1.   Benzoylecgonine, reported on the toxicology report, is a
metabolite of

A.   amphetamine
B.   ethanol
C.   cocaine (*)
D.   heroin
E.   marijuana

2.   What is the manner of death when a patient receiving cancer
chemotherapy dies as a result of 
an opportunistic infection?

A.   accidental
B.   homicidal
C.   natural (*)
D.   suicide
E.   undetermined

3.   In a household electrocution, what are you MOST LIKELY to
see?

A.   arborizing (treelike) red skin marks
B.   arms fixed in flexion
C.   burns where current entered and/or exited
D.   deep burning of tissues in or around the heart
E.   no anatomic lesions (*)

4.   Which drug acts on the adenosine receptors?

A.   amphetamines
B.   benzodiazepines
C.   caffeine (*)
D.   cocaine
E.   heroin

5.   In the absence of thalassemia, basophilic stippling of the
red cells strongly suggests

A.   amphetamine abuse
B.   cocaine abuse
C.   lead poisoning (*)
D.   leukemia from radiation
E.   marijuana smoking

6.   Isopropyl alcohol is most likely to produce lesions in the

A.   conjunctiva
B.   mammillary bodies
C.   pancreas
D.   retina
E.   stomach (*)



7.   Yellowing of a bruise is considered proof that it is how
old?

A.   more than 18 hours old
B.   more than 36 hours old
C.   more than 72 hours old
D.   more than 120 hours old
E.   it reflects not age, but the way in which the bruise was
inflicted

8.   Chernobyl survivors have the greatest increase in cancer of
the

A.   bone marrow (leukemia)
B.   lung, from inhaling radio-isotopes
C.   skin
D.   soft tissues (sarcomas)
E.   thyroid (*)

9.   Post-mortem lividity is usually easy for anybody to see
after about

A.   5 minutes
B.   30 minutes
C.   3 hours (*)
D.   12 hours
E.   24 hours

10.  "Excited delirium" is a dread complication most often seen
in people abusing

A.   absinthe
B.   cocaine (*)
C.   ethanol
D.   heroin
E.   marijuana

11.  ONE KODACHROME.  You've been asked to examine a dead body. 
What are you going to 
call this?

A.   abrasions
B.   avulsions
C.   dicing injuries
D.   incised wounds (*)
E.   lacerations

12.  ONE KODACHROME.  You've just come upon another dead body. 
What are you going to call 
this?

A.   abrasion
B.   avulsion (*)
C.   contusion
D.   incised wound
E.   laceration



13.  ONE KODACHROME.  And what will you call this?  

A.   bullet wound, distant range, entry
B.   bullet wound, exit
C.   bullet wound, loose-contact entry (*)
D.   bullet wound, tight-contact entry
E.   not a bullet wound

14.  ONE KODACHROME.  Death is most likely to due

A.   diabetes mellitus
B.   methanol toxicity
C.   shaken baby syndrome (*)
D.   strangulation
E.   suffocation

15.  ONE KODACHROME.  Death is most likely due to

A.   carbon monoxide poisoning
B.   neurosyphilis
C.   skull fracture
D.   strangulation (*)
E.   suffocation

16.  ONE KODACHROME.  What are the skin lesions?

A.   cockroach bites
B.   dicing injury
C.   handgun entry wounds
D.   icepick murder
E.   shotgun injury (*)

17.  ONE KODACHROME. And what will you call this?

A.   avulsion
B.   contusion
C.   incised wound
D.   laceration (*)
E.   Lichtenberg figure

18.  ONE KODACHROME. What's this?

A.   entry wound, distant range
B.   entry wound, intermediate range (*)
C.   entry wound, loose contact
D.   entry wound, tight contact
E.   exit wound



BONUS ITEMS

19.  What is a "body packer"?

[smuggles drugs in swallowed condoms]




20.  What kind of firearm produced this wound?

[shotgun]



21.  What do we call stiffening of the muscles after death?

[rigor]



22.  What name do we give to this kind of incised wound?

[defense]



23.  What name do we give to the more superficial of these
incised wounds?

[hesitation]



24.  Briefly explain why a blow from a pool cue will produce two
closely-parallel contusions.

[edges stretched, center not]



25.  What is anandamine?

[endogenous cannabinoid]



26.  Poisoning by which heavy metal is likely to produce hair
loss?

[thallium]



27.  "Amanita muscaria" is....

[toadstool]



28.  "The only evidence of child abuse is a large bruise over the
sacrum.  It was inflicted with such 
violence that it has not changed its appearance for a week." 
Explain, being specific.

[Mongolian spot]



29.  Old Bob, an 80-year-old angina patient taking nitrates,
otherwise healthy, tries out that new 
"Viagra" stuff and dies during his first romantic interlude in
many years.  CPR by his wife, an 
emergency medical technician, fails.  At autopsy, there is a
fresh laceration of the liver.  
Explain.

[CPR]



30.  What poison has fluorescein added, by law, to alert medical
personnel seeing the green-
fluorescent urine?

[antifreeze / ethylene glycol]




31.  What is the "pugilistic attitude"?

[arms flexed in fatal burning]



32.  And for the truly hardcore science buff... how many
disintegrations per second in a curie of 
isotope?

[3.7 x 10^10 / 37000000000]


NAME: ______________________
18 points
Who?s sitting near you?



UHS Pathology
"The Mind"
Feb. 21, 2002

Instructions:

Each of the photos on this exam depicts something which you, 
the rural primary care physician, might very well be asked to 
identify.

If you're in the first group, don't leave the exam room until
time 
is called.

GOOD LUCK!