FORENSIC MEDICINE AND TOXICOLOGY

CURRICULAM OF SYLLABUS UNDER THE NEW REGULATIONS FOR THE MBBS.

COURSES OF STUDIES EFFECTIVE FROM THE SESSION : 2004-05 .

3rd semester

No. Therotical Diadectic Lecture No. of lecture

1. INTRODUCTION

a) History of Forensic Medicine in India. 1(one)

b) Definition of Forensic Medicine.

Medical Ethics & Ethiquette etc.

C) Role of General duties doctor in elementray criminal

Investigation in India and reporting of Me3dicolegal

Cases- general over view about duties of doctors in Medicolegal cases.

2. LEGAL PROCEDURE

a) Inquests & its type & difference between them. 1(one)

Criminals courts of India & their powers.

b) Procedures of of giving Medical evidences in criminal

courts type of evidence, Medical Certificates P.M.

Reports. Dying declaration & deposition and other

documents not subjected to oral evidence ordinarily. 1(one)

3. IDENTIFICATION

a) Definition , Medicolegal Importance, enumareration &

over view of datas for identification of subjects, 3(three)

with special mention of determination of age & sex in

living and dead (Discussion of individual datas which will

dealt in Practicle/Tutorial Classes i.e. from Bones, X-ray

films etc.)

b) Out line of Dactylography, Hair, Blood, Advances in 3(three)

Identification techniques namely blood grouping DNA Finger

Prints super-imposition photography etc.

c) Medicolegal importance of hair & teeth Examination and

different stains e.g. blood, seminal stains, and hazards 2(two)

of Blood transfusion.

(Writing of report on Blood and Seminal fluid examination

will be dealt with in Practical Tutorial)

4. DEATH & ITS MEDICOLEGAL IMPORTANCE

a) Definition, types & modes of death, suspended animation &

its medicolegal importance, moment of death with special 2(two)

reference to brain death & outline of Organ Transplantation

Act, Certification of death clinically and donation of dead

Bodies.

c) Signs of death (1) immediate , (2)Early, (3)Late e.g. eye

changes, P.M. staining Rigor mortis and condition stimulating

putrefation adipocere mummification & their Medicological

importance; General procedure of determination time passed

since death from post mortem examination. 4(four)

5. INJURY & ITS MEDICOLEGAL IMPORTANCE

a) Definition , classification, medicolegal considerations and

Relevant section of I.P.C. & P.C. 1(one)

b) General over view of different over views (1)Abrasion,

(2)Bruise, (3)Laceration, (4)Incised wounds and stsb injuries

and their Medicolegal importances. Difference between (1)P.M.

staining and bruise (2)Lacerated and incised wound, (3)wound

of entrance and exit of stab wound Individual injuries to

be discussed in practical/tutorial) 5(five)

c) GUN SHOT INJURIES - With elementary ballistics. 3(three)

Types of firearms & categories- Rifled & Smooth bored weapons

& related definition; styudy of gun shot injuries at different ranges includinbg Involuntary tatooing & Tandem bullet & cartridge etc. & wound (Terminal) Ballistics. Difference between wound of entrance and exit caused by bullet.

________________________________________________________________________

Total Lecture class in 3rd semester : 26(twentysix)

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4th Semester:

1. REGIONAL INJURIES

a) Head injuries Different types of skull

Fractures Intracranial Haemorrhages Hol bourn's Mechanism of

brain injuries, concussion, Lucid interval, Automatism,

difference from alchol intoxication, Duties of a doctor in

case of Head injury. 2(two)

b) Spinal Thorasic and abdominal injuries, Limb injuries including

Railway injuries. Traffic & other vehicular injuries,

Aviation injuries, and its medicolegal importance 1(one)

Thermal injuries & Starvation

c) Effects of Cold Heat Burn, Scald, Lightening Electricity,

Xray Burns etc. Causes of death from burn , Classification

of burn, difference between antemortem & Postmortem Burn,

Death from starvation, causes, signs & symptoms. 2(two)

d) Medicolegal aspects of wound, relevant section of I.P.C./Cr.P.C.

