ABMDI Board Certification Questions and Answers-2024 Update. | Exams Search Engine Optimization and Advertising (SEO and SEM) | Docsity (2024)

Download ABMDI Board Certification Questions and Answers-2024 Update. and more Exams Search Engine Optimization and Advertising (SEO and SEM) in PDF only on Docsity! ABMDI Board Certification Questions and Answers- 2024 Update. Barbiturates - Four main categories: 1. Ultra-short-acting - used to induce surgical anesthesia 2. Short-acting 3. Intermediate-acting - used as sedative-hypnotics 4. Long-acting Butalbital - Barbiturate. Used in treatment of migraines Phenobarbital - Barbiturate. Used as anticonvulsant Pentobarbital - Barbiturate. Used to relieve intracranial pressure following trauma Atropine - Belladonna Alkaloid. Derived from certain plants including jimsonweed and deadly nightshade. Used as a preanesthetic therapy to control airway secretions and as an antispasmodic to control gastrointestinal spasms. Used as an antidote in the treatment of poisoning by cholinesterase inhibitors. Also used in resuscitative attempts Toxic effects: mydriasis, hot dry reddened skin, delirium, and hallucinations Scopolamine - Belladonna Alkaloid. Derived from jimsonweed and henbane. Used as a preanesthetic, treatment of Parkinsonism, gastrointestinal disorders, and prevention of motion sickness Toxic effects: Blurred vision, dryness of throat, dilated pupils, somnolence, mydriasis, skin flushing, hallucinations, and confusion Benzodiazepines - Belladonna Alkaloid. Used as anxiolytics, antidepressants, anticonvulsants, and as preoperative sedatives Common Benzes: alprazolam, clonazepam, clonazepam, and diazepam Extensive hepatic metabolism Adult flies caught at the scene need to be properly stored to send to the lab. This involves: - Placing the flies in a glass vial containing 70% isopropyl alcohol Forensic scientists may use forensic entomology for all the following EXCEPT: a. Estimate the duration of the postmortem range (PMI) b. Detect drugs of abuse in maggot infested bodies c. Detect the location of the body at the time of death Page 1 of 16 d. Collect DNA material left on the corpse in cases of sexual assault e. Detect volatile hydrocarbons in fire death - e. Detect volatile hydrocarbons in fire death Which of the following methods is the LEAST sensitive chromatographic technique: a. High-pressure liquid chromatograph (HPLC) b. Liquid chromatography/Mass spectrometry c. Thin-layer chromatography d. Gas chromatography/Mass spectrometry e. Gas chromatography - c. Thin-layer chromatography Which ONE of the following drugs is responsible for the most intentional overdose fatalities? a. Barbiturates b. Propoxyphene c. Benzodiazepines d. Tricyclic Antidepressants e. Antihistamines - d. Tricyclic Antidepressants In scenes illuminated by bright sunlight, there will usually be dark shadow areas. Detail in the deep shadow areas will be lost when the exposure is based on the overall brightness of the scene. The brightness level in the shadow areas can be raised to the overall brightness of the scene by using: a. An alternate light source b. Ultraviolet fluorescence c. Flash-fill photography d. An increased F-stop e. A restricted aperture - c. Flash-fill photography Using an alternate light source, you can identify stains that may contain samples of: a. Serum b. sem*n c. Saliva d. Urine e. All of the above - e. All of the above When submitting tool mark evidence for examination, you should always: a. Place the tool against the tool marked evidence b. Make test cuts or impressions rather than submit the tool c. Submit a cast of the tool mark d. Refrain from collecting samples of any material deposited on the tools Page 2 of 16 c. Advise the family member to send any requests for information in writing and send a check for the customary fee for written documentation d. Tell the individual how much you appreciated their help and advise them to telephone your office if they need more assistance e. None of the above - d. Tell the individual how much you appreciated their help and advise them to telephone your office if they need more assistance In the event of a homicide on Native American or federal (nonmilitary) lands, which agency has law enforcement jurisdiction? a. The nearest city police department b. The county sheriff c. The state police/troopers on military bases d. The tribal police on Native American lands e. The FBI - e. The FBI Many times, family members will not accept a ruling of suicide as a manner of death for reasons of: a. Embarrassment b. Insurance issues c. Their unwillingness to believe the decedent would commit suicide d. Having a separate agenda that is not met by the medical