Postmortem Procedures and Organ Donation, Exams of Pathology

Key concepts related to postmortem changes, legal statutes, and procedures involved in identifying potential organ donors, obtaining consent, and procuring organs. It addresses the official pronouncement of death, authorization for medicolegal autopsies, and the role of various medical professionals and government agencies in the process. A comprehensive overview of the complex legal and medical considerations surrounding postmortem examinations and organ donation, making it a valuable resource for students and professionals in fields such as forensic science, medical examiner's offices, and organ procurement organizations.

Typology: Exams

2024/2025

Available from 10/28/2024

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ABMDI Exam Questions With 100%
Correct Answers
ANECEPHALIC - correct answer An infant born without a brain
BEREAVEMENT - correct answer Sorrow following the death of a
loved one
BRAIN DEATH - correct answer Final cessation of activity in the
central nervous system, as indicated by a flat EEG or absence of
cerebral blood flow for a predetermined period of time
CARDIAC DEATH - correct answer Final cessation of activity in the
cardiovascular system involving the heart and blood vessels
CESSATION - correct answer The final stoppage of action
CORONER - correct answer Typically an elected official who
decides whether a death occurred under circumstances that
require an autopsy, either by law or to determine manner or cause.
JURISDICTION - correct answer The power of authority a court or
office has over individuals or trauma
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Correct Answers

ANECEPHALIC - correct answer ✅An infant born without a brain BEREAVEMENT - correct answer ✅Sorrow following the death of a loved one BRAIN DEATH - correct answer ✅Final cessation of activity in the central nervous system, as indicated by a flat EEG or absence of cerebral blood flow for a predetermined period of time CARDIAC DEATH - correct answer ✅Final cessation of activity in the cardiovascular system involving the heart and blood vessels CESSATION - correct answer ✅The final stoppage of action CORONER - correct answer ✅Typically an elected official who decides whether a death occurred under circumstances that require an autopsy, either by law or to determine manner or cause. JURISDICTION - correct answer ✅The power of authority a court or office has over individuals or trauma

Correct Answers

LNOK - correct answer ✅The person from whom the medicolegal death investigator must secure consent before initiating any procurement activity MEDICAL EXAMINER - correct answer ✅Usually a medical doctor, although not necessary a highly trained pathologist. Like a coroner, a ME decides whether a death occurred under circumstances that may require an autopsy and who will perform it if the ME is not qualified. OPO (organ procurement organization) - correct answer ✅The agency responsible for identifying potential donors, obtaining consent, and procuring organs POSTMORTEM CHANGES - correct answer ✅Alterations of the body following death, including decomposition and environmental resuscitative injuries STATUTES - correct answer ✅Laws enacted by the legislative branch of government VERIFY - correct answer ✅Establish or confirm the accuracy of information or evidence through testimony

Correct Answers

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 - correct answer ✅B Your office is investigating a suspected SIDS death. You should notify your statewide SIDS program: A. ASAP 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 - correct answer ✅A

Correct Answers

In general, which of the following are NOT normally for organ/tissue procurement purposes? A. liver and kidneys B. long bones and pelvis C. reproductive organs D. heart valves E. pancreas and skin - correct answer ✅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 LNOK or rep has given consent E. no LNOK can be located - correct answer ✅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

Correct Answers

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 FH C. only if religion requires it D. before the autopsy is performed E. before the victim's body is taken from the scene - correct answer ✅D When communicating with the pathologist, a good investigator distinguishes between a request for info 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 info C. request for info and opinion D. request for assistance E. none of the above - correct answer ✅B ANTEMORTEM BLOOD SAMPLE - correct answer ✅An initial blood sample that usually is obtained when the subject arrives at the

Correct Answers

hospital ER, before additional diagnostic or therapeutic treatment is initiated AUTHORIZATION - correct answer ✅Official permission granted by a superior COMMON-LAW MARRIAGE - correct answer ✅A marriage that is recognized because the couple have been cohabiting for a determined length of time, yet a legal marriage ceremony has not been performed CONFIDENTIAL - correct answer ✅Revealed in confidence (trust, assurance), to be kept secret CREMATION - correct answer ✅The reduction of a dead human body to inorganic bone fragments by intense heat in a specially designed chamber DEMOGRAPHIC INFORMATION - correct answer ✅Personal identifying and specific info regarding an individual's age, social security #, gender, address, and so on

