LegalMed Final

8/20/2019 LegalMed Final

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LEGAL MEDICINE & MEDICAL JURISPRUDENCE

C 1. One of the following is not helpful in determining the sex of the skeleton:

A. Skull

B.

SternumC. Crani al sutures

D. Pelvis

Chapter III – Medico Legal Aspects of Identification; p.80

Legal Medicine by Pedro Solis (1987 ed)

B 2. The medico legal classification of death due to injuries inflicted upon the body

by some form of outside force that is the proximate cause thereof is:

A. Natural

B. Violent

C. Sickness caused

D. Instantaneous

Chapter VI – Cause of Death; p.183


C 3. The body should be buried within 12 hours if this condition is present:

A. Body was not embalmed

B. Not subject of legal investigation

C. Death due to dangerous communicable disease

D. Death due to toxic fumes

Chapter VIII – Disposal of thee Dead Body; p.221


A 4. Pedro attacked Juan using a bladed weapon. Instinctively Juan tried to fend of

the attack and suffered wounds as a result of self-protection. What special type of

wound did he suffer?

A. Defense

B. Self-inflicted

C. Offense

D. Patterned

Chapter IX – Medico Legal Aspects of Physical Injuries; p.244-245


C 5. Josefa does not intend to hurt her child, Jose. When she is drunk, she

periodically batters Jose. She becomes remorseful afterwards and provides

proper care in between her drinking spree. What type of child abuser is

Josefa?

A. Occasional child abuser

B. Constant child abuser

C. I ntermi ttent chi ld abuser

D. One time child abuser

Chapter XX-Child Abuse or Neglected Child; p.480 Legal Medicine by Pedro Solis (1987 ed)


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A 6. Josefa is 10 years old. She gave consent to have carnal knowledge with a male

tourist provided she is paid money. Which is true?

A. Josefa is a victim of rape.

B. Josefa is a child prostitute and thus no rape occurred.

C. There is no rape since Josefa consented.

D. Josefa must be 12 years old to be a victim of statutory rape

Chapter XXI-Medico-Legal Aspects of Sex Crimes; p.500 Legal Medicine by Pedro Solis (1987 ed)

C 7. Pedro calls people up on the phone in the early hours of the morning and starts

using obscene and foul language to obtain sexual gratification. This sexual

deviation is known as:

A. Pedophila

B. Masochism

C. Coprolalia

D. Exhibitionism

Chapter XXI-Medico-Legal Aspects of Sex Crimes; p.536


D 8. Artificial donor insemination with the consent of the husband but without the

consent of the wife may result in:

A. Charges of rape against the physicianB. Action for divorce against the husband based on assaultC. A paternity suit against the donor D. Criminal assault against the physician

C 9. Pregnancy may be a ground for the annulment of marriage when:

A. Husband at the time of marriage knows the child is not his

B. Wife conceals the pregnancy caused by her husband

C. Wif e conceals the fact the chil d is that of a man not her husband

D. The husbands files for annulment 10 years from the discovery the

child is not his

Chapter XXII-Pregnancy; p.540 Legal Medicine by Pedro Solis (1987 ed)

A 10. Which of the following type of abortion, whether performed by a healthprofessional or not, is criminal and punishable by law?

A.

Intentional

B. Spontaneous

C. Consequence of a therapeutic act

D. Threatened

Chapter XXIV-Abortion; p.559 Legal Medicine by Pedro Solis (1987 ed)

A 11. To obtain legal personality, a 27-week AOG infant must live for at least:

A.

24 hoursB. 72 hours

C. 48 hours

D. None of the above

Chapter XXV-Birth; p.575



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A 12. A female schizophrenic patient in a lucid state pushed a woman she did not

know was pregnant down the stairs causing her to abort. The patient is liable for:

A. Unintentional abortion

B. Intentional abortion

C. Accidental abortion

D. Not liable

Chapter XXIV-Abortion; p.559 Legal Medicine by Pedro Solis (1987 ed)

C 13. For a child to be legitimate, he must be born in lawful wedlock within these

number of days after the dissolution of the previous marriage:

A. 120 days

B. 180 days

C. 300 days

D. 280 days

Chapter XXVII-Paternity and Fiilation; p.588


B 14. Chingoy and Maria are Filipino Chinese with no history on both sides of thefamily of ancestors who are black. They got married and a child with dark skin,

wiry hair and thick lips was born. The child is:

A. Presumed legitimate B. Presumed illegitimate based on ethnic reasonC. Definitely legitimateD. Definitely illegitimate

Chapter XXII-Paternity and Filiation; p.592 Legal Medicine by Pedro Solis (1987 ed)

C 15. A man who had a sex change operation declared thereafter he was a woman. Amarriage was contracted with a boyfriend of 10 years and solemnized by a minister

who was aware of the change operation. The marriage is:

A. Valid

B. Null and void upon declaration by a court of law

C. Void f rom the start


Chapter XXIX-Medico-Legal Aspects of Marital Union and Dissolution; p.613 Legal Medicine by Pedro Solis (1987 ed)

B 16. Dr. Pedro is single but keeps a married woman in his condominium. Which is

true?

A. Dr. Pedro is liable for concubinage.

B. Dr . Pedro is li able for adultery.

C. The mistress is liable for concubinage.

D. Both are not liable.

Chapter XXIX-Medico-Legal Aspects of Marital Union and Dissolution; p.619 Legal Medicine by Pedro Solis (1987 ed)


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A 17. An idiot is exempted from criminal liability. An idiot has an IQ of:

A.

0 – 20

B. 40 – 70

C. 20 – 40

D. 70 – 80

Chapter XXXII-Disturbance of Mentality; p.643


C. 18. Jose was prescribed a psychotropic agent for his depression. He developed

an idiosyncratic reaction with hallucinations. He killed his spouse thinking that she

was a three-headed monster. One of the following is applicable in this case:

A. Jose is guilty of homicide

B. The psychiatrist who prescribed the drug is guilty of malpractice

C. Jose can claim temporary insanity as a defense

D. The physician and Jose are liable

Chapter XXXII-Disturbance of Mentality; p.627


C 19. The most widely accepted method to measure alcohol and determine

drunkenness is:

A. Urine alcohol conc.

B. Breath alcohol conc.

C. Blood alcohol conc.


Chapter XXXIII-Alcoholism; p.707 Legal Medicine by Pedro Solis (1987 ed)

C 20. The body vested by law to have general supervision and regulation over the

practice of medicine is:

A. Commission on Higher Education

B. Department of Education

C. Professional Regulatory Commission

D. Board of Medical Education

D 21. The specific body that exercise the power of regulation and supervision over

medical education is:A. Commission on Higher Education

B. Department of Education

C. Association of Phil. Medical Colleges

D. Board of Medical Education

Chapter II - Licensure and Regulatory Laws; pp.8-9

Medical Jurisprudence by Pedro Solis (1988 ed)

C 22. Any person who performs any of the acts constituting practice of medicine

but is not qualified to do so shall be:

A. Committing malpractice

B. Committing fraud

C. I ll egally practicing medicine

D. Considered not to be practicing medicine

Chapter III – The Practice of Medicine; pp.38, 48



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B 23. Pedro Doctor graduated from the Medical School and immediately used the

title MD after his name. He is:

A. Committing malpractice

B. Academically entitl ed to use MD

C. Illegally practicing medicine

D.

Falsely using MD after his name

Chapter III – The Practice of Medicine; p.48 Medical Jurisprudence by Pedro Solis (1988 ed)

B 24. A 60-year old male with prostatic cancer consented in writing to undergo treatment

under a new drug. The patient continued to deteriorate and sued the physician. The physician was absolved under the doctrine of:

A. Common knowledge

B. Assumption of Risk

C. Contributory negligence

D. Sole responsibility

Chapter X – Doctrines Applied in Malpractice Cases; pp.253-254


D 25. Patient -physician relationship is not terminated when:

A. Patient recovers from the condition being treated

B. Physician considers his further service will no longer be beneficial to the

patient

C. Physician discharges the patient

D. Physician abandons the patient

Chapter IV – Physician-Patient Relationship; p.77


D 26. A physician issued a medical certificate in favor of a friend who was absent

from work attesting the latter was sick when in fact he was not. The physician under

the law is liable:

A. Civilly

B. Administratively

C. Morally

D. Criminally

Chapter XVI – Liabilities of Physicians; p.187


27. Under article III of the Medical Act, citizens of other countries maybe allowed totake the Philippine Medical board examination if

A. they promise to practice in the Philippines

B. their countries allow Filipinos to practice thereC. they give substantial donation to the Philippine governmentD. there is lack of Filipino doctors in the country

28. A physician who is subpoenaed by a trial court but failed to appear without justifiablereason is guilty of indirect contempt which is punishable by fine and imprisonment ofnot more than

A. one month

B. six monthsC. one yearD. six years


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29. One of the following is allowed limited practice of medicine in our country withoutcertificate of registration

A. postgraduate interns in hospitalsB. graduates of medicine while awaiting results of board examination

C. physicians from other countries doing medical missions in our country

D. a registered physician who’s license is suspended

30. In which of the following instances is there a commencement of a physician-patientrelationship?

A. A patient called a physician’s clinic to make an appointment. The secretaryasked what is wrong and the patient related her complaints.

