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Forensic Medicine · Forensic pathology: contusion
Sample itemWhich statement best distinguishes a bruise from postmortem lividity?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. A bruise contains extravasated blood in tissues
A contusion is bleeding into tissue from antemortem vessel injury, whereas lividity is intravascular gravitational pooling after death. Incision and histology can assist interpretation.
Option by option
A. Lividity is caused by blunt trauma
Lividity is a postmortem change rather than blunt injury.
B. Lividity is raised and tender
Lividity is flat discoloration, not a tender swelling.
C. A bruise contains extravasated blood in tissues (correct)
Correct. Extravasation supports antemortem bruising.
D. A bruise shifts when the body is moved
Shifting is a feature of unfixed lividity, not a bruise.
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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