Holly — Monday, 15, December, 2008 @ 00:43 | Reply

  3. Fascinating! I wish that I could audit your class.

    Comment by Jay Stribling — Wednesday, 17, December, 2008 @ 05:18 | Reply


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