B. One night a patient called a physician by phone for consultation. The

physician told the patient to take aspirin that night and see him the

following day.

C. While passing by the emergency room, a physician noticed a patient who isvery pale. He asked the nurse to inform the resident physician to see andexamine the patient immediately.

D. In a mall, a patient met her physician. She made a casual consultation. Thedoctor told her to see him at his clinic a little later.

31. Dr. Lopez is a physician in a rural health unit. One of her tasks is to implementgovernment program using artificial means of family planning. Being a devout

catholic, she can only prescribe natural method. Which of the following is correct?

A. She has the prerogative to choose treatment modalities

B. She can invoke self limitation of practice based on religious beliefsC. She should ask to be transferred to a facility consistent with her beliefsD. She is liable for insubordination

32. A general practitioner referred a patient to a specialist. After treatment, the patient paid the specialist who in turn gave a share to the general practitioner. What is this

called?

A. Fee splittingB. Straight feeC. Retainer’s fee D. Contingent fee

34. What criminal act is considered an administrative liability of physicians?A. Immorality

B. Addiction to alcoholC. Unethical advertisementD. Issuance of false medical certificate

35. Mr. Santos falsified documents to get a certificate of registration as physician. Ifconvicted, what is the penalty?

A. Arresto menorB. Arresto mayorC. Prision mayor

D. Prision correccional

36. The hospital is almost full and the only vacant beds are in the ward. An infectiouscase was admitted in the ward resulting to contamination of other patients. The

physician who admitted the patient is liable under what doctrine?

A. foreseeability

B. last clear chanceC. continuing negligenceD. contributory negligence


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37. Weapons, fingerprints and garments left at the crime scene are examples of whattype of evidence?

A. RealB. Ordinary

C. Corpus delicti

D. Associative

38. What does algor mortis refer to?A. IrritabilityB. Softening of the bodyC. Cooling of the body

D. Hardening of the body

39. In contrast to ante-mortem clot, post-mortem clot isA. firmB. soft

C. homogenousD. uniform

40. A missing person is presumed dead after how many years?A. 4B. 7

C. 10D. 15

41. Infanticide is killing of a child less than what age?A. 3 hours

B.

3 daysC. 3 monthsD. 3 years

42. If no physician is available, who among the following can sign the deathcertificate?

A. City fiscalB. Judge of a trial courtC. Municipal mayor

D. Congressman

43. Physical injury is considered slight if the victim is incapacitated for how long?

A. 6-12 hoursB. 12-24 hours

C. 1-9 days

D. 2 weeks

___D__ 44.The test used to determine whether semen is of human origin or not is:a. acid phosphatase

b. Berberio’s c. Florenced. Precipitin

___D__ 45. The crime of simple seduction is committed when the following elements are present:

a. there must be a sexual relation between the offender and the victim b. The woman must be over 12 but less than 18 and single or widow of good reputec. The sexual act was committed by means of deceitd. All of the above

___D__ 46. The crime committed by a man who embraced and kissed a woman against her will is:

a. rape b. simple seductionc. qualified seduction


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d. act of lasciviousness

___B___47.Pedophilia is a sexual perversion where a person has a compulsive desire to:

a. engage in sexual intercourse with an animal b. seek sexual gratification with a child of either sexc. be near a dead body for sexual gratification

d. obtain sexual gratification by gazing at himself at the mirror

___C__ 48. The minimum gestation period compatible with viability of the fetus according to most authorsand The Philippine Law is:

a. 100 days b. 120 daysc. 180daysd. 280days

___B___ 49. The liability of a physician who performed an abortion in a pregnant woman upon her request but unfortunately, caused the death of the woman is:

a. intentional abortion b. intentional abortion with homicide

c. homicided. murder

___C___ 50. What is the clinical type of abortion when there is hemorrhage with dilatation of the internalos and presence of rhythmical pain?

a. missed b. completec. inevitabled. threatened

___A___ 51. The elements of intentional abortion are the following, EXCEPT:a. the physician commits abortion without the woman’s consent

b. the woman is pregnant

c. a drug was administered or an instrument was usedd. the fetus dies following the procedure

___D___ 52. Delayed untoward effects which may develop as complications of abortion is:

a. sterility b. fistula formationc. pelvic adhesionsd. all of the above

__D____ 53. The medical evidence as a pre-requisite of the prosecution to establish infanticide is:a. that the child was born alive

b. that the child who was born alive was deliberately put to deathc. that the child killed was less than 3 days old

d. all of the above

___C___ 54. The value of sex can be summarized in the following categories, EXCEPT:

a. sex is a search of sensual pleasure and satisfaction, releasing physical and psychic tensions b. sex is a search for the completion of the human person through an intimate personal union of

love expressed by bodily unionc. sex is to perpetuate one’s bestiality d. sex is a social necessity for the procreation of children

___B___ 55. Because of the bad effects of inbreeding, the law made incestuous marriages void, and it is

void and incestuous marriage when it is:a. marriage between stepfather and stepdaughter or stepmother and stepson

b. marriage between collateral relatives by blood within the fourth civil degree

c. marriage between the adopting parents and the adoptedd. marriage between the grandchildren of two brothers

___A___ 56. What is the gestational age of a fetus who is 50 cm long; weighs 3 to 3-1/2 kg with nails beyond or at the level of the fingertips, hair on the scalp 5 m long, and lanugo is seen only on the shoulder:

a. at term b. eightc. sixthd. seventh


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___D___ 57. The confession given by a defendant accused of rape that he had carnal intercourse with thecomplainant at the time and place mentioned is:

a. involuntary confession b. admissionc. voluntary confession

d. extra-judicial confession

___B___ 58. A confession is different from admission because the latter isa. expressed acknowledgement of the truth of his guilt as to the crime charged

b. statement of fact which does not directly involve an acknowledgement of guiltc. statement of guiltd. all of the above

___B___ 59. Physical evidence recovered from the crime scene such as a knife with fingerprints of thesuspect is called:

a. circumstantial evidence b. direct evidencec. tracing evidence

d. corpus delict

___D___ 60. The evidence presented which corresponds to the precise point at issue and proves the fact in

dispute without the aid of any inference, is called:a. hearsay

b. circumstantialc. tracingd. direct

___B___ 61. A statement made by a dying patient to the attending physician in reference to the persons

who inflicted injury on him is known as:A. privileged communicationB. dying declarationC. hearsay evidenceD. inadmissible evidence

___A___ 62. The result of a lie detector test may be admissible evidence in court if:

A. there is prior stipulation by parties concerned that the test result will be considered admissibleB. the test is done with full and informed consent of the person examinedC. no force, intimidation or duress is applied on the person examinedD. the examiner is accredited as competent and reliable

63. A couple was found dead inside a car in the basement parking area. The possiblecause of death is:A. Asphyxiation

B. Carbon monoxide poisoning

C. AnoxiaD. Carbon dioxide poisoning

64. During autopsy, which among the following should be opened first?A. Cranial boxB. Thoracic cavityC. Abdominal CavityD. Pelvic Cavity

65. After death, which organ putrefies last?A. liver

E. Brain

F. LungsG. spleen

66. What is applied on the dorsum of the hand of a person subjected to Paraffin test?A. WaxB. NitratesC. TattooD. Oil


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67. Flattening of the skin following death is due to:A. Cadaveric spasmB. Rigor mortisC. Loss of elasticity of the skinD. Post-mortem hypostasis

68. Curren’s Rule is used to determine the: A. Time of deathB. Mental statusC. Malpractice liabilityD. Court procedure

69. An injury sustained from a blow inflicted by the use of a sharp edged instrument resulting toa break in a bone is a/an:

A. Hacking woundB. Stabbed woundC. Avulsed wound

D. Fracture

70. Instantaneous rigidity of muscles which occurs at the moment of death:A. Rigor mortisB. Cadaveric spasmC. Death struggleD. Cold stiffening

72. What organ is tested for chloride in drowning?

B. BrainC. LungsD. Heart

E. Stomach

73. The performance of caesarian section when the pregnancy is normal and uncomplicated isreferred to as:

A. Defensive medicineB. OvertreatmentC. Right to perform a serviceD. Alternative treatment

74. A 34 year old female came to your clinic with chief complaint of severe chest pain. Historyrevealed an abrupt onset after reading a text message from her husband’s former girl friend.

