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Forensic Medicine · Medical law and ethics: death certificate in unnatural death
Sample itemA man brought to hospital with suspected poisoning dies within an hour. His relatives ask for a death certificate. What should the treating doctor do?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Not certify the cause of death and inform the police for inquest
Where the cause of death is unnatural or suspicious, the doctor should not issue a cause-of-death certificate. The case is a medicolegal one and the police must be informed so that an inquest and autopsy can establish the cause.
Option by option
A. Not certify the cause of death and inform the police for inquest (correct)
Correct. Suspected poisoning is a medicolegal case, and the cause is for the inquest and autopsy.
B. Issue a certificate stating poisoning
Certifying poisoning without autopsy pre-empts the inquest and is not the doctor's role.
C. Hand over the body without records
Releasing the body without records ignores the duty to inform the police.
D. Issue a certificate stating cardiac arrest
A false cause such as cardiac arrest would be a false certificate.
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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