A bunch of class notes, scribbled in a manner which even trained pharmacists – accustomed to reading doctors’ illegible handwriting – would find difficult to decipher, turned into a book, in 2004. The book was initially written off by some purists. Nonetheless, I wrote it as a labour of love. I was convinced that students needed a book like that. From the unassuming beginning of its first print, the book now has reached its seventh edition – spanning more than 14 years – and I’m humbled to discover that #RoFM has become a bestseller among books on Forensic Medicine on various online platforms. *** Contents *** 1. Identification ................................................1 MCQs ............................. 31 2. Thanatology–Taphonomy..........................42 MCQs ............................. 65 3. Injuries and Its Medicolegal Importance ................................................. 76 MCQs ........................... 104 4. ViolentAsphyxialDeaths........................117 MCQs ........................... 133 5. MedicolegalAspects: Sexual Offences ....................................... 142 MCQs ........................... 157 6. InfanticideisMurder................................162 MCQs ........................... 167 7. ThermalInjuries.......................................172 MCQs ........................... 183 8. ForensicPsychiatry..................................185 MCQs ........................... 192 9. Starvation.................................................196 MCQs ........................... 197 10. BiologicalEvidence.................................198 MCQs ........................... 204 11. Impotence, Sterility and MTP ................. 206 MCQs ........................... 213 12. Toxicology................................................217 MCQs ........................... 281 Review of Forensic Medicine xi 13. Medicolegal Procedures ......................... 314 MCQs ........................... 323 14. MedicalJurisprudence............................331 MCQs ........................... 344 15. Medicolegally Important Sections/Acts ............................................ 349 16. Question svs.Concepts............................356 17. The Forensic Name Game ...................... 407 18. TheForensicImaginarium*.....................413 Epilogue .................................................... 417

1. Review of
Forensic
Medicine
Seventh Edition

2. PEEPEE
PUBLISHERSANDDISTRIBUTORS(P)LTD.®
Dr. Sumit Seth MBBS (MAMC), MD (LHMC)
INDIAN FOREIGN SERVICE
Ex-Senior Resident
Department of Forensic Medicine
Lady Hardinge Medical College and
Associated Smt. Sucheta Kriplani and
Kalawati Saran Hospital
New Delhi
Review of
Forensic
Medicine
Seventh Edition

3. Review of Forensic Medicine
Published by
Pawaninder P. Vij and Anupam Vij
Peepee Publishers and Distributors (P) Ltd.
Head Office: 160, Shakti Vihar, Pitam Pura
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Correspondence Address:
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© 2018 by Peepee Publishers and Distributors (P) Ltd.
All rights reserved
No part of this publication may be reproduced or
transmitted in any form or by any means, electronic,
mechanical, photocopy, recording, translated, or any
information storage and retrieval system, without permis-
sion in writing from the publisher.
This book has been published in good faith that the
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Every effort is made to ensure accuracy of material, but
publisher and printer will not be held responsible for
any inadvertent errors. In case of any dispute, all legal
matters to be settled under Delhi jurisdiction only.
First Edition: 2005
Seventh Edition: 2018
ISBN: 978-81-8445-244-0

4. In memory of my dad,
the late Sh. Satish Kumar Seth,
who taught me the virtues of staying ahead of
time and standing up against conventional
wisdom

5. Read Less, Study More – But How ?
Introduction: The purpose of this book is to equip students with a
robust study technique called Retro-Analysis.
Retro-Analysis ensures active learning and builds up “cognitive muscles”
that help students separate confuzers (incorrect choices that resemble
the correct answers) from correct answers, thereby providing the
fundamental skills required for passing any multiple choice exam.
The One-Two-One Sandwich Regime: The best way to study this
book, or any subject, is to follow this highly-rewarding study regime,
where Retro-Analysis plays a central role. A student should study each
topic, chapter, or module in three stages, creating a “sandwich” formation
in terms of assigned time, where the ratio presents the sequence 1 : 2 : 1
for steps I, II and III, as described below:
I. First Stage: Anterograde Reading – a first sequential reading of
the text.
II. Second Stage: Retrograde Analysis* (see below).
III. Third Stage: Speed Revision – reading the text again, along with
your own handwritten/highlighted annotations.
For example, if it takes one hour of anterograde reading to cover a
chapter, that first reading should be followed by two hours of retro-
analysis of that chapter, followed further by a speed revision for one
hour. This is known as One-Two-One Sandwich Regime.
What is Retro-Analysis?
Retro-Analysis is a reverse study technique, used not only for finding
the correct answer, but also for understanding why the other three
choices are wrong. This study technique involves adding handwritten
annotations to the text to help create Concept Maps. Using MCQs as a
yardstick, this means solving MCQs not by looking at the key but by
actively seeking the correct answer. This is facilitated by reverse studying
of the text of this book and any textbooks studied for graduation.
[Statutory Warning: The key given in the book has some deliberate!
typos, so don’t rely on it!]
Remember that the more closely the confuzer resembles the real answer,
the slipperier! the MCQ, becomes.
Advantages of Retro-Analysis:
(1) Active learning;
(2) High retention and recall;
(3) Development of time-saving confuzer-spotting skills;
(4) Crystallising concept maps for long term memory vault;
(5) Prevention of careless errors in exams.
Conclusion: Once this Sandwich Study Regime becomes second nature,
students will tread the path of great insight and gain decisive advantage
vis-a-vis candidates who continue to Read More but Study Less. This is
the Game-Changing Mantra, and I share it with you ::: Read Less, Study
More.
Sumit Seth
e-mail: doctorsumitseth@gmail.com
@MedForensic
/ReviewFMT