Diagnostics revealed essentially normal findings, however physical examination revealed

costo-chondral tenderness which is converted to a more serious disability or exaggeration ofthe real complaint. This known as:

A. Fortuitous malingeringB. Simulated malingeringC. Fictitious malingeringD. Factitious malingering

75. What is the basis to pronounce a person dead?A. Molecular deathB. Apparent deathC. Somatic deathD. Clinical death

76. For purpose of description, laceration of the hymen is considered superficial when:

A. It is incomplete and does not reach the base of the hymen.B. It only produces congestion of the affected area.C. When laceration does not go beyond one half the width of the hymen.D. When there is diffused abrasion of the affected hymen.


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77. Before a physician carries out a physical examination of a rape victim, he must first of all:A. Obtain a complete history of the rape incidentB. Get the bio-data of the victimC. Ascertain the date, time and place of the rapeD. Have a written consent from the subject or from her guardian, if she is not

of age

.78. Strictly speaking, forensic medicine is:

A. application of law to some medical problemsB. use of medical science to shed light on some legal problemsC. use of medicine to legal casesD. application of law in the administration of justice

79. If a person habitually drinks alcohol, there develops a certain degree of adaptation by the body thereby increasing the body threshold to it. Later, an increase in percentage and

quantity of alcohol taken will be tolerated by the body, leading to diminution of its effect.

This condition is called:

A. Consumption tolerance

B. Differential alcoholic thresholdC. Constitutional toleranceD. Alcoholic non-reflex excitability

81. A medico-legal autopsy is performed to:A. Confirm clinical findings of a researchB. Determine if the tissue changes are due to a criminal actC. Confirm the clinical diagnosis

D. Explain sudden death of a person apparently in good health

82. In order to ascertain drunkenness in a driver involved in a vehicular accident, which physicaltests can one conduct:

A. Winslow’s test B. Macdonald’s test C. Romberg’s test D. Vital capacity measurement

83. The important distinguishing presumptive characteristics between the male and female bodyare as follow exceptt:

A. Hips are broader in relation to the shoulder in females; in the male the shoulders are broader than the hips

B. The female has generally a smaller build; the male largerC. The Adam’s apple in female is prominent; in male, is not D. Female pubic hair is straight and stop short above the mons veneris; while the male is

thick, curved upwards extending up to the umbilicus

84. In determining whether wounds were inflicted ante-mortem or post-mortem, whichdistinction is not valid?

A. Ante-mortem wounds shows marks of spouting of blood from the arteries; not found in post-mortem wounds

B. Blood is clotted in an ante-mortem wound; in post-mortem wound is not clotted, if at allit is a soft clot

C. There is no inflammation and reparative process in ante-mortem; but is present in

post-mortem wound.

D. The edges of the ante-mortem wound gape; not so in post-mortem wound unless causedwithin 1-2 hours after death.

85. A bullet that has penetrated the skin and hits bony tissue along its course may deflect andchange its direction. Such change of trajectory is called:

A. Russian rouletteB. Ricochet of bulletC. Bullet sporting movementD. Missile disintegrating movement


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86. Death several days after a criminal abortion is often due to:A. pulmonary embolismB. infection

C. hemorrhageD. uterine trauma

87. Rigor mortis in the tropics lasts on the average for about how many hours?A. 24 hours onlyB. 24 to 48 hoursC. 48 to 72 hoursD. 12 hours only

88. Underneath the skin are dense networks of fibrous and elastic connective tissue fibers runningin the same direction. Incised wounds inflicted parallel to it will appear narrow or slit-like

while those perpendicular to it retract or gape. The pattern of fiber arrangement is called:

A. Langer’s line B. Maginot lineC. Avulsion marks

D. Diffused network

89. According to Dupuytren’s classification, burns which involve the deep fascia and muscleswhich may result to severe scarring or deformity is considered to be:

A. Fourth degree burnsB. Fifth degree burnsC. Sixth degree burnsD. Seventh degree burns

90. When death by asphyxia is produced by compression of the neck by means of ligature whichis tightened by a force other than the weight of the body is known as:

A. Death by hangingB. Death by chokingC. Death by strangulationD. Death by smothering

91. A person lost an eye after being physically assaulted. The offender is liable for:A. MutilationB. Slight physical injuryC. Less serious physical injuryD. Serious physical injury

92. Who will be held primarily liable for damages or injuries sustained in an operation whereinthe patient signed a waiver of non claim?

A. PatientB. SurgeonC. HospitalD. None of the above

93. A physician who deliberately refuses to obey a subpoena issued by a court without any justifiable reason is guilty of:

A. Direct contempt of courtB. Criminal act of omissionC. Indirect contempt of courtD. Civil liability for damages

94. What is the liability of a physician who performed an autopsy without proper authorizationfrom the next of kin or competent authorities?

A. NoneB. Civil liability onlyC. Criminal liability onlyD. Both civil and criminal liability


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95. A patient brought action against a physician for injuries caused by the physician’s employednurse during the course of treatment. Recovery against the physician was sought under the

doctrine of:

A. Res ipsa loquiturB. Borrowed servantC. Fellow servant

D. Captain-of-the ship

96. An otorhinopharyngologist was forced by an Abu Sayyaf member to do a caesarian operationon his wife. The physician agreed on the condition that he will be paid PhP 1M. The

physician maybe held liable for injuries sustained under the doctrine of:

A. ForeseeabilityB. Continuing negligenceC. Assumption of riskD. Contributory negligence

97. A newborn child developed jaundice. She learned of the physician’s failure to drop silvernitrate into the child’s eyes at birth, the physician may:

A. Be liable for criminal malpracticeB. Be liable for civil malpracticeC. Be liable for criminal and civil malpracticeD. Not be liable at all

98. A physician may be presented in court as an ordinary or as an expert witness. He is onlyconsidered as an ordinary witness:

A. When he is asked to inform the court of what he perceived in the course of the

physical examination of the patientB. When he is asked to give opinions based on a set of factsC. When he is asked to answer outside of the issue in consideration of the courtD. When he is asked questions regarding his personal qualifications as a witness

99. During an operation on a patient by a private surgeon, the resident physician assisting himcommitted an error which resulted in injury to the patient. Who is primarily liable for

damages?

A. resident physicianB. attending surgeonC. hospitalD. no one

100. A stab wound with serrated or zigzag borders due to alternative thrust and withdrawing ofthe wounding weapon indicates that:

A. The offender had the intent to kill

B. The offender was nervous and waveringC. The instrument is not sharp edgedD. The wound is accidental

101. The clinical records of a patient before and after discharge is owned by:A. Hospital

B. PatientC. Attending physicianD. The state or government

102. Under the Sanitation Code, who is not authorized to perform an autopsy?A. Medical officers of law enforcement agencies

B. Health officers of local health departmentsC. Medical staff members of accredited hospitalsD. Any duly licensed physician in private clinics


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103. A male intern had sexual intercourse with a female patient with her consent. Under whatcircumstance would this be considered rape?

A. The intern promised to marry her.B. The patient is feeble minded.C. The patient is his wife from whom he is legally separated.

D. The patient is above 18 years of age.

104. The right of a citizen of foreign country to be allowed to be admitted to practice medicinein the Philippines if their existing law allowed citizens of the Philippines to be admitted to

practice medicine in their country is based on:

A. reciprocity provisions of the medical law of the Philippines

B. international law, in as much as the Philippines has adopted the generally accepted principles of international law as part of the law of the Philippines

C. international convention, like the World Health OrganizationD. executive agreement between the heads of states

105. The doctrine which will bar a patient from recovering damages because he assents to the

risks of injury:A. Doctrine of continuing negligenceB. Doctrine of assumption of riskC. Contributory negligenceD. Doctrine of sole responsibility

106. Which of the following is an official oath prior to the issuance of the Certificate ofRegistration?

A. Hippocratic OathB. Apocryphal OathC. Administrative OathD. Medical Practice Oath

107. An applicant in a shipping company sued the physician of a pre-employment companyfor negligence due to the latter’s refusal to prescribe an anti-diabetic drug for the” increased

blood sugar” in his FBS. Which among the following is a valid defense to be invoked by the

physician?

