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Forensic Medicine · Injuries: Istanbul Protocol
Sample itemA doctor examines a detainee alleging torture. A linear scar on the back could have been caused by the described whipping, but many other causes are equally possible. Which Istanbul Protocol term fits this finding?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Consistent with
The Istanbul Protocol grades the link between a lesion and the alleged cause as not consistent, consistent with, highly consistent with, typical of or diagnostic of. A lesion that could have been caused by the alleged trauma but is non-specific, with many other possible causes, is consistent with it. Higher grades require fewer alternative explanations.
Option by option
A. Consistent with (correct)
Correct. A non-specific lesion that could result from the alleged trauma is graded consistent with.
B. Typical of
Typical of applies when the lesion is usually seen with this kind of trauma, though other causes exist.
C. Highly consistent with
Highly consistent applies when few other causes are possible.
D. Diagnostic of
Diagnostic of means no other cause could account for the lesion.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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