Untitled document - 2023-12-27T013656.601
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University of South Alabama *
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176
Subject
Law
Date
Nov 24, 2024
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ABMDI Questions (From Book)
Official pronouncement of death can:
a. Be accomplished only by a physician
b. Be accomplished by any medical professional
c. Be accomplished by any responsible party
d. Be accomplished by on-duty police officers
e. Be determined by state statute and local customs - ANS E
Authorization to conduct a medicolegal autopsy must be provided by:
a. The decedent's next-of-kin
b. The coroner or medical examiner when jurisdiction is established
c. A will or other document signed before death
d. The treating physician
e. All of the above - ANS B
A previously healthy four-month-old infant is found unresponsive in his crib at
home. He is rushed to a hospital, where he is maintained on a respirator for 26
hours before being declared dead. No external trauma or disease is noted by the
treating physician:
a. The coroner is without jurisdiction because of hospitalization
b. The coroner has jurisdiction because of the unexplained death of an infant
c. The coroner has jurisdiction because of length of hospitalization
d. The absence of trauma precludes the coroner's having jurisdiction
e. Significant trauma will always be apparent on the surface of the body - ANS
B
Your office is investigating a suspected SIDS death. You should notify your
statewide SIDS program within:
a. As soon as possible following the autopsy
b. Within 24 hours of the death
c. Within 48 hours of the death
d. Within 72 hours of the death
e. Within one week of the death - ANS A
In general, which of the following are NOT normally considered for organ/tissue
procurement purposes?:
a. Liver and kidneys
b. Long bones and pelvis
c. Reproductive organs
d. Heart valves
e. Pancreas and skin - ANS C
Authorization for organ/tissue procurement is considered valid if:
a. A donor designation appears on the decedent's drivers license
b. A donor card with the decedent's name is found in his/her wallet or purse
c. An emergency room physician gives permission
d. The decedent's legal next-of-kin or representative has given consent
e. No legal next-of-kin can be located - ANS D
The death investigator and a police officer arrive at the scene within minutes of
each other:
a. The police officer is in charge and directs the work
b. The death investigator is in charge and directs the work
c. The best approach is a "team" approach to performing the work
d. Each has specific responsibilities to perform, and they should not interact
e. Work together only if necessary; you represent different agencies - ANS C
In constructing a narrative report, the main idea is to relate:
a. Your involvement in the case
b. The main reason for the death
c. An overall and concise view of what happened
d. How the deceased was identified
e. Background information regarding the condition of the body - ANS C
Choose one of the most important communication skills for gathering information
at the scene:
a. Talk to all neighbors
b. Listen and actively study witnesses
c. Write down your thoughts
d. Avoid eye contact with suspects
e. None of the above - ANS B
The pathologist must be alerted to religious requests from the family:
a. Before the victim's body is taken from the hospital
b. After the autopsy, before the body is taken to the funeral home
c. Only if the religion requires it
d. Before the autopsy is performed
e. Before the victim's body is taken from the scene - ANS D
When communicating with the pathologist, a good investigator distinguishes
between a request for information and a request for an opinion. Which type is the
following question: "What time was the death pronounced?":
a. Request for an opinion
b. Request for information
c. Request for information and opinion
d. Request for assistance
e. None of the above - ANS B
When obtaining information about a decedent from family members, the first
priority should always be to obtain information from:
a. The family member who seems the most stable
b. The family member who last saw and/or talked with the decedent, or has
firsthand knowledge regarding the circumstances surrounding the death and/or
medical history
c. The decedent's primary care giver or personal physician
d. The family member who is in control of the family unit
e. The police officer who found the body - ANS B
Family members often ask why the medical examiner/coroner is involved. When
discussing the case with the family, what is the best prescribed answer to give
them?:
a. Simply tell the family, "It's the law"
b. Explain what is believed to have occurred (homicide, suicide, unexpected
death) and why the medical examiner/coroner is investigating the death
c. Explain that the decedent's attending physician does not want to be involved
with certifying the cause and manner of death
d. Tell them to seek legal counsel if they have any questions
e. Refuse to answer any questions - ANS B