A. Right to choose patientsB. Right to limit practiceC. Absence of physician-patient relationshipD. Absence of consideration

108. A 35 year old lingerie model came to your clinic with chief complaint of foul smellingvaginal discharge. Examination revealed gram negative diplococci. She told you that the

treatment should be kept in strict confidentiality. Furthermore, she revealed that she got herillness from her promiscuous lover. She placed rat poison in his lover’s tomato juice beforeshe left to see you. You promised that you will keep it between the two of you. The following

morning, you learned that your patient’s lover died of internal hemorrhage which can be

attributed to a rat poison. What will you do if summoned to testify on the death of your patient’s lover?

A. I will raise the defense of a privileged communication.B. I will raise the right of the patient for privacy.C. I will raise the issue of my right to limit practice, not in a medico-legal practice.D. I will testify.

109. This technique of interrogation is applicable when there are two or more persons

who allegedly participated in the commission f a crime:A. emotional appeal C. bluff on split-pair technique

B. Mutt and Jeff technique D. stern approach

1987 p. 35


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110. Broken headlights glass found at the crime scene in hit and run homicidematbeassociated with the car found in the repair shop is an example of:A. Corpus delicti evidence C. associative evidence

B. tracing evidence D. deposition

1987 p. 16

111. A branch or division of law which deals with the rules concerning pleadings, practices and procedures in all courts of the Philippines:

A. Remedial law C. Criminal law

B. Civil law D. Speccial law1987 p. 5

112. This is composed of laws which are produced by the country’s legislation andwhich are defined, codified and incorporated by the law-making body:

A. Commonlaw C. Customary law

B. Statutory law D. Case law1987 p. 3

113. In determining the sex of the skeleton, the following bones must be studiedexcept:A. sternum B. pelvis C. femur D. mandible

p. 80

114. This test is positive to any substance containing hemoglobin:A. Takayama test C. Hemin crystals test

B. Acetone-haemin of Wagenhaar test D. Teichman’s blood crystals

p. 99

115. The following are characteristics of medico-legal autopsy except:A. consent of relatives are not needed

B. correlates tissue changes to the criminal actC. notation of all abnormal findings

D. must be specific for the purpose of determining whether it is in relation to the

criminal act

116. Which of the following is not a characteristic of an exit wound:A. edges are everted C. paraffin test maybe positive

B. does not manifest any definite shape D. tattooing is always absent p. 362-363

117. Which of the following is a test for the presence of powder residues on theclothings:A. Gonzale’s test C. paraffin test

B. Walker’s test D. Lung’s test

p. 380

118. Parents of this type often have personality disorders and are coolly indifferent tothe destructive nature of their action:

A. intermittent child abuser C. constant child abuserB. one-time child abuser D. ignorant abuser

P. 480

119. Merely a corroborative proof of live birth:A. presence of heart sound C. diaphragm reaches the level of 6th or 7th ribs

B. restlessness and crying D. stomach contains mucous, air bubbles and saliva

p. 577


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120. Which of the following are legitimate children:A. adopted children C. adulterous childrenB. natural children D. spurious children

P. 587

121. Causes of stillbirth:A. immaturity C. accidents in the delivery

B. congenital malformation D. all of the above

P. 576

122. The following are appearance of the lungs if respiration takes place after birthexcept:

A. lungs fill the thoracic cavity and overlapping the heart and thymus glandB. when squeezed between the finger and thumb they do not crepitateC. surface is covered with mosaic of expanded air vesicles, giving a marble

appearanceD. lungs are voluminous, with rounded edges and pink mottled color p. 579

123. It concerns the state in its sovereign or political capacity to enforce or regulate theexercise of a right, duty or obligation impose on the subject:

A. criminal law C. law on torts and damages

B. law on obligation and contracts D. private law

p. 6

124. Criminal acts as ground for reprimand, suspension or revocation of registrationcertificate:A. insanity

B. addiction to alcoholic beverages

C. knowingly issuing any false medical certificate

D. gross negligence in the practice of his profession p. 200

125. Which of the following is not a duty of a physician with regards to dyingdeclaration?

A. He must observe carefully the mental condition of the patient.B. He must avoid leading questions.C. He must immediately put down in writing the patient’s statement. D. He must produce the statement taken and decide by himself the relevant

points and its admissibility.

p. 452

126. Which of the following conditions must a medical witness comply with asubpoena?

A. When the court issuing the subpoena has no jurisdiction over the subject

matter and person of the case.B. When a physician is attending to an emergency and no one is available and

competent enough to be his substitute.

C. When the place of residence is 30 kilometers or less from the court

issuing the subpoena.D. When the physician is suffering from an infirmity which may be

aggravated if ever he complies with the subpoena.

p. 461


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127. Which of the following is not a requisite of the privileged information betweenthe physician and his patient?

A. That the information is confidential and if disclosed, will tend to blacken

the character of the patient

B. That the person against whom the privilege is claimed is one dulyauthorized to practice medicine, surgery or obstetricsC. That the privilege is claimed in a criminal case not in any civil proceedings

D. That the physician acquired the information while he was attending the

patient in his professional capacity

p. 443

128. Which of the following is an administrative liabilities of a hospital?A. improperly administering a hypodermic injectionB. keeping a hot water bottle too long on a patient’s body

C. administering the wrong blood to the right patient

D. failing to place sideboards on a bed after a nurse decided they werenecessary p. 318

129. Which is a qualitative overtreatment of physician?A. indiscriminately prescribing medicine having similar effects

B. hospitalization of patient for a minor ailment

C. excessive testing

D. longer period of treatment p. 297

130. An expert medical witness has the following qualification:A. duly licensed medical practitioner

B. duly licensed medical practitioner with at least 5 years of active

practice

C. duly licensed medical practitioner who has specialized in a particular branch of medicine

D. duly licensed medical practitioner who is a specialist in the line

along which he is testifying p. 453

131. Ghost surgery is committed when:A. the physician who performs the operation is not the physician to

whom the patient gave his consent for the operation

B. the physician performs an operation beyond that which has been

consented by the patient

C. an operation is said to have been performed when in fact nothingwas done

D. an operation is performed other than that to which the patient gives

consent p. 389

132. Failure to seek further medical assistance if symptoms persists:A.Doctrine of continuing negligence C. Doctrine of last clear chanceB. Doctrine of foreseeability D. Doctrine of contributory negligence

p. 248

133. Contributory negligence cannot be applied when there is:A. heavy sedation B. old age C. semiconsciousness D. all of the above

p. 250


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134. Operating without consent constitute an assault, and an assault, even withoutspecific proof of injury resulting from it, entitles the plaintiff to this damages:

A. liquidated damages C. temperate danagtesB. nominal damages D. moderate damages

p. 374

135. An administrative complaint was filed with the PRC against a physician who waseventually found guilty. This may result in:

A. Reprimand, suspension or revocation of license to practiceB. Imprisonment for criminal negligenceC. Civil damages paid to the patient to compensate for injuries sustainedD. Need to be re-certified

Ans: A

136. A gynecologist performed a total abdominal hysterectomy on a patient with

myoma uteri. Before closing the abdomen, he discovered that the patient hadcancer of the cecum so he referred the patient to a general surgeon to perform theresection. Three days post-op, the patient had to be reopened and a piece of gauze

was found. Who may be held liable under the Captain of the ship Doctrine?

a. The operating room nurse b. The second surgeonc. The gynecologistd. The anesthesiologist

Ans: C

137. Dr. Ola refused to render service in an emergency case in an NPA controlledterritory. Which is correct?

a. His license will be revoked b. He will be civilly liable for the injuries sustained by the patient by the

patient for his failure to treat.c. He can refuse service if there is risk on his life.d. He violated his professional oath.