Difference between Antemortem and Postmortem Wound, Grievous

Hurt, Criterias of Homicidal & Sucidal wound, determination of age

of wound, causes of death from wound (Writing of Injury Report

will be dealt with in Practical/Tutorial). 2(two)

2. Violent Asphyxial death- Definition, salient feature of Hanging,

strangulation (Different types), suffocation (smothering, overlaying),

Choking, Burking, etc. Drowning, Traumatic Asphyxia, sexual

Asphyxia; Modes & Manners of death, fatal period, Postmortem

findings, Medicolegal consideration of each. 5(five)

3. Impotence, Sterility,Sterilisation, Artificial Insemination,Test Tube

Baby Surrogate mother, Medicolegal importance of each them. 1(one)

4. Virginity, defloration-signs; Difference between true & false

Virgin - Medicolegal importance. 1(one)

5. Classification of sex offence including definition & examples

Procedure of examination of accused victim of rape and

other sex offences different relevant section of I.P.C. &

relevant onsideration of sex preservations (Writing of Report

on Sex offence will be dealt with Practical/ Tutorial classes).

3(three)

6. Medicolegal aspects of pregnancies, Delivery, recent & remote

Signs of Delivery, Medicolegal problems of during of

pregnancy, Superffoetation Superfoecundation, posthumas child,

etc.Paternity determination, lrgitimacy. 2(two)

7. Abortion & its classification, MTP Act'71; Methods to

procure abortion , its complication & medicolegal importance.

1(one)

8. Infanticide, Viability, still and dead born, signs of live

And still birth and dead born; various tests & signs,

Cot death, Battered baby syndrome. 2(two)

9. Forensic Psychiatry including varous definition

Difference between true and feigned insanity,

Restraining a lunatic, Civil & Criminal responsibilites of

Insane, Somnambulism, Somnolemtia, hypnotism & out line

of Mental Health Act. 2(two)

10. Medical Law & Ethics

Indian Medical Council & State Medical Council Function &

Power, Professional conduct priviledege & duties of Medicle

Practioner & Malpractices E.S.I. Act, Workman compensation

Act, Medical Indemnity Insurance, C.P. Act, Medical Records &

Certificationj Consents, including informed consent,

vicarious Liability, Medical negligence, Human experimentation,

Euthanasia & Medicolegal aspects of AIDS, Torture/Atrocities on

Human being 5(five)

11. Toxicology, General consideration of a poison,

Classification, Diagnosis, General Management Antedotes,

Medicolegal importance, factors dodifying action of positions.

2(two)

12. Diagnosis of poisoning in living & dead, Duties of a Doctor

in a case of poisoning. (Writing of Report on Poisoning will

be dealt with in Practical Classes), Corrosive acids and Alkalies. 1(one)

_____________________________________________________________________________________

Total lecture class in 4th Semester : 32(thirtytwo)

5th Semester

INDIVIDUAL POISONS

1. Acute and chronic poisoning by Heavy Metallic Salts of

Arsenic, Mercury, Copper, Zing, Lead, Alluminium,

Phosphide Toxicity, Alcohol, Barbiturates, Aspirin. 5(five)

2. Dhatura, Opium, Cannabis, Kunch, Yellow olender,Aconite,

Kuchila, Seal kanta, M.L.aspect of food poisoning. 3(three)

3. Industrial poisons, common agricultural & environmental

poison, Aniline, M.C. 2(classes)

4. Death from Anaesthetic agents- use and abuse Drug Abuse

And recent considerations. 1(one)

5. Medicolegal Autopsies

Protocal Procedure, preservation including embalming,

Examination of mutilated bodies & bones (P.M.Demonestration

and writing of P.M. reports will be dealt with in Practical). 1(one)

__________________________________________________________________________________

Total Lecture Classes in F. M. T. =26(3rd) +32(4th) +12(5th)= 70 .

 

DEMONSTRATION/PRACTICAL CLASSES

3 rd Semester

No. of classes

1. IDETIFICATION

Examination of skeletal remains (namelly skull, mandible

Pelvis, Femur,Sternum,Ribs etc.)

For determination of (A)Age, (B)Sex,(C)Race, (D)Stature. 3(three)

2. DETERMINATION OF AGE FROM X-RAY. 1(one)

3. INJURIES

A) Examination of weapons including fire arms & its corelation

with injuries & Medicolegal Importance. 4(four)

B) Demonstration of injuries in emergenciey room and report

Writing. 1(one)

4. Demonstration of Medicolegal Autopsies and writing of

Reports 1(one)

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Total Demonstration classes in 3rd Semester : 10(ten)

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4th Semester.

