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Forensic Medicine · Toxicology: mineral acids
Sample itemA man presents after drinking an acid. The lips and chin show yellow stains and the oral mucosa appears yellow and leathery. Which acid is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Nitric acid
Nitric acid reacts with proteins to give a yellow xanthoproteic stain. Sulphuric acid causes black charring and severe dehydration, hydrochloric acid gives greyish-brown stains, and oxalic acid produces hypocalcaemia and renal damage.
Option by option
A. Nitric acid (correct)
Yellow xanthoproteic staining is typical of nitric acid.
B. Sulphuric acid
Sulphuric acid produces black charred tissue.
C. Oxalic acid
Oxalic acid is an organic acid causing hypocalcaemia and crystalluria.
D. Hydrochloric acid
Hydrochloric acid produces greyish-brown corrosion.
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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