Ans: C

138. As a result of the deformity he sustained from a facelift operation, Mary Juanasued Dr. Hanny Bal for mental anguish, social humiliation and moral shock. Thetype of damages she can recover as a result of these is;

a. Actual damages b. Compensatory damagesc. Exemplary damagesd. Moral damages

Ans: D

139. A patient suffering from a painful incurable disease asked his physician to givehim lethal dose of poison. OUT OF PITY, the physician gave the poison which

the patients swallowed and a result died. The physician is guilty of:a. Murder b. Homicidec. Giving assistance to suicided. Dishonorable conduct

Ans: A


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140. There is negligence in the following circumstancea. Not giving antibiotics in cataract extraction b. Not giving anti-rabies vaccine to a patient bitten by a dogc. Not giving tetanus toxoid to a patient who stepped on a naild. Not doing a skin test before administering IV oxytocin

Ans: C

141. Originally there were railings on the bed of the patient. Mr. A, the father removedthe railings so that he himself can sleep on the bed. His child fell with a broken

skull. What is the doctrine applicable?a. Res ipsa loquitor b. Borrowed servant doctrinec. Contributory negligenced. Common knowledge

Ans: C

142. When a body is the subject matter of a criminal investigation, it may exhumed:A. AnytimeB. 3 years after burialC. 5 years after burialD. 10 years after burial

Ans: A

143. This type of injury need not be reported to police authorities under PD 169:A. Serious physical injuriesB. MutilationC. Slight physical injuriesD. Less serious physical injuries

Ans: C

144. Carnal knowledge means A. Knowledge about the nature of sexual lifeB. Rupture of the hymenC. Slightest penetration of the female sexual organ by the male sex

organD. Full penetration is necessary

Ans: C

145. Bumper fracture of the leg bones in pedestrian –vehicle collision is aconsequence of:

A. Secondary impactB. Hit and run injuriesC. Primary impactD. Run over injuries

Ans: C

146. This finding in death is not consistent and may or may not appear on aperson ho died:

A. Rigor Mortis c. PutrefactionB. Algor Mortis d. Cadaveric spasm

Ans: D


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147. This finding suggests suicide:a. Indication of struggleb. Presence of hesitation cuts or tentative incisionsc. Multiple wounds in different parts of the body

d. No history of depression’

Ans: B

148. Disorientation, mental confusion, dizziness, sensory disturbancesexaggerated emotional state suggests that the blood alcohol level is:A. 150-300 mg%B. 400 mg%C. 100 mg%D. 20 mg%

Ans: A

149. The prominence and coloration of superficial veins more visibleamong people with fair complexion during decomposition is called:Skin ArborizationVenousMarbolizationVenous visibility

Ans: C

150. Tardieu spots are associated with:HangingManual strangulationLigature strangulationChoking

Ans: A

151. The crime of mutilation is understood to mean:inflicting physical injuryRendering any part of the body uselessIntentionally cutting off any reproductive part of the body

Accidentally depriving

Ans: C

152. Fingerprinting is considered to be the best valuable method ofidentification. It is universally used because fingerprints, untildecomposition, are not changeable from the time they are formed inthe fetus during pregnancy in the:

Second monthThird monthFourth weekFifth month

Ans: C


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153. A child born out of lawful wedlock where the parent eventually hada valid marriage is considered:

IncestuousSacrilegious

AdulterousLegitimated

Ans: D

154. Physical injuries which develop on parts of the body when bonetissues are deep seated caused by forcible impact of hard bluntobjects are usually:

AbrasionContusion

HematomaLacerated wound

Ans: B

155. Evidence obtained regarding the issue of the truth serum is notadmissible in court because:

The information is obtained under duressThe information given by the suspect is not voluntary

since he is under the influence of a drugThe truth serum is still in experimental stageThe information is obtained through deceit

Ans: C

156. Algor Mortis refers to:IrritabilitySoftening of the bodyCooling of the bodyHardening of the body

Ans: C

157. When blood accumulates in the most dependent portions of thedead body, it is called

Primary flacciditySecondary flaccidityPost-mortem lividity

Algor mortis

Ans: C

158. The following manner of death should be autopsied, EXCEPT;suicidesdeath unattended by physicianaccidental deathdeath occurring in natural manner

Ans: D


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159. Its main function is the transformation of mechanical energy by thehit of the firing pin on the percussion cap to chemical energy:

PrimerPowderBullet

Projectile

Ans: A

160. When the color of the contusion changes to green, the contusion’sestimated age is

2-4 days4-5 days7-10 days14-15 days

Ans: B

161. Cutis Galina or Washer woman’s hands and feet on the corpsesignifies that:

The body has been in water for sometimeThe body is that of a laundry womanThe body died for drowningThe body died for syphilis

Ans: A

162. The presence of weapon which is highly grasped by the hand of avictim of a shooting incident is an example of

Rigor mortisDeath stiffeningCadaveric spasmCadaveric rigidity

Ans: C

163. The most prominent sign of death is:Progressive fall of the body temperatureCessation of heart action and circulationCessation of respirationInsensibility of body loss of power to move

Ans: A

___C__ 164. The crime of qualified seduction can be committed on a woman-victim above the age of 18when:

a. the sexual act was done deceitfully b. the sexual act was committed with force or intimidationc. the offender is the father or brother of the victimd. the woman is a prostitute

__C___ 165.The liability of a school teacher enticing a16 year old girl who is a virgin into having sexualintercourse with him is:

a. statutory rape b. simple seductionc. qualified seductiond. acts of lasciviousness


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___C__ 166. A physician who fondled the breast of his female patient during physical examination may becharged with:

a. malpractice b. qualified seductionc. act of lasciviousnessd. moral turpitude

___A__ 167.The right of a husband or wife to have the right of society, service, companionship and sexualrelation with the spouse is called:

a. right of consortium b. husband’s right c. right of marriaged. wife’s right

___D__ 168.Which of the following marriages shall be considered void from the beginning?a. between the adopting father or mother and the adopted

b. between the legitimate children of the adoptor and the adoptedc. between stepfather and stepdaughterd. all of the above

___A__ 169.A form of sexual deviation whereby pain is the principal factor for satisfaction, either as arecipient or inflictor is called:

a. algolagnia b. irrumationc. buggeryd. bestiality

___C___170. A sex deviant who submits to surgery to change his or her anatomical sex is known as:

a. homosexual b. intersexualc. transsexuald. transvestite

___B___171.A woman who was treated in the emergency room for bleeding from several lashes on her back incurred by her lover while having intercourse is a victim of:

a. fetishism b. sadismc. uranismd. masochism

___D__172. The abnormal sexual act committed by a farmer who had sexual relation with hiscarabao:

a. masturbation b. homosexualityc. pedophiliad. zoophilia

___B___ 173.A test to prove live-birth is when the middle ear of a child, before birth ,is filled with

gelatinous, embryonic connective tissues but disappears after birth is:a. Fodere’s

b. Wredin’s c. Wnslo’s d. Breslau’s

___D___174.One of the test used to determine life before death of a fetus is to float the lungs in water is:a. Wrendin’s test

b. Icard’s test c. Breslau’s test d. Hydrostatic test

___A___175.Thefollowing are signs of intra- uterine fetal death, EXCEPT:a. HCG test positive

b. Absence of fetal movementc. Ultrasound evidence of cranial bones overlappingd. No progress in the enlargement of the uterus


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___D___ 176. The punishment for simulation of births and the substitution of one child for another

performed by a physician is:a. fine of not less than P1000

b. prison mayor and a fine of not less than P1000c. Prison mayord. Prison mayor, a fine of not less than P1000 and temporary special disqualification

___A___ 177. Which of the following types of abortion is criminal and punishable by law?a. intentional

b. post-mortemc. spontaneousd. therapeutic

___B___ 178. Which of the following may be considered justifiable ground for therapeutic abortion?a. German measles

b. Congestive heart failurec. Minimal pulmonary tuberculosisd. Hypertension

___D___ 179. A woman who shall practice an abortion on herself or shall consent that any other personshould do so shall suffer the penalty of:

a. prison mayor b. arresto mayorc. prison correctional at its minimum and medium periodd. prison correctional at its medium and maximum period

___C___ 180. Infanticide is the killing of a child less than:

a. 3 months b. 3 weeksc. 3 daysd. 3 years

____B__ 181. The crime committed by Mr. Aguilar who killed their baby a day after her wife deliveredsuspecting that his wife was having an affair with her officemate is:

a. murder

b. parricidec. homicided. infanticide

___A___ 182. For a dying declaration to be admissible in court which statement is NOT valid?a. the declarant was not the victim

b. the declaration must be with regards to the impending deathc. the declarant was conscious of his impending deathd. the declarant was in full possession of his mental faculties when he made the declaration

183. If a physician is convicted of an administrative offense, he can make an appealwithin how many days after receipt of the promulgation?

A. 7B. 14C. 30

D. 60

184. What is the minimum qualification of a physician to be accepted as expert witness?

A. license to practice medicineB. ten years of medical practiceC. at least 21 years oldD. a certified specialist

185. Any person who performs any act constituting practice of medicine but is not

qualified to do so isA. committing malpracticeB. committing fraudC. acting under extraordinary circumstanceD. illegally practicing medicine


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186. Mang Ambo utilizes light and water in his healing sessions. What is he?

A. naprapathistB. neuropathist

C. naturopathistD. masseuse

187. A fiduciary physician-patient relationship is based onA. lawB. court orderC. mutual consentD. mutual trust

188. A patient who had an eclamptic seizure is in coma and is being treated by a team of physicians. What is the pattern of relationship between the physicians and the patient?

