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Forensic Medicine · Asphyxial deaths: soft ligature
Sample itemA man is found hanging from a ceiling fan by a broad folded cotton towel. The neck shows only a faint, pale, broad mark. What is the most appropriate inference?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. A soft, broad ligature may leave little or no mark, so hanging is not excluded
A soft, broad ligature such as a towel, sari or cloth distributes pressure and may leave only a faint or even no mark, especially if the body is cut down quickly. The diagnosis then depends on scene and internal neck findings. The absence of a mark never excludes hanging.
Option by option
A. Soft ligatures only cause death by poisoning
Ligature type has no relation to poisoning.
B. A soft, broad ligature may leave little or