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Forensic Medicine · Asphyxial deaths
Sample itemWhich finding can support an asphyxial mechanism in manual strangulation when interpreted with other evidence?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Petechial haemorrhages with neck soft-tissue injury
Manual strangulation may cause neck muscle haemorrhage, bruising, petechiae, and congestion, but no single finding is diagnostic; careful internal neck examination and scene correlation are essential.
Option by option
A. Bilateral cataracts
Cataracts are lens opacities unrelated to acute neck compression.
B. A healed wrist fracture
A healed fracture does not indicate an acute asphyxial event.
C. Petechial haemorrhages with neck soft-tissue injury (correct)
Correct: neck injury plus petechiae may support strangulation.
D. Isolated callus on the heel
Heel callus is a chronic pressure-related skin change.
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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