1. Study of Medicolegal (M.L.) Photographs relating to

Identification/Injury/Death from different causes. 2(two)

2. Study of models showing different medicolegal problems 2(two)

3. Practical demonestration for variuos, Chemical Tests for

Blood and semen and examination of a suspected stain and

Writing of report. 3(three)

4. Examination of blood for testing blood group & Rh Factor. 1(one)

5. Demonstration of Medicolegal autopsies and writing of

Reports. 1(one)

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Total Demonstration Classes in 4th Semester : 9(nine)

5th Semester.

Including procedure of giving stomach wash . 1(one)

Corrosive meneral acids, Carbolic Acid, Oxalic Acid and

Corrossive alkalies.

Chlorinated compounds. 1(one)

Aluminium salts. 3(three)

4. Vegetable Irritants and other vegetable poisons

Animal Irritants e.g. Snake and other bites, Cantharides 1(one)

5. Opium , Morphine 1(one)

6. Dhatura , Cannabis 1(one)

7. Strychnine Oleander, Aconite, HCN/KCN 1(one)

Isocyanate (MIC) gas . 1(one)

Environmental and other Agriculture poisons .

9. Demonestration of Medicolegal autopsies and writing of Reports. 1(one)

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Total Demonestration Classes in 5 th Semester : 11(eleven)

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Total Demonestration Classes in F.M.T. : 10(3 rd) + 9(4 th) + 11(5 th) = 30(thirty)

FORENSIC MEDICINE &TOXICOLOGY

Item Card for Day to Day Assesment

 

3 rd Semester

Theretical & Oral

 

ITEM

FULL MARKS

MARKS OBTAINED

T O

SIGNATURE OF EXAMINER

T O

A.1. Forensic Medicine Preliminaries and legal proceure in India

10

 

 

 

 

A.2. Race Sex Age & Stature determination from skelaton remains including Forensic odontology. (IDENTIFICATION)

5

 

 

 

 

A.3. Inter-sex & foetal age determination

5

 

 

 

 

A.4. Hair, Scare, Tattoo & other marks

5

 

 

 

 

A.5. All prints including dactylography, superimposition

5

 

 

 

 

A.6. DEATH & PM CHANGES (Death & its signs)

5

 

 

 

 

A.7. Rigor Mortis etc.

5

 

 

 

 

A.8. Putrefaction ,its modified forms, Emblaming.

5

 

 

 

 

B.1. Mechanical injuries

10

 

 

 

 

B.2. Wound balistics

5

 

 

 

 

 

3 rd Semester

Practical

 

ITEM

FULL MARKS

MARKS OBTAINED

SIGNATURE OF EXAMINER

T O

  1. IDENTIFICATION
  • Age determination from skeletal remains including Gustafson;s firmula.

10

 

 

 

 

  • Age estimation from X-ray examination : 16, 18, 21 years & higher age groups and writing of hypothetical Age Certificates from teeth etc.

10

 

 

 

 

  • Sex determination from skeletal remains
  • Stature determination from long bones
  • Determination of important body indices : Cephallic Sacral etc.

10

 

 

 

 

  • Human hair identification

10

 

 

 

 

  1. INJURIES
  • Diagnosis of individual injuries

10

 

 

 

 

  • Injuries possible from different weapons and writing of ahypothetical injury report .

10

 

 

 

 

  • Determination of nature weapon from

Examination of injuries and age of injuries.

10

 

 

 

 

4 th Semester

Theoretical & Oral

 

ITEM

FULL MARKS

MARKS OBTAINED

SIGNATURE OF EXAMINER

T O

A.1. Legal & ethical aspects of practice of

medicine

10

 

 

 

 

 

 

A.2. Legal aswpects of injury

10

 

 

 

 

 

 

A.3. Thermal & other injury

5

 

 

 

 

 

 

A.4. Traffic & other conveyance injuries and

Regional injuries

10

 

 

 

 

 

 

A.5. Violent asphyxial death

10

 

 

 

 

 

 

A.6. Starvation

5

 

 

 

 

 

 

A.7. Forensic psychiatry

10

 

 

 

 

 

 

B.1. Sex offences and sex preservation.