A. active-passive

B. guidance-cooperation

C. mutual participationD. consensual

189. In a physician-patient relationship, what is expected of the physician?

A. avoid errors of judgement

B. possess average knowledge and skillsC. be a specialist in a certain fieldD. act like an authority in the field

190. The physician-patient relationship ends whenA. the patient has paid the physicianB. the physician has left for a convention abroad

C. the period specified in the contract has expired D. the patient says he can no longer afford medical care

191. A physician may choose patients whom to serve but he may not do so in

A. places where there are no doctorsB. situations when they have no valid reasonC. cases of emergency D. he is the patient’s choice

B 192. Blood that does not clot, acidic in pH, with the presence of epithelial cells

and Doderlain microorganisms is probably:A. Blood from a hemophiliac

B.

Menstrual blood

C. Blood from a person with metabolic acidosis

D. Septic blood

Chapter III – Medico Legal Aspects of Identification; p.104


B 193. In a cadaver, the chemical change of body fat which takes place in wet

conditions and results in a soft brownish white substance is known as:

A. Mummification

B. Adipocere formation

C. Bacterial Putrefaction

D. Lytic changes

Chapter IV – Medico-Legal Aspect of Death; p.149



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C 194. Dr. Pedro, the MHO of Aurora Municipio shall perform an autopsy on a

dead body when:

A. Requested by any relative of the victim

B. Verbally directed by the police

C. Upon order of the mayor

D.

Ordered by the Provincial Hospital Medical Director

Chapter V – Medico Legal Investigation of Death; p.165 Legal Medicine by Pedro Solis (1987 ed)

A 195. Head injury that may be found in areas of the skull offering the least

resistance is known as:

A. Locus minori s resitencia

B. Countre-coup injuries

C. Remote injuries

D. Coup injuries

Chapter XI-Injuries in Different Parts of the Body; p.301 Legal Medicine by Pedro Solis (1987 ed)

C 196. Petra scratched Juana in the face in an altercation. The doctor attended the

injury that resolved in less than 10 days but a keloid scar formed. The legal

classification of this injury is:

A. Mutilation

B. Slight injuries

C. Seri ous physical in juri es

D. Less serious injury

Chapter IX – Medico Legal Aspects of Physical Injuries; p.250


B 197. Sexual intercourse is not an element of this crime:

A. Seduction

B. Abduction

C. Concubinage

D. Adultery

Chapter XXI-Medico-Legal Aspects of Sex Crimes; p.520-521


D 198. This will not cause hymenal laceration:

A. Riding horseback

B. Medical instrumentation

C. Carnal knowledge

D.

I nterl abial sex

Chapter XXI-Medico-Legal Aspects of Sex Crimes; p.492 Legal Medicine by Pedro Solis (1987 ed)

D 199. This type of prostitute works regularly in a prostitution den under the directsupervision of a mama-san.

A. Hooker

B. Call girl

C. Pick up

D. Factory girl


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Chapter XXI-Medico-Legal Aspects of Sex Crimes; p.524


C 200. The crime of infanticide is almost always committed in the:

A. Nursery

B.

Delivery roomC. Home

D. Maternity clinic

Chapter XXVI-Infanticide; p.584


B 201. Pedro is impotent yet her wife gave birth to a healthy baby while in lawful

wedlock. Which is true?

A. The child’s legitimacy cannot be questioned

B. Proof of impotence wil l overthrow presumption of legitimacy

C. The child upon birth can be declared illegitimate


Chapter XXX-Impotency and Sterility; p.620


E 202. What causes sexual dissatisfaction after marriage?

B. Dyspareunia

C. Venereal disease

D. Frigidity

E. Al l of the above

Chapter XXIX-Medico-Legal Aspects of Marital Union and Dissolution; p.615


D 203. Jose developed a massive stroke two days after contracting marriage with

Josefa. Thereafter, he became physically incapable of assuming the obligations of

marriage and the condition appears to be irreversible. Which is applicable in this

case?

A. The marriage is null and void.

B. There is legal basis of annulling the marriage.

C. Josefa can re-marry if after a period of time Jose does not recover.

D.

The marr iage is valid.



C 204. Dra. Petra’s homosexual husband left her for another man. Out of frustration, she

had a one-night stand with a man she met in a bar. Her husband filed a complaint against

her. She can be held liable for:A. InfidelityB. ConcubinageC. Adultery

D. Marital impropriety




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B 205. Jose was found guilty of large-scale estafa and was to be imprisoned. He

suddenly became insane. Which should take place?

A. He should be sent to prison.

B. His impr isonment should be deferr ed until he recovers.

C. He should undergo another trial upon recovery of sanity

D. He should be pardoned.

Chapter XXXII-Disturbance of Mentality; p.627 Legal Medicine by Pedro Solis (1987 ed)

B 206. This is an organic poison:

A. Codeine

B. Amyl alcohol

C. Methamphetamine

D. Phenobarbital

Chapter XXXIV-Medico-Legal Aspect of Poisoning; p.727


B 207. Cutaneous stains in areas where the corrosive liquid has been spilled is seen

in this type of chemical poisoning due to:

A. Nitric Acid

B. Sulf uri c Acid

C. Hydrochloric Acid

D. Citric Acid



B 208. Jose presents with gouty tophi and arthritis. Examination of the joints

showed simple effusion. Jose works as a painter in the shipyard. He is probably

suffering from:

A. Hydrocyanic poisoning

B.

Chronic lead poisoning

C. Rat poisoning

D. Drug poisoning



A 209. Glucose is administered orally or intravenously in poisoning to:

A. Restore depleted glycogen

B. Eliminate the poison

C. Neutralize the poison

D. Biotransform the poison to something inert

Chapter XXXIV-Medico-Legal Aspect of Poisoning; p.721 Legal Medicine by Pedro Solis (1987 ed)

C. 210. Specific supervision, control and regulation of medical practice is a

function of:A. Professional Regulatory Commission

B. Board of Medical EducationC. Board of Medicine

D. Dept. of Health

Chapter II - Licensure and Regulatory Laws; p.8



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B 211. The non-issuance of a Certificate of Registration to a successful examinee

may be due to one of the following:

A. In trial for a criminal offense involving moral turpitude

B. Found guil ty by the Board of M edicine of immoral or dishonorable

conduct

C.

Appears to be of an unsound mindD. All of the above

Chapter II - Licensure and Regulatory Laws; p.35 Medical Jurisprudence by Pedro Solis (1988 ed)

B 212. This act does not constitute the practice of medicine:

A. Physical examination of the patient

B. Coll ection of professional fees

C. Diagnosis and treatment

D. Prescribing drugs

Chapter III –

The Practice of Medicine; p.39 Medical Jurisprudence by Pedro Solis (1988 ed)

B. 213. Beautician Vicky treats acne and dishes out topical lotions to clients. Which

of the following is correct?

A. Becky is performing a cosmetic function

B. Becky is ill egally practicing medicine

C. Becky is administratively liable under PRC rules

D. Becky’s parlor should be padlocked by the police authorities

Chapter III – The Practice of Medicine; p.48


B. 214. Dr. Jose left a forceps in the abdominal cavity after an operation. The

applicable legal principle in this case is:

A. Doctrine of vicarious liability

B. Doctri ne of res ipsa loqui tur

C. Doctrine of contributory negligence

D. Doctrine of forseeability

Chapter X – Doctrines Applied in Malpractice Cases; pp.239-248


D 215. Securing the patient’s consent for treatment is an established standard ofpractice. Failure to secure it is malpractice. To be valid, consent must be:

A. Informed and enlightened

B. Obtained voluntarily

C. Subject matter must be legal

D.

