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Forensic Medicine · Asphyxial deaths: hanging
Sample itemWhich ligature-mark pattern more strongly supports hanging than ligature strangulation?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. An oblique mark rising toward the knot
In hanging, the ligature mark often rises toward the suspension point and may be incomplete. Ligature strangulation more often produces a horizontal circumferential mark, though interpretation always requires context.
Option by option
A. A bruise confined to the chest
Chest bruising is nonspecific.
B. A puncture wound in the neck
A puncture wound is a separate injury type.
C. An oblique mark rising toward the knot (correct)
Correct. An upward oblique mark is typical of hanging.
D. A horizontal complete neck mark
A horizontal complete mark is more typical of ligature strangulation.
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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