10

 

 

 

 

 

 

B.2. Impotence & sterility , virginity &

Defloration

10

 

 

 

 

 

 

B.3. Pregnancy & delivery

10

 

 

 

 

 

 

B.4. Abortion & infanticide including

Bathered baby syndrome

10

 

 

 

 

 

 

B.5. Medicolegal aspects of blood and seminal stains and hazards of blood transfusion

10

 

`

 

 

 

 

C.1. General aspects of forensic technology

10

 

 

 

 

 

 

C.2. Corrosive agents

5

 

 

 

 

 

 

4 th Semester

Practical

ITEM

FULL MARKS

MARKS OBTAINED

SIGNATURE OF EXAMINER

T O

  1. Study of photographs relating to
  • Identification
  • Injuries
  • Death signs
  • Asphyxial death

10

 

 

 

 

 

 

  1. Study of Models relating to

1) Identification

2) Injuries

  • Death signs
  • Asphyxial death

10

 

 

 

 

 

 

C.1.Detection of BLOOD STAINS including procedure of collection of material and writing of reports.

C.2. Detection of seminal stains including preparation of a hypothetical report.

C.3. Writing of a hypothetical report on examination of avictim and male accused of Rape case.

10

10

10

 

 

 

 

 

 

D. Determination of blood group including Rh factor and writig of a hypothetical report

10

 

 

 

 

 

 

5 th Semester

Theroretical & Oral

SL.NO.

ITEM

FULL MARKS

MARKS OBTAINED

T O

SIGNATURE OF EXAMINER

T O

A)1

Carbolic and Oxalic acid, Vitriolage

10

 

 

 

 

 

 

2

Metallic Irritant

10

 

 

 

 

 

 

3

Non Metallic Irritant

5

 

 

 

 

 

 

B)1

Oraganic and Vegetable Irritant

5

 

 

 

 

 

 

2

Aicohol, Opium, Barbiturate and Drug Dependence

10

 

 

 

 

 

 

3

Spinal, Peripheral, Anaesthetics

10

 

 

 

 

 

 

4

Cardiac Poison

10

 

 

 

 

 

 

5

Asphyxiants, Food Poison

5

 

 

 

 

 

 

6

Organophosphorus, Carbamates, Al. Phosphide

10

 

 

 

 

 

 

 

5 TH Semester

Practical

 

ITEM

FULL MARKS

MARKS OBTAINED

SIGNATURE OF EXAMINER

III. TOXICOLOGY

a) General Diagnosis of Poisoning

10

 

 

b) Procedure of giving stomach wash

10

 

 

c) Diagonosis, Fatal doase and treatment of

  • Organic Acid
  • Non metallic Irritants

10

 

 

  • Metallic Irritants
  • Vegetable Irritants
  • Animal irritants , Snake bites

10

 

 

  • Somniferous Poisons :

Opium , Morphine

7) Inebrients : Ethyl and Methyl Alcohol.

  • Cardiac Poison : Oleander , Aconite

10

 

 

  • Deliritant : Dhatura, Cannabis
  • Asphyxiants and Industrial Environmental Poisons : CO, CO 2 , Tear & war gases M.I.C and Aniline Compounds
  • Synthetic and Semisynthetic Barbiturates etc.

10

 

 

    • MEDICOLEGAL AUTOPSIES
  • Prerequisites, Parts of P.M. report, formation of opinion (in each cases demonstrated)

 

 

 

TOTAL MARKS OF CONTINUOUS INTERNAL ASSESMENT IS = 260

IF A CANDIDATE OBTAIN ‘n’ MARKS, THEN MARKS OBTAINED OUT OF 5 = n/52

TOTAL MARKS CONTINUOUS INTERNAL ASSESMENT IS 200 .

IF MARKS OBTAINED IS ‘n’ THEN MARKS OBTAINED OUT OF 5 = n/40

THEORETICAL

PRACTICAL

SIGNATURE

HEAD OF THE DEPARTMENT

 

2 nd Professional MBBS Exam

Forensic Medicine & Toxicology

Total Marks- 100

Theory : One Paper : 40 marks ( Time 2 hours for Theory Paper )

Oral: 10 marks

Practical: 30 marks

Internal assesment :- 20 marks

Theory :------------------------------------10 marks

Practical----------------------------------- 10 marks

______________________________________

100 marks

Practical Examination :-

(Total Marks 40 )

(7 minutes x 5 items = 35 minutes )

ABO Rh ) (10 minutes )

For each item---------------------------------------------------5 marks

(Total :- 6 items x 5 =30 marks )

A. Theretical+ Internal Assesment + Oral

Full Marks : 40 +10 +10 =60 Pass Marks : 30

B. Practical + Inaternal Assesment

Full Marks : 30 + 10 =40 Pass Marks : 20

C. Internal Assesment :

Minimum marks to be obtained in Internal Assessment for appearing in University Examination

is 7 (3.5 Theory + 3.5 Practical ).