Al l of the above

Chapter VI – Rights of Patients; pp.125-126 Medical Jurisprudence by Pedro Solis (1988 ed)

D 216. A patient-physician patient relationship exists here:

A. Insurance eligibility examinationB. Pre-employment examination to determine fitness for work

C. Determination of sanity by a court appointed physician

D. Attending physician refers the patient to another doctor

Chapter IV – Physician-Patient Relationship; pp.69-71



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D 217. This type of service cannot be offered in a patient-physician relationship:

A. Emergency care and treatment

B. Examination, diagnosis, and treatment of particular problems

C. Examination, diagnosis and treatment of all medical problems

D. Therapeuti c abort ion services

Chapter IV – Physician-Patient Relationship; p.77 Medical Jurisprudence by Pedro Solis (1988 ed)

D 218. The patient-physician relationship does not contemplate one of the ff.

promises or guaranties:

A. Treatment will be beneficial

B. Treatment will not be injurious to the patient

C. Treatment will result in a definite outcome

D. Treatment wil l be gratui tous

Chapter IV – Physician-Patient Relationship; p.75 Medical Jurisprudence by Pedro Solis (1988 ed)

B 219. Burden of evidence needed to convict a physician for criminal malpractice:

A. Substantial evidence

B. Proof beyond reasonable doubt

C. Preponderance of evidence

D. Circumstantial evidence

Chapter VIII – Criminal Liabilities of Physicians; p.199


A 220. Dr. Pogi’s wife filed an administrative complaint before the PRC against

her husband who was living with a mistress for having abandoned her and

her three children. The doctor’s immoral acts are grounds for

revoking his registration certificate and classified as:

A. Personal disqual if ication

B. Unprofessional conduct

C. Unethical conduct

D. Criminal act

Chapter XVI – Liabilities of Physicians; p.179


A 221. An OB-Gyne resident saw a patient in the ER complaining of left sided

abdominal pain. She was given celecoxib and sent home. She came back in

shock for ruptured ectopic pregnancy. The hospital is liable under the

doctrine of:

A. Vicarious li abil ity

B. Independent contractor

C. Borrowed servant

D. Corporate liability

Chapter XIII- Liabilities of Hospitals pp.327-328 Medical Jurisprudence by Pedro Solis (1988 ed)


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B 222. Which of the following statements is valid:

A. Hospital resident physicians have the option to do private practice in thehospital where they are training

B. Private hospitals have the right to screen and choose the medical staff that

may be allowed to practice in the hospitalC. Any licensed physician can bring his patient to any government hospital andtreat them there

D. Postgraduate interns are liable for their errors while rendering medical care inthe hospital

Chapter XIII- Liabilities of Hospitals p.311


D 223. For purposes of establishing vicarious liability, one of the following is

generally not regarded as a hospital employee:

A.

Resident physiciansB. Staff physicians

C. Chief of Clinics

D. Post-graduate interns



C 224. Which cannot be sued and thus vicarious liability does not apply:

A. Government hospitals with proprietary functions

B.

Charity hospitalsC. Publi c hospitals with governmental functions

D. Private hospitals



B 225. In a malpractice case, Dr. Procopio was ordered by the court to produce at

trial the patient’s charts, laboratory and x-ray results and other documents

under his possession and control. The process served on him to do this is

called:

A.

Ordinary subpoenaB.

Subpena duces tecum

C. Subpoena ad testificandum

D. Court summons

Chapter XXI – Medical Witness and the Court; pp.456-457 Medical Jurisprudence by Pedro Solis (1988 ed)

B 226. A physician treated a terrorist for gunshot injuries. In the course of

treatment, the patient told the doctor he killed and beheaded hostages.

When the terrorist was captured, the physician was called to testify. What

should he do?

A. Keep his mouth shut as the information is privileged

B. Testi fy against the terr ori st

C. Invoke patient confidentiality

D. Refuse to testify

Chapter XXI – Medical Witness and the Court; pp.443-447



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C 227. A physician must appear in response to a subpoena if his place of residence

is how many kilometers from the court issuing the subpoena?

A. 100 kilometers

B. 50 kilometers

C.

Less than 50 ki lometersD. Must appear regardless of distance

Chapter XXI – Medical Witness and the Court; pp.461


B 228. A family physician has a patient with a severe cardiovascular disease. What

should be the most appropriate thing for him to do?

A. Refer the patient to another family physician who is more experienced

B.

Refer the patient to a physician whose special ty covers the case

C. Refer the patient to a more senior consultant

D. Exhaust all means to provide a correct diagnosis for proper managementof the case

Code of Ethics of the Medical Profession in the Philippines; p.476 Medical Jurisprudence by Pedro Solis (1988 ed)

C 229. A patient was dissatisfied with the treatment provided by his Dr. Jose. He

transferred to another hospital to be treated by Dr. Juan. Dr Jose practices

also in that hospital and filed a case against Dr. Juan. Choose the best

answer.

A. Juan should return the patient to Jose’s management.

B.

Juan’s action violates code of ethics as relates to another physician.C. Juan’s action if done in good faith is ethical

D. Jose should be admonished by the hospital authorities.

Code of Ethics of the Medical Profession in the Philippines; p.481


C 230. A 27-year old woman who has previously received no prenatal care presents

with spotting at term but not yet in labor. On ultrasound she has a placenta

previa, but she refuses cesarean section for any reason. What should the

physician do?

A.

Operate since this is an emergencyB. Respect the patient’s wishes

C. Refer the matter to the ethi cs committee as thi s involves the li fe of the

mother and the fetu s

D. The physician should get a court order to force a cesarean section

Code of Ethics of the Medical Profession in the Philippines; pp.475-476


___C__ 231.A sexual deviation characterized by an obsessive desire to wear the attire of the opposite sex

is:a. transsexuality

b. homosexualityc. transvestismd. hermaphoditism

___D____232.A woman who develop menopause at 20 is in a state of:

a. senility b. premature agingc. menarched. climacterium praecox


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___B___ 233. The operation done on a dead pregnant woman is:a. laparotomy

b. post mortem Cesarean sectionc. classical Cesarean sectiond. primary Cesarean section

___D___ 234. Evidence not obtained from the personal knowledge or experience of the witness but derivedfrom what he has heard or read about is called:a. expert evidence

b. privileged communicationc. associative evidenced. hearsay evidence

___A___ 235. The form of evidence given by the attending physician of a dying patient who related to him

(Doctor) that his compadre killed his wife is:a. hearsay evidence

b. dying declarationc. testimonial evidenced. deposition

236. A patient’s condition requires surgery but she refuses to submit to such procedure.What should the physician do?

A. Seek another doctor’s opinion B. Politely withdraw as attending physician C. Ask other members of the family to give consentD. Simply abandon the patient

237. A professional fee was agreed upon by the physician and patient before the start of

treatment. What kind of professional fee is it?A. Retainer

B. ContingentC. StraightD. Simple contractual

238. In which of the following situations is medical practice limited by other sources and

not self-imposed?

A. A physician charges large amount of fee resulting to limited patients

B. A physician limits his practice to certain days of the week C. A physician decides to practice only in the hospitalD. A physician limits his practice because of dictates of conscience

239. Which of the following statements is true?A. Any graduate of medicine can automatically practice in any hospitalB. A physician can practice in hospitals once he becomes a specialistC. A hospital is obliged to give all licensed physician the privilege to practiceD. A hospital has the discretion to choose physicians whom to give the

privilege to practice

240. In which of the following situations is consent not necessary?

A. There is no one around to sign the consentB. The patient is unconscious

C. The case is emergency D. The procedure is known to be safe

241. A patient diagnosed to have cervical cancer should be informed of the diagnosis

because of her right to

A. confidentialityB. treatmentC. give consent

D. disclosure


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242. Manny, a 19 year old married was diagnosed to have acute appendicitis. If all of the

following are available, who should sign the consent?

A. Manny

B. The spouse

C. His fatherD. His mother

243. Confidentiality of information does not apply in which situation?

A. Patient waives her right

B. The case is interestingC. The condition is a rare caseD. The patient has no relative around

244. A patient consulted at a physician’s clinic. He related his symptoms and the doctor

gives treatment. What type of consent was used?

A.

ImpliedB. OralC. GeneralD. No consent

245. Mr. Santos falsified documents to get a certificate of registration as physician. If

convicted, what is the penalty?

A. Arresto menorB. Arresto mayorC. Prision mayor

D. Prision correccional

246. A physician failed to report treatment of physical injuries to proper authority. What

is the duration of imprisonment if found guilty?

A. 6 months to one year

B. 1 to 3 yearsC. 3 to 6 yearsD. 6 to 12 years

247. Being a graduate of Medicine is what type of circumstance to a criminal liability?

A. Exempting

B. Aggravating

C. MitigatingD. Alternative

248. In which of the following circumstances is there definite negligence?

A. Not giving antibiotics in cataract extractionB. Not giving anti-rabies vaccine to a patient bitten by a dog

C. Not giving tetanus toxoid to a patient who stepped on a nail on the

groundD. Not doing skin test before administering IV oxytocin

249. The doctrine of res ipsa loquitur applies to which of the following situations?

A. Plastic surgery to remove a scar resulted to an uglier scarB. Diagnosis of appendicitis which turned out to be salpingitisC. Doing craniotomy in a dying victim of vehicular accident

D. Burns during application of perineal heat after delivery


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250. General compensatory damages include which of the following?

