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Forensic Medicine · Postmortem changes
Sample itemWhat mechanism produces postmortem lividity?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Gravitational settling of blood in dependent vessels
After circulation ceases, blood settles by gravity in dependent small vessels, creating purplish discoloration known as lividity; its distribution can help indicate body position after death.
Option by option
A. Evaporation of body water
Water loss contributes to drying, not dependent purple discoloration.
B. Bacterial gas production only
Putrefactive gas occurs later and is not the primary mechanism.
C. Gravitational settling of blood in dependent vessels (correct)
Correct: gravity-dependent blood settling produces lividity.
D. Loss of muscle ATP
Loss of ATP explains rigor mortis rather than lividity.
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.