 

  

Scheme of Examination F.M.T.

Question No. 1 (Group – A)

           Two questions                                                                 Marks – 2 x 5

 

Question No. 2 (Group – B)

a)        Two medicolegal importance  out of three                           Marks – 2 x 2

b)        Two short notes out of three                                             Marks – 2 x 2

 

Question No. 3 (Group – C)

a)        Two Differentiate between (Total question three)                 Marks – 2 x 2

b)        Two Explanation (Total question three)                               Marks – 2 x 2

 

Question No. 4 (Group – D) From Toxicology chapter

a)        One long question                                                             Marks – 5

b)        Two short questions                                                         Marks – 2 x 2

Model question for question No. 4 (Group – D)

Q.4.   a) What is antidote? Mention briefly different types of antidotes with examples.  1+4=5

          b)  i) Write minimum fatal dose of the following poisons (any two):                   2 x 1=2

1.        Arsenious Oxide.

2.        Organophosphorus Compound

3.        Mercuric Chloride.

ii) Mention the preservation to be used for chemical examination for poisoning by 

    (any three):                                                                                         3 x 1=3

       1.        Hydrocyanic acid.

       2.        Copper Sulphate.

       3.        Carbolic acid.

       4.        Aconite root.

 

 

The West Bengal University of Health Sciences

Examination – 2005

 

Subject : Model Question for 2 nd Professional MBBS Examination in

Forensic Medicine & Toxicology.

 

Time: 2 hrs.                                                                                           Full Marks: 40

There are four groups of  questions 

Use separate answer script for each group.

 

Answers to questions of group D is to be completed within first twenty minutes and handed over to the Invigilator positively.

 

Group – A 

1. (a)  A girl of above 18 years of  age was found lying dead in a lonely place on road side with torn undergarments with some abrasions and contusions over neck, face and private parts.

How will you determine that   (i)  She died due to throttling and (ii) She was sexually violated before death ?

What physical and biological articles would you preserve in this case and why ?

2 + 2 + 1 = 5 

    (b)   A male subject  aged about 65 years was found in a dead state with gaping wounds over head area. Mention the findings which will suggest that (i) he died to chopping cuts (ii) he consumed alcohol prior to death  (iii)  death was homicidal in nature.

2 + 1.5 + 1 .5 = 5

    (c)  Name some poisons which will constrict pupil.

Describe briefly the symptoms and signs treatment of poisoning by such a compound in rural Bengal .

1 + 2 + 2 = 5

   (d)  Describe briefly the immediate restraining of a lunatic. What findings may suggest that a male subjected is feigning to be mentally ill?                                                     

2 .5  + 2 .5  = 5  

Group – B 

2. (a) Write Medicolegal importances of  (any two)                                                

2 .5  X  2 = 5

i)                     Turner’s Syndrome

ii)                    Second life test

iii)                  Diatons

iv)                  Study of maggots

(b) Write short notes on ( any two) :

2 .5  X  2 = 5

i)                     Universal antidote

ii)                    Illusion

iii)                  Professional Secrecy

iv)                  Examination – in – Chief.

 

Group – C

 

3. (a) Differentiate between ( any two) :                                                     2 .5  X  2 = 5

i)                     Gunshot wounds of extrance and exit in contact shot.

ii)                    Respired and unrespiredlung in a dead new born.

iii)                   Somatic & molecular death

iv)                  Burn & Scalds

(b) Explain why ( any two)  :                                                                          2 .5  X  2 = 5

i)                     Covering is an infamous conduct

ii)                    Hesitation cuts may be seen in suicidal cut throat injure

iii)                  Quickening is not a sure sign of pregnancy

iv)                  Lochia is seen in a recently delivered woman.

  

 

 

 Group – D 

Q.4.   a) What is antidote? Mention briefly different types of antidotes with examples.                                    1+4=5

          b)  i) Write minimum fatal dose of the following poisons (any two):                                                    2 x 1=2

1.        Arsenious Oxide.

2.        Organophosphorus Compound

3.        Mercuric Chloride.

ii) Mention the preservation to be used for chemical examination for poisoning by   (any three):        3 x 1=3

       1.        Hydrocyanic acid.

       2.        Copper Sulphate.

       3.        Carbolic acid.

       4.        Aconite root.