examiner/coroner's finding e. All of the above - e. All of the above The accepted "standard of proof" the forensic pathologist reaches when testifying in criminal court is which ONE of the following? a. More likely than not b. Preponderance of the evidence c. Clear and convincing d. Reasonable medical certainty E. Beyond a reasonable doubt - d. Reasonable medical certainty Which is a TRUE statement about the investigation of deaths in the workplace? a. Cause-and-effect analysis of injuries and possible workplace safety issues are a primary concern b. If a person has a witnessed collapse at his office desk after complaining of chest pains, the investigator must immediately call OSHA c. Most workplace deaths are accidents directly relating to work-related injuries d. Potential for criminal charges is not a consideration e. Federal regulations define the responsibility of the coroner/medical examiner in investigating any death occurring while the person is at work - a. Cause-and-effect analysis of injuries and possible workplace safety issues are a primary concern Page 5 of 16 One of three roommates reports discovering the body of the second roommate in the apartment the three shares. The third roommate is absent. The decedent is observed on the floor with a pool of blood surrounding his head and a bloody baseball bat beside his body. The law enforcement agency's investigation would be best served if they: a. Obtain permission to search the apartment from the roommate who discovered the body b. Obtain permission to search the apartment from both living roommates c. Obtain a search warrant before entering the apartment d. Enter the apartment and conduct a thorough crime scene search e. Enter the apartment in search of weapons that may be a threat to responding officers - c. Obtain a search warrant before entering the apartment Courtroom etiquette requires ALL of the following EXCEPT which ONE? a. Wear conservative attire b. Do not volunteer information c. Answer questions clearly and firmly d. Answer all questions honestly e. Decline to respond to the defense attorney - e. Decline to respond to the defense attorney You arrive for your scheduled work shift and find that your co-worker from the previous shift has cases pending and no investigative action has been taken on them. You: a. Begin investigations on those cases that have been reported from the start of your shift, leaving the previous ones to your co-worker b. See which cases need investigative work and immediately begin to help by picking up the previously reported cases and starting the investigative process c. Assist by answering the phones and reporting any findings to the investigator previously on duty because he was responsible for the cases on his shift d. Empathize with your co-worker's heavy unfinished case load, but realize that your cases are your primary responsibility e. See which cases need investigative work or follow-up and report your co-worker's inadequacies to the supervisor - e. See which cases need investigative work or follow- up and report your co-worker's inadequacies to the supervisor Death investigators have a responsibility to the public and their co-workers. This impact can be positive if the death investigator: a. Behaves in a manner appropriate to the situation b. Assists junior members with learning skills c. Dresses in a professional manner d. Follows the policies and procedures of the agency Page 6 of 16 e. All of the above - e. All of the above Professionalism in death investigation includes ALL of the following EXCEPT which ONE? a. Wearing clean and neat clothing b. Returning the decedent's valuables to the family c. Getting a conviction in the courtroom d. Using appropriate language e. Maintaining the dignity of the decedent - c. getting a conviction in the courtroom One way for a supervisor to get personnel to meet agency goals is to: a. Encourage personnel to participate in planning how to reach those goals and see that they receive credit for their ideas B. Make sure the goals are not too far reaching and posted on the wall of the lounge or place where all employees have access c. Refer them to human resources for advice d. Assign the most important cases/projects to your best investigator e. Set forth specific directions for each worker and require that they be followed - a. Encourage personnel to participate in planning how to reach those goals and see that they receive credit for their ideas A supervisor must allow his employees to undertake difficult investigations in order to grow in experience and confidence. The supervisor does this by: a. Allowing employees to fail and then criticizing them in front of others b. Rarely tackling