Clinical forensic medicine - regional injuries
Forensic Medicine · Topic 7
Source: NMC CBME Curriculum 2024 · Volume I · Forensic Medicine · Topic 7 · combined PDF page 221
Practice questions
- In a retrospective forensic-medicine clinic cohort of 277 patients with confirmed traumatic spinal fractures evaluated from 2020 to 2022, which spinal region was most frequently affected?
- Which mechanism was the most common cause of traumatic spinal fractures in the 2020–2022 forensic-medicine clinic cohort?
- A patient sustains a traumatic spinal fracture in a vulnerable-road-user crash. Compared with the dominant vehicle-occupant group in the reported cohort, which pattern was associated with vulnerable-road-user crashes?
- In the reported spinal-fracture cohort, high-energy falls were most appropriately characterized as:
- A patient with head and facial trauma after a high-energy event is being assessed for associated injuries. Which spinal association in the forensic cohort supports particular attention to the neck?
- Which paired injury association was reported in the forensic spinal-fracture cohort?
- The reported odds ratio for the association between head/facial trauma and cervical fracture was 3.59. Which interpretation is most defensible?
- In the cohort, what threshold was used to identify major trauma for the reported severity association?
- Which group of patients in the spinal-fracture study was used to assess long-term sequelae?
- Among the most frequently reported permanent sequelae in followed patients with traumatic spinal fractures, which was reported most often?
- Which statement best describes the sex distribution in the 277-patient spinal-fracture cohort?
- Which age-related etiologic pattern was reported in the spinal-fracture cohort?
- A forensic examiner is reporting a regional injury association found in a retrospective spinal-fracture cohort. Which statement is most appropriately cautious?
- A national review of non-fatal injury reports in the Netherlands found variation between regions. Which set of barriers was identified by the study?
- Which approach was recommended to improve equitable access to forensic medical expertise in non-fatal injury cases?
- A clinician records an injury accurately in the medical chart. Which statement best describes the relationship between that record and a forensic expert report?
- In the German multicentre study of live-victim examinations, which combination was included among the reasons for forensic examination?
- In the German study comparing institutes in Hanover, Cologne, and Leipzig, annual live-victim examinations increased from 252 in 1999 to which figure in 2003?
- A study reports large regional differences in forensic examination counts. Which conclusion is best supported by that observation alone?
- In the Bursa autopsy series, firearm-related deaths accounted for what proportion of all autopsies performed from 2019 to 2023?
- Which statement best summarizes the firearm type and sex distribution in the Bursa autopsy series?
- Which shooting-distance category was most frequent in the Bursa firearm-death series?
- Which anatomical locations were most commonly involved in the Bursa firearm autopsy series?
- In the Bursa firearm autopsy series, single entrance wounds were observed in what proportion of cases?
- A firearm death involves clothing that may have interfered with examination, and the body has undergone medical intervention. Which approach to firing-distance interpretation best reflects the reported evidence?
- Which additional evidence did the authors recommend integrating with autopsy findings for accurate firearm-case interpretation?
- Which statement accurately describes fractures in the firearm-related deaths in the Bursa series?
- In the Bursa series, alcohol was detected in what proportion of firearm-related deaths?
- A report states that head injuries occurred in 61.2% and thoracic injuries in 39.1% of a firearm-death series. Which interpretation of these percentages is most appropriate?