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When investigating a "homicide" death case, you discover that the victim and
surviving family are orthodox Jews. The family voice their objection (based on
religious belief) to an autopsy being performed. Which of the following would be
the best recommended procedure to follow?:
a. Tell the family that "It's a homicide case, and therefore an autopsy must be
performed"
b. Have the homicide detective in charge of the case talk with the family
c. Counsel the family. Explain the circumstances surrounding the investigation
and why (criminal prosecution, etc.) the autopsy needs to be performed
d. Have the family's rabbi talk with them and the detective in charge
e. Refer the family to the county medical society - ANS C
If the deceased is decomposed, mutilated, or burned beyond recognition and the
family still insists, for religious or cultural reasons, on viewing the body, the
investigator should:
a. Expedite the family's request for an immediate viewing by taking them directly
to the viewing area
b. Refuse their request to view the remains under any circumstances. Viewing
will take place after the funeral director assured the investigator that the body is
appropriately prepared
c. Prepare the family before viewing with a verbal explanation and possibly
photographs of the remains
d. Gather all pertinent information from the family after they view the remains
e. Allow all family members to view the remains, regardless of their reasons for
wanting to do so - ANS C
A clandestine methamphetamine laboratory has exploded, and the "chemist's"
body is on the scene. You may undertake your scene investigation when:
a. The police and fire departments think the scene is safe
b. The fire department and hazardous materials team think the scene is safe
c. The fire department and police chief think the scene is safe
d. The media has arrived
e. Visible flames are no longer present - ANS B
You arrive at an outdoor homicide scene and find that the crime scene tape binds
too small a perimeter. Onlookers and media are beginning to gather. You should:
a. Immediately take down the tape and enlarge the perimeter
b. Not "fuel" the crowd by moving them because the scene has already been
contaminated
c. Remove the body from the scene as quickly as possible to avoid creating an
unruly mob and hostile media
d. Keep the tape in place and advise the investigating police agency of the need
to enlarge the perimeter
e. Tell the crowd to move back or the police will arrest them - ANS D
You are investigating the death of an unidentified person. A search of the
subject's pockets turns up an ID card without a facial photograph on it. You
should:
a. Assume that the subject is who the ID says he is
b. Search the body for further ID; if you don't find any, just use the ID card that
was in his pocket
c. Be aware that an ID case that does not contain a facial picture should never be
used to make a positive identification
d. Be aware that it's not the concern of your office to obtain a positive ID of any
deceased. This is a police matter
e. Assume that the subject has a fingerprint file - ANS C
The basic purpose of crime scene photography is:
a. To document the crime scene
b. To support the sketch of the scene
c. To show the benefits of color film
d. To persuade judges and juries
e. To provide educational material - ANS A
Homicide detectives at the scene of a sex-related death ask that the deceased
be fingerprinted immediately to expedite identification. Which statement
describes the proper action to take?:
a. Photograph the hands and then allow fingerprinting to take place
b. Allow fingerprinting while at the scene. Immediate identification of the
deceased is crucial
c. Place paper bags on the hands to protect any trace evidence and assure the
police that the body will be fingerprinted in a timely manner after evidence
collection
d. Have the homicide detectives call their supervisor and ask his/her advice
e. Point out to the detectives that fingerprinting can be done only during the
autopsy - ANS C
Why is it necessary, when in a residence or apartment, or when going through
personal belongings of the deceased, to do this in the presence of an
independent witness? - ANS When recovering personal property or evidence at
remote scenes or private residences, the investigator should always have an
independent representative view the procedure to avoid accusations at a later
date. If personal items or property are missing from the scene, the family will
challenge the process of the investigation. Numerous allegations of theft are
leveled on death investigators by family members when proper procedures are
not followed. The investigator should mention and make receipts for any
evidence or property confiscated from the scene. Maintaining the chain of
custody of all items will ensure proper presentation of evidence in the courtroom
and alleviate unnecessary challenges to the evidence
You are at the scene of a sudden and unexpected death of a 16 month old child.