difficult investigations on his own but delegating them to subordinates c. Allowing employees to successfully complete investigations and then taking the credit D. Being available to offer advice to employees, as needed e. Not criticizing employees for any mistakes, but pointing out employees' mistakes to their peers so that they will not make the same mistake - d. being available to offer advice to employees, as needed A new investigator comes to you with questions regarding a case he is investigating. In what manner should you assist this person with his questions? a. Advise the investigator to go to the library b. Answer the investigator's questions and provide references and resources c. Advise the investigator to check the chapter on this subject in the textbook that he got when he went to school d. Advise the investigator to check with other staff members e. Advise the investigator to discuss the case with a forensic pathologist - b. Answer the investigator's questions and provide references and resources Page 7 of 16 E. Interrogate the family regarding the decedent's will - b. immediately notify law enforcement A 20-year-old college student has a history of an acute febrile illness with headache leading to sudden death. A skin rash is noted. Although no cause of death can be ruled out, the most likely explanation for this death would be: a. Lyme disease b. Hypertrophic cardiomyopathy c. Meningococcal meningitis d. Overdose of a narcotic substance e. Ruptured berry aneurysm - c. Meningococcal meningitis A terminally ill patient with AIDS is the victim of a gunshot wound during a domestic argument. The investigator should: a. Advise the Department of Public Health of the AIDS diagnosis b. Maintain external confidentiality regarding the preexisting AIDS diagnosis c. Advise the pathologist of the preexisting history d. Make autopsy personnel aware of the preexisting history e. All of the above - e. All of the above The advantage of giving families a single point of contact within your office is: a. The families will know whom to call to get their questions answered b. The point of contact will get to know the families and establish rapport with them, allowing better support and service c. The single point of contact will allow everyone else to continue their work on the case and not get sidetracked d. The single point of contact should have access to and know where to get all the information available e. All of the above - e. All of the above A gunshot victim is found lying on his back with his left arm bent at the elbow and pointing up in the air without support. Dried blood trails from the nose to the left ear. You determine: a. The victim was left-handed b. The body of the victim was in a different position, probably on his left side, for some time before being rolled onto his back c. The body of the victim was in a different position, probably on his right side, for some time before being rolled onto his back d. The victim is trying to leave a message that his attacker was left-handed Page 10 of 16 e. The victim died where he lay, but some object, which has since been removed, had been propping up his left arm - b. The body of the victim was in a different position, probably on his left side, for some time before being rolled onto his back Radiopaque fragments from a bombing victim: a. Should only be recovered under the direct supervision of the ATF b. Should be placed in a lead container and turned over to FEMA for analysis c. Should be identified by full body X-ray and then removed, photographed, and placed in a labeled evidence container which is catalogued in a chain of custody document d. Are ideally found using CT scans or MRI scans e. Are rarely of evidentiary value - c. Should be identified by full body X-ray and then removed, photographed, and placed in a labeled evidence container which is catalogued in a chain of custody document Explosions have a number of effects on the human body. Which ONE of the following statements is TRUE? a. Estimation of a victim's distance from the blast based on fragment wounds is highly accurate b. Interpretation of injury patterns is next to impossible in explosion deaths due to the extreme destruction found in these types of death c. Most body injuries are related to the victim's position and distance from the explosion d. The external portion of the autopsy is less important than the internal findings of an autopsy in correlating the position of the body in relation to the bomb e. Clothing is of no value in correlating the scene with patterns of injury - c. Most body injuries are related to the victim's position and distance from the explosion Deaths due to bombs and