A. Hospital expensesB. Funeral expenses

C. Loss of earning capacity

D. Drugs brought from outside pharmacy

250. The drug used as truth serum in detecting deception is

A. meperidine

B. hyoscine hydrobromide

C. sodium amytalD. sodium pentothal

251. What characteristic of a living person can easily be changed?A. Mental memoryB. Degree of nutrition

C.

Grade of professionD. Complexion

252. What is the gait of a person with tabes dorsalis

A. AtaxicB. PareticC. SpasticD. Wadding

253. Which of the following approximates a person’s height?

A. Ten times the length of the headB. Three times the distance from vertex of skull to symphysis pubisC. Distance from tips of middle fingers with arms extended

D. Two times the distance between supra-sternal notch and symphysis pubis

254. What is the most valuable method of identification?A. Handwriting

B. Fingerprinting

C. Dental identificationD. Identification of skeleton

255. What is the art and study of recording fingerprints for identification?

A. DactyloscopyB. Dactylography

C. PoroscopyD. Graphology

256. Diaphanus testwas used to determine peripheral circulation. How is this done?

A. Place ligature around the base of the finger

B. Spread fingers wide and view through strong lightC. Subcutaneous injection of fluoresceinD. Apply heated material to the skin

257. What is post-mortem caloricity due to?A. Temperature of surroundings

B. Early putrefactive changes

C. ClothingsD. Dehydration


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258. Which of the following hastens cooling of the body after death?

A. Middle ageB. AsphyxiaC. Acute pyrexial disease

D.

Leanness of the body

259. What is the first stage of muscular changes after death?

A. Lividity

B. Muscular irritability

C. Cadaveric rigidityD. Secondary flaccidity

260. Which of the following organs putrefy early?A. Heart

B. Liver

C. KidneyD. Uterus

261. Death by electrocution is to which of the following?

A. Heart failureB. Shock

C. AsphyxiaD. Renal failure

262. According to the administrative code, an unembalmed dead body should be buried

within how long after death?

A. 12 hoursB. 48 hours

C. 3 daysD. One week

263. When a blow to the forehead cause contusion of the eyeball due to fracture of the

bone at the roof of the orbit, what is the type of injury incurred?

A. CoupB. Contre-coupC. Coup contre-coup

D. Locus minoris resistencia

264. Living in very high altitude may cause what type of asphyxial death?

A. Anoxic

B. Anemic anoxicC. Stagnant anoxicD. Histotoxic anoxic

265. What is the most tragic type of child abuser?A. One timeB. Constant

C. Ignorant

D. Intermittent

266. What is the average time required for death in drowning?

A. 2-5 minutesB. 10-15 minutesC. 20-30 minutesD. 1-2 hours


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267. Which of the following acts of physicians is/are punishable as far as prohibited

drugs are concerned?

A. Unlawful prescriptionB. Unnecessary prescriptionC. Failure to record prescription

D.

All of the above

268. Which of the following should be tested in suspected cases of lead poisoning?

A. Liver

B. BloodC. StomachD. Urine

270. Medical Jurisprudence includes:a. Rights and obligations of charlatans

b. Resolutions, orders and decreesc. Physician-patient-hospital-paramedical

relationship

d. None of the above

271. The right to regulate the practice of medicine bythe State is based on:

a. Police power

b. Power of eminent domainc. Medical Act of 1959d. Constitution

272. Qualifications of those appointed members of the

Board of Medicine:a. He is a duly-registered physicianb. He is a citizen of the Philippinesc. He has been in the practice of Medicine for at

least 15 years

d. He is a specialist and not connected with anymedical school

273. Which of the following statements is/are true offaith healing in relation to the practice of medicine:

a. If a person acted pursuance of his religious

belief and the act is in accordance with thetenets of his church, it is deemed to be part of

his religious freedom

b. The Medical Act of 1959 exempts faith healingfrom the definition of the acts which constitute

practice of medicine

c. The faith healer can practice even without acertification of registration from the Board of

Medicine.

d. He can invoke his right to livelihood as thebasis for his performing faith healing

274. Certificate of registration shall not be required onthe following persons:

a. Commissioned medical officers of other countries

stationed in the Philippines within the limit of

their own respective territorial jurisdiction

b. Physicians from other countries called inconsultation in all cases in any hospital after


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securing a previous authorization from the Board

of Medicine

c. Filipino physicians practicing in foreigncountries

d. Dentist in relation to his practice of toothextraction

275. The following are qualified to practice medicine inthe Philippines:

a. Those who have complied with the pre-requisites

to the practice of medicine in accordance with

Sec. 8 of the Medical Act of 1959

b. Commissioned medical officers of other countriesstationed in the Philippines irrespective of its

territorial jurisdiction

c. Post-graduate medical interns during from-dutyhours

d. Those foreign physicians not covered byreciprocity

276. In his rights, a physician may be limited by thedictates of his conscience, and thus he may refuse

which of the following:

a. Bilateral tubal ligations

b. Blood transfusion in emergency casesc. Prescription of sedatives in psychotic patientd. Intubation of a severely dyspneic and tachypneic

patient

277. In which of the following is there a physician-patient relationship:

a. P.E conducted for insurance purposes with

prescription

b. Physician appointed by trial courts to examineand accused

c. Autopsy examinationsd. In casual consultations during conferences

278. A physician should never examine or treathospitalized patient of another physician without the

letter’s knowledge and consent except when:

a. In case of emergency, the attending physician is

not readily available

b. The patient expressly asks him to do so in theabsence of attending physician

c. He is a relative of the patientd. He will not charged the patient a professional

fee

279. A patient has the right to discharge the physiciantreating him at any time. On the other hand the

physician can withdraw from the physician-patientrelationship only if:

a. The patient consents to his withdrawal and is

given ample time to secure the services of

another physician

b. The patient intends to file a suit against him incourt


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c. There are other physicians in the locality whocan treat the patient

d. The physician lacks the facilities for treatmentof the patient

280. In which of the following is consent necessary:a. Consultation in an out-patient basis

b. Compulsory procedure by law, e.g. vaccinationc. In extreme emergenciesd. Waiver on the part of the patient

281. Dr. Francis Duke, a government physician may notpractice his profession within office hours. This is a

limitation imposed by:

a. Law

b. Religionc. Hospital Rules and Regulationsd. PMA

282. Which one of the following refers to the inherentright of a physician:

a. To choose patients

b. To perform certain servicesc. To charge professional feesd. To hold certain public office

283. The Doctrine of Superior Knowledge states that:

a. The physician has superior knowledge over his patient

b. The patient follows the instructions of thephysician

c. The patient determines the proper course ofaction in the management

d. The physician is in command and control over thepatient

284. The receptionist in the hospital lobby receives afee from Dr. Boll for referring cases to the latter.

This fee, which is unethical, is called:a. Dichotomous fee

b. Contingent feec. Retainer feed. Referral fee

285. Which one of the following is measured by the spaceof time provided by the physician and not by the

quality and quantity of medical services rendered:

a. Retainer fee

b. Package deal feec. Contractual fee

d. Simple fee286. By refusing to allow medical students to see her inher room, a patient is practicing her right to;

a. Privacy

b. Confidentialityc. Refuse treatment

d. Disclosure


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287. It is a common practice of hospitals to insert thisclause for the purpose of making the patient assume

the risk of operation:

a. Exculpatory clause

b. Conditional consentc. Blanket consentd. General clause

288. You evaluated a 65 –year old man with 3-monthhistory of chest pains and fainting spells that you

feel merit cardiac catheterization. After informing

him fully of the benefits, consequences, risks, etc.’

he was able to demonstrate that he understands all of

these and refuses the intervention. What should you

do?

a. Respect his choice

b. Explore reasons for his decision and try to

convince him againc. Consider the discussion endedd. Continue with the procedure nevertheless

289. A 60-year old patient has complaints of abdominalpain that is persistent but not extreme. Work-up shows

hepatoma. He just retired from a busy professional

career and he and his wife are about to leave for a

round the world cruise. What should you do?

a. Inform him of his condition now

b. Exercise the therapeutic privilege and inform him

later when he returnsc. Inform him when his condition worsensd. Inform his wife first

290. Audric, an 18 year-old married male still living anddependent with his parents, was diagnosed with

ruptured acute appendicitis. Who should give the

consent for surgery?

a. Audric

b. Parentsc. Paul’s wife

d. Grandparents 291. Confidentiality of information in the course of adoctor-patient relationship may be breached in the

following instances:

a. When disclosure is necessary to serve the best

interest of justice

b. When disclosure of information will serve bothpublic and private health and safety

c. When disclosure is needed in a ci

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