The family members want to hold the child. What should you do?:
a. Tell them they should have thought about that before, and to leave the child
alone. You must collect evidence at this time
b. Consider the evidence you have discovered to this point and make a
professional decision based on those facts, always taking the family into
consideration
c. Place the body in a body bag and tell the family that they can view the body
after the pathologist has completed an autopsy
d. Advise them of the federal statute that prohibits the handling of evidence
during the conducting of an investigation
e. Point out to all family members (except the mother) that the rights of the child
supercede theirs, and that they will have a chance to hold the child after the
investigation is complete - ANS B
Immediately upon arriving at the scene of a death, the death investigator should
do which of the following?:
a. Make sure sufficient boundaries are established
b. Be interviewed by the media
c. Identify and contact the law enforcement officer in charge
d. Assign an officer to guard the scene if the investigator suspects problems
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e. All of the above - ANS C
The first priority at a homicide death scene is usually:
a. Securing and protecting the scene
b. Administering first-aid to any injured persons
c. Establishing a command center
d. Investigating
e. Interviewing witnesses - ANS B
When a decedent is discovered in a public place and a crowd has gathered, the
investigator should:
a. Immediately move the body to the morgue and evaluate it there
b. Have the body shielded from view (by using a clean sheet, line of officers,
automobile etc.) and conduct a death scene investigation
c. Conduct a death scene investigation without covering the body because
covering it may detract from the integrity of photographs of the scene
d. Conduct a death scene investigation without covering the body to ensure that
no trace evidence is transferred onto the covering material
e. Order the police to disperse the crowd - ANS B
A 32-year-old male dies of AIDS; 30 days after the decedent's funeral, it is
permissible for the death investigator to:
a. Release pictures taken at the scene to the media
b. Disclose information about the death to interested parties as permissible by
statute
c. Inform the media as to the cause of death
d. Release information to the legal next-of-kin
e. None of the above - ANS B
The investigator arrives at an outdoor scene where there is a crowd of onlookers.
Police officers are standing around the nude body of a young female victim.
Which is the BEST step for the investigator to take?:
a. Cover the body with a clean sheet or covering
b. Proceed with the investigation
c. Stand with the police officers until the crowd is pushed back, and then cover
the body
d. Cover the body with a blanket recovered from a nearby home
e. Do nothing - ANS A
If a body is not identified within a reasonable time, the investigator should:
a. Have the body buried, after having exhausted all scientific methods of
investigation
b. Put an ad in the newspaper with a description of the body and ask for the
public's assistance in the identification
c. Keep the body for a reasonable time and see whether anyone telephones the
office looking for a missing person who fits the description of the unidentified
individual
d. Contact the local police department and complete an NCIC form
e. All of the above - ANS E
If a dead person has been identified and the family has been notified of the death
but refuses to take responsibility for disposing of the body, it is the investigator's
responsibility to:
a. Notify the family of the office procedures that will be followed to dispose of the
body
b. Call civic and religious organizations to see whether they have any funds to
bury unclaimed bodies
c. Find the least expensive way to dispose of the remains and do so quickly to
alleviate crowding at the morgue
d. Keep the body and call the family every two to three days to see whether they
have changed their minds and will not take responsibility for disposing of it -
ANS A
Drowning is diagnosed by:
a. The combination of autopsy findings and a history of submersion
b. Water or fluid in the stomach
c. A history of the body being submerged
d. Water or fluid in the lungs
e. Absence of traumatic injury - ANS A
As an investigator, which of the following injuries would make you most suspect
child battering?:
a. Fracture of long bones
b. Injuries inconsistent with the explained mode of injury
c. A history of a fall
d. Thermal burns to the body
e. Bruises to the body - ANS B
Identifiable soot detected in the airway of a fire victim indicates which one of the
following?:
a. Breathing during the fire
b. An artifact caused by the fire
c. Charring of the human tissue during the fire
d. The victim was a heavy smoker
e. The death was the result of the fire - ANS A