explosions are rare occurrences. The predominate federal agency involved in the investigation of the explosive device is the: a. FBI (Federal Bureau of Investigation) b. ATF (Alcohol, Tobacco, and Firearms) c. CIA (Central Intelligence Agency) d. FEMA (Federal Emergency Management Agency) e. DMORT (Disaster Mortuary Team) - b. ATF (Alcohol, Tobacco, and Firearms) Which ONE of the following drugs would most likely predispose an individual to the effects of environmental hypothermia? a. Cocaine b. Psychotropic medications c. Digoxin d. Tricyclic antidepressants e. Acetaminophen - b. Psychotropic medications Page 11 of 16 Certain sites in the community are considered "high-risk" locations because of their vulnerability and the likelihood that large numbers of deaths may result from a natural disaster. These sites would include all EXCEPT which of the following: a. Trailer parks b. Residential neighborhoods in flood plains c. A transit bus garage d. Urban centers located on earthquake fault lines e. Suburban and rural areas without adequate fire protection - c. A transit bus garage Before entering a bomb scene to recover the remains of victims, a death investigator must: a. Be informed by the Incident Commander that the scene is safe to enter b. Obtain permission from the property owner to enter the premises c. Wear a bomb-proof suit d. Have the bodies decontaminated e. Know what type of device caused the explosion - a. be informed by the Incident Commander that the scene is safe to enter A white powder suspected to be cocaine should be collected: A. In a clean, dry container B. In a tube containing water C. In a tube containing ethanol d. By picking it up with adhesive tape e. None of the above - a. In a clean, dry container A traffic-crash victim dies in the hospital three days after the crash. He was the driver at fault. You know that toxicology testing on specimens collected at autopsy will not represent substances that may have been present at the time of the crash. What needs to be done next? a. Contact the hospital lab and make arrangements to obtain all remaining specimens that were collected in the Emergency Department after the crash b. Ask the investigating law enforcement officer to get the specimens for you c. The hospital performed a urine drug screen on admission. No other tests need to be done d. You do not need this information, so you do not need to get the specimens e. Ask the family to get the specimens for you. - a. Contact the hospital lab and make arrangements to obtain all remaining specimens that were collected in the Emergency Department after the crash Page 12 of 16 Physical findings most often seen in shaken impact syndrome includes ALL of the following characteristics EXCEPT which ONE? a. Torn frenulum b. Brain swelling c. Subdural hematoma d. Retinal hemorrhages e. Diffuse axonal injury - a. Torn frenulum An interview with a decedent's family revealed that he had received methadone treatment in the past. This type of treatment may indicate a history of: a. Opiate abuse b. Alcoholism c. Paranoid schizophrenia d. AIDS e. Tranquilizer abuse. - a. Opiate abuse Death due to seizures 48 hours after incarceration would most likely be due to: a. Food allergy b. Beaten during arrest c. Brain tumor d. Alcohol withdrawal e. Infection. - d. Alcohol withdrawal An overdose of which ONE of the following drugs most frequently results in hyperthermia: a. Barbiturates b. Heroin c. Marijuana d. Valium (Diazepam) e. Cocaine - e. Cocaine The four primary classifications of asphyxia deaths: - Mechanical, inert-gas, environmental, and pathological A gas which has no toxic or anesthetic properties and does not act upon the heart or hemoglobin. Instead, the gas acts simply to reduce oxygen concentration in blood to dangerously low levels, thereby eventually depriving all cells in the body of oxygen: - Argon Halona Helium Nitrogen Page 15 of 16 Methane Inert gas Due to insufficient oxygen in the environment. Deaths are almost always accidental. An oxygen concentration of 16% or less is dangerous, and with 5% concentration, consciousness is lost rapidly and death occurs within a few minutes: - Environmental Asphyxia: Confined Space Positional Compression Entrapment or Engulfment Dealing with or attributable a disease or medical condition. These asphyxia deaths are caused from such things as anaphylaxis, pulmonary edema, and COPD: - Pathological Asphyxia Mechanical Asphyxia Death - Hanging (suspension) Ligature strangulation Manual strangulation Smothering Gagging Choking Drowning Weight needed to occlude blood flow: - Jugular veins - 4.5 lbs. Carotid arteries - 11 lbs. Trachea - 33 lbs. Vertebral arteries - 66 lbs. Page 16 of 16