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Forensic Medicine · Death certification
Sample itemWhat should a cause-of-death certificate avoid listing as the sole cause?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Mechanism such as cardiac arrest without underlying cause
Mechanisms such as cardiac arrest occur in all deaths and do not explain why death occurred; the underlying disease or injury should be stated.
Option by option
A. Specific lethal pneumonia
Pneumonia can be an underlying cause.
B. Traumatic intracranial haemorrhage
Traumatic haemorrhage can be causal.
C. Metastatic cancer with organ involvement
Cancer can be a causal disease process.
D. Mechanism such as cardiac arrest without underlying cause (correct)
Correct: mechanism alone lacks causal explanation.
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.