The most common causes of physical traumatic death in child abuse cases are:
a. Poisoning and drugs
b. Subdural hematoma and/or intraabdominal hemorrhage
c. Fractured ribs and upper arms
d. Stab wounds and incisions
e. Thermal burns - ANS B
Factors that affect the body's cooling rate include all of the following EXCEPT:
a. Body size
b. Ambient temperature
c. Gender of the individual
d. Amount of clothing
e. Position at the scene - ANS C
All of the following items are useful in estimating the time of death EXCEPT:
a. Rigor mortis
b. Maggot infestation
c. Newspapers accumulated at the scene
d. The amount of blood present at the scene
e. Blanching of lividity - ANS D
Blunt-force injuries that tear tissue and expose the nerve and blood vessels
beneath the skin are most appropriately described as:
a. Incisions
b. Lacerations
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c. Contusions
d. Abrasions
e. Stab Wounds - ANS B
An intermediate-range gunshot wound is identifiable by:
a. Powder residue inside the entrance wound
b. Bullet wipe surrounding the entrance wound
c. Multiple unburned powder particles surrounding the entrance wound and/or
clothing
d. A gray smudge or smoke residue on the clothing
e. No evidence of powder deposition - ANS C
A distant-range gunshot wound is identifiable by:
a. Stippling or tattooing surrounding the wound
b. Soot surrounding the wound
c. An absence of gunshot residue surrounding the wound and/or clothing
d. Fouling surrounding the wound
e. Soot within the wound - ANS C
Which of the following statements regarding maggots infecting a body is TRUE?:
a. An autopsy performed on a maggot-infested body cannot be useful
b. Maggots cannot be used to assist in estimating the time of death
c. Maggots do not occur in bodies that have been dead for more than two weeks
d. Maggots grow at predictable rates, depending on the climate and temperature
e. An expert who studies maggots is an odontologist - ANS D
Additional information that should be sought in cases of suspected child abuse
includes:
a. Whether one parent was absent at the time of injury
b. Whether a non-natural parent or paramour was the caregiver of the victim at
the time of injury
c. Photographs of the object causing injury or the place of injury
d. Previous injuries suffered by the child
e. All of the above - ANS E
Suicide investigations are difficult because:
a. Social and cultural stigmas often make witnesses uncooperative
b. Insurance benefits are sometimes negated by a finding of suicide
c. Both A and B
d. The cause of death is a seldom apparent
e. Suicide notes are never present at the scene - ANS C
You've just finished a 40-hour week of constant scene investigations. You feel
pressured and stressed and consider all of the following EXCEPT WHICH ONE?:
a. Seek help from your employer about counseling assistance programs
b. Keep your feelings to yourself; every investigator has this problem
c. Relive your anxieties by talking to coworkers
d. Seek comfort by talking to friends and family
e. Exercise - ANS B
Which of the following is a sign of job-related stress?:
a. Overeating
b. Excessive tardiness
c. Equipment abuse
d. Talking about personal stress
e. All of the above - ANS E
After an emotional death investigation of a severely abused and neglected
handicapped senior citizen, the investigator should:
a. Contact the responsible social agency and report the situation for follow-up
investigation, while discussing the case with a caring coworker
b. Seek medical help and sedatives to ease his/her internal feelings
c. Contact the responsible agency and demand an explanation for their failure to
intervene in the decedent's situation
d. Display anger and frustration to the decedent's primary care provider
e. Consult the chief medical examiner/coroner for the proper way to forward this
information to the appropriate agency - ANS A
All of the following are goals of Critical Incident Stress Debriefing (CISD)
EXCEPT WHICH ONE?:
a. Restoring workers to pre-crisis levels of functioning
b. Mandating that workers visit counselors
c. Preventing job "burnout"
d. Exploring and sharing coping mechanisms
e. Offering support for those workers who have encountered atypical job events -
ANS B
Which of the following is/are the MOST appropriate coping mechanism(s) for
job-related stress?:
a. Discuss events with co-workers
b. Consider other job opportunities
c. Participate in debriefing opportunities
d. Seek out the company of others who have stress on the job
e. A and C - ANS E
If a coworker is frequently telling death-related jokes to coworkers, you should
view this as:
a. His/her inability to handle job-related stress
b. His/her coping mechanism
c. Inappropriate behavior that must be reported
d. An indicator of how stressed the coworker is
e. Counseling from peers in their office - ANS B
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