Correct Answers

INTERVIEW - correct answer ✅A formal face-to-face conversation between a reporter (the medicolegal death investigator) and a person from whom information is sought (the witness) MEDIA - correct answer ✅Any news-reporting agency(e.g. newspaper, magazine, radio, television) and its representatives OBJECTIVE REPORT - correct answer ✅A report made in an independent and unbiased manner, without regard for personal attitudes or thoughts PATHOLOGIST - correct answer ✅A physician trained in the identification and diagnosis of disease and injury who may perform autopsies PEDIGREE - correct answer ✅The list of ancestors on a person's family tree The PUBLIC - correct answer ✅Any person or agency not officially affiliated with or recognized as a member of your office RELIGIOUS OBJECTIONS

Correct Answers

OJ= object to autopsy but if needed it must be performed before sundown of the day the person died M=no official concern JW=not opposed C=not opposed L=generally opposed MC=opposed, unless required by law P=not opposed NA=generally object to autopsy - correct answer ✅A family's objection to the performance of an autopsy based on their religious/spiritual beliefs Orthodox Jews, Muslims, Jehovah's witnesses, catholic, Laotians (Hmong), Mexican Catholics, Protestants, Native Americans RETORT - correct answer ✅A vessel or chamber in which substances are decomposed by heat SELF-INFLICTED - correct answer ✅The infliction of injury or death on oneself

Correct Answers

E. refuse to answer any questions - correct answer ✅B 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 beliefs) to an autopsy being performed. Which of the following would be the BEST RECOMMEND procedure to follow? A. tell the family that "It's a homicide case, and therefore an autopsy must be determined" 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 ME - correct answer ✅C If the deceased is decomposed, mutilated, or burned beyond recognition and the family still insists, for religious for 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

Correct Answers

B. refuse their request to view the remains under any circumstances. viewing will take place after the funeral director assures 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 info 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 - correct answer ✅C AUTOEROTICISM - correct answer ✅sexual activity in which an individual indulges in private, usually involving some form of asphyxia to heighten sexual pleasure CONFIDENTIAL (PRIVATE) INFORMATION - correct answer ✅info that is protected by law and can be released only to certain authorized parties of that requires a court order for its release HOLD-HARMLESS AGREEMENT - correct answer ✅a signed agreement or contract in which the signing parties agree not to file action for any injuries against the receiving party that might arise out of the contract or agreement

Correct Answers

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 - correct answer ✅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 the ID card that was in his pocket C. be aware that an ID card that does not contain a facial picture should never be used to make a positive ID 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 - correct answer ✅C The basic purpose of crime scene photography is: A. to document the crime scene B. to support the sketch of the scene

Correct Answers

C. to show the benefits of color film D. to persuade judges and juries E. to provide educational material - correct answer ✅A Homicide detectives at the scene of a sex-related death ask that the deceased by fingerprinted immediately to expedite ID. 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 ID of the deceased is crucial C. place proper 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 autopsy - correct answer ✅C AMBIENT - correct answer ✅a condition that completely surrounds or encompasses something

Correct Answers

DNA - correct answer ✅the genetic material passed through from the cells of one generation to another ELECTROLYTES - correct answer ✅components of a solution containing dissolved acids, bases, or salts forming constitutes of tissue fluid, plasma, and cellular fluid EXPLODING VIEW OR CROSS-PROJECTION DRAWING TYPE - correct answer ✅similar to the floor-plan type, with folded-out walls; helpful in documenting bullets or blood stains on walls F-STOP (APERTURE) - correct answer ✅the light-gathering ability of the lens FILM SPEED - correct answer ✅ASA/ISO/DIN indicates the speed of the film. The higher the ASA/ISO #, the less available light is required to take a picture. For example, 100 or 200 film is good for bright days, whereas 400 would be more appropriate for overcast conditions FLOOR-PLAN-VIEW DRAWING TYPE - correct answer ✅Overhead view of the scene, detailing evidence in relation to the surroundings

Correct Answers

HAZ/MAT (HAZARDOUS MATERIALS UNIT) - correct answer ✅the agency charged with the responsibility for planning preparedness and response actions related to spills or discharges or oil and hazardous materials into the environment INCIDENT COMMAND SYSTEM - correct answer ✅a standardized system of managing assigned resources for effective and efficient control of any emergency event Livor Mortis (lividity) - correct answer ✅Postmortem settling of the blood in the dependent portions of the body Material Safety Data Sheet (MSDS) - correct answer ✅Descriptive data provided by the manufacturers and distributors of hazardous materials Multiple-fatality incident - correct answer ✅any multiple-fatality event that exceeds the normal capabilities and preparedness of an agency, requiring additional resources, manpower, and response from that agency Narrative report - correct answer ✅an objective report of the investigative process, written in chronological fashion