Sexual Offences, Infanticide and Childhood Violence MCQs

Forensic Medicine · 26 free questions with answers & explanations.

1. In medicolegal examination of a rape survivor, which finding is considered the MOST legally significant for corroboration?
2. The principal sign used to distinguish live birth from stillbirth in a suspected infanticide case is:
3. In a case of alleged rape, the medical examination is performed 72 hours after the alleged event. Which of the following findings would be MOST forensically significant at this time?
4. In India, infanticide is defined as the unlawful killing of a child under what age, and the MOST common method used is:
5. The 'hydrostatic test' (docimasia pulmonum) is performed at autopsy to determine whether a neonate was liveborn. What is the CORRECT interpretation of this test?
6. A 6-year-old girl is brought to the emergency department with hymenal injuries. The hymen shows a posterior transection extending from 4 to 8 o'clock position through the full thickness. This finding is MOST consistent with:
7. In the medico-legal examination of a female victim of alleged rape, which finding would MOST support the occurrence of recent forcible penile-vaginal penetration?
8. A newly-born infant is found dead in a latrine with signs of live birth (well-inflated pink lungs that float on water and submerge when compressed — positive hydrostatic test). The umbilical cord is torn, and there are multiple bruises on the head. The most likely finding in the LUNGS to indicate the infant breathed air postnatally (in addition to the hydrostatic test) is:
9. In a medico-legal examination of an alleged rape victim, the hymen is found intact but shows transverse rugose folds. Vaginal swabs reveal motile spermatozoa. The MOST accurate medico-legal opinion regarding the hymen is:
10. In a case of alleged infanticide, autopsy of a newborn shows aerated lungs that float in water (hydrostatic lung test positive) and diatoms in lung tissue matching the water body. The MOST appropriate medico-legal conclusion regarding live birth is:
11. The classic triad of shaken baby syndrome (abusive head trauma) consists of:
12. Under BNS 2023, the offence of rape is defined in:
13. A dead newborn is found with a triangular laceration at the occipital region, moulding of the skull, and evidence of passage through the birth canal. The cause of death appears to be a blow to the head. Medico-legally, this case must be distinguished between murder and stillbirth using:
14. In evaluation for child sexual abuse, the most reliable forensic indicator of chronic penetrating sexual abuse in a prepubertal child is:
15. Shaken baby syndrome (abusive head trauma) produces its characteristic injuries primarily through which biomechanical mechanism?
16. In medicolegal examination for rape, the hymen is assessed for tears. A 'complete hymenal tear' extending to the base (vaginal wall) that heals with scar tissue formation is called:
17. In Battered Child Syndrome (BCS), the radiological finding that is MOST specific and pathognomonic of non-accidental injury (NAI) in infants is:
18. Under POCSO Act (Protection of Children from Sexual Offences Act) 2012, 'Aggravated sexual assault' on a child is punishable and is defined as assault by persons in a position of trust or authority. Which age threshold defines a 'child' under the POCSO Act 2012?
19. Under BNS 2023 (previously IPC 375), non-consensual penetration of the vagina or anus by an object other than the penis is classified as:
20. Under POCSO Act 2012 (amended 2019) and the Bhartiya Nyaya Sanhita 2023, a doctor examining a child for suspected sexual abuse must provide:
21. In suspected infanticide, the 'hydrostatic lung test' (docimasia pulmonaris hydrostatica) determines whether a newborn breathed after birth. A POSITIVE test (lungs float) indicates:
22. Colposcopy with digital photography is used in the evaluation of suspected sexual assault victims. Its main advantage over naked-eye examination alone is:
23. In a case of alleged sexual assault, vaginal/rectal swabs are collected 60 hours post-assault. Spermatozoa are not found. The BEST specimen to maximise probability of DNA recovery from the assailant at this time point is:
24. Shaken baby syndrome (abusive head trauma) is characterised by the triad of retinal haemorrhages, subdural haematoma, and encephalopathy in the absence of external skull injury. The biomechanical mechanism responsible for the subdural haematoma in shaking alone (without impact) is:
25. Under the Protection of Children from Sexual Offences (POCSO) Act 2012 and its 2019 amendment, which provision specifically addresses situations where a child discloses sexual abuse but there is no physical or forensic evidence?
26. Shaken Baby Syndrome (Abusive Head Trauma) presents with a classic triad. Which combination of findings constitutes the classic triad, and what is the mechanism?