6. Prologue
A bunch of class notes, scribbled in a manner which
even trained pharmacists – accustomed to reading
doctors’ illegible handwriting – would find difficult to
decipher, turned into a book, in 2004. The book was
initially written off by some purists. Nonetheless, I
wrote it as a labour of love. I was convinced that
students needed a book like that. From the
unassuming beginning of its first print, the book now
has reached its seventh edition – spanning more than
14 years – and I’m humbled to discover that #RoFM
has become a bestseller among books on Forensic
Medicine on various online platforms.
I’ve revised the seventh edition with a deep sense
of gratitude and responsibility. Along with some add-
ons, I’ve written a new chapter, ‘The Forensic
Imaginarium’, in sync with the latest exam pattern
of giving emphasis to images. Some portions of a few
chapters have been rewritten, and newer concepts
have been included. The chapter ‘The Forensic Name
Game’ captures the overarching theme of the book –
Read Less, Study More. Well, in spite of my best
efforts, I couldn’t prevent the book from gaining a few
extra pounds!
This book, RoFM, will help students understand
and remember the important ‘must knows’ of Forensic
Medicine. The focus is on assisting students grappling
with information overload plus a need for rapid revision.
With these ideas deliberated on, RoFM will help
students grasp the essential areas of Forensic
Medicine with ease. Please remember that #RoFM is
NOT a textbook but an enzyme! with the singular
aim of helping the content - from prescribed textbooks
of Forensic Medicine – sift through a barrier normally
difficult to cross, i.e., the Blood-Brain Barrier.

7. viii Review of Forensic Medicine
I’ve used my vast experience as a student and
intensive knowledge as a teacher to ensure that the
book ends up being ‘reader friendly’. I have made my
best effort to make this book complete yet concise. I
request all readers to share your valuable suggestions
for further improvement. In times when most books
are written with ‘the subject’ in mind, I’ve written this
book with ‘the student’ in mind.
I’m acutely aware that ‘a good book cannot
replace a good teacher’. I’ll keep tweeting and
updating the FB page and interacting with you using
the hashtag #RoFM, so that you don’t miss out
anything new and I can continue with my favourite
hobby. In full disclosure, Forensic Medicine is no
longer my active profession but a delightful avocation.
Sumit Seth
e-mail: doctorsumitseth@gmail.com
@MedForensic
/ReviewFMT

8. Review of Forensic Medicine ix
Acknowledgements
To my respected guide
Dr GK Sharma, Director Prof, Forensic Medicine,
Ex-Principal and Medical Superintendent, Lady
Hardinge Medical College, who has inspired me with
his in-depth knowledge of the subject and his
magnanimous personality. I’ll always be indebted to
him.
To my teachers
Dr Atul Murari and Dr Yashoda Rani
who showed me the right way in life and taught me
the intricacies of this subject.
To all my colleagues
for their help and cooperation in preparing the book.
To all my friends, especially
Dr Sumer Kumar Sethi (Radiologist) and Dr Vineet
Malik (Cardiologist), for pushing me to take up this
project and persevere with it. Dr Syeda Afshan, who
read the previous edition with a magnifying glass! and
sent me a list of errata, making the current edition
typo free–almost!
MrPawaninderPVijandMrAnupamVij(Publishers),
without whose cooperation this book would never have
been possible.
To my students of
Lady Hardinge Medical College (Hardonians), who
showed faith in my ability as a teacher and constantly
‘troubled me’ with their never-ending queries.
To my virtual students
on Twitter, Facebook and Whatsapp!, all credits
to them for keeping me and the knowledge of Forensic
Medicine, on my fingertips – in this era of touch screen.

9. x Review of Forensic Medicine
Special thanks to my younger brother, Amit, for
letting me use the computer more than my fair share
while I was writing the first edition (Those days, we
had only one heavyweight desktop).
To my beloved wife, Tanu, for her love and support
and also to our sons Shreshth and Saksham for
providing a new meaning to our lives and especially
for asking me numerous questions about Forensic
Medicine and my book. An example: “Why is there
no digital edition of your book available, papa?” Hmm!
Above all, to my mother, Smt. Urmil Seth. What
I’ve achieved is the outcome of her unconditional love
and blessings.

10. Review of Forensic Medicine xi
1. Identification ................................................1
MCQs ............................. 31
2. Thanatology–Taphonomy.......................... 42
MCQs ............................. 65
3. Injuries and Its Medicolegal
Importance ................................................. 76
MCQs ........................... 104
4. Violent Asphyxial Deaths ........................ 117
MCQs ........................... 133
5. Medicolegal Aspects:
Sexual Offences ....................................... 142
MCQs ........................... 157
6. Infanticide is Murder ................................ 162
MCQs ........................... 167
7. Thermal Injuries ....................................... 172
MCQs ........................... 183
8. Forensic Psychiatry .................................. 185
MCQs ........................... 192
9. Starvation ................................................. 196
MCQs ........................... 197
10. Biological Evidence ................................. 198
MCQs ........................... 204
11. Impotence, Sterility and MTP ................. 206
MCQs ........................... 213
12. Toxicology ................................................ 217
MCQs ........................... 281
Contents

11. xii Review of Forensic Medicine
13. Medicolegal Procedures ......................... 314
MCQs ........................... 323
14. Medical Jurisprudence ............................ 331
MCQs ........................... 344
15. Medicolegally Important
Sections/Acts ............................................ 349
16. Questions vs. Concepts ............................ 356
17. The Forensic Name Game ...................... 407
18. The Forensic Imaginarium*..................... 413
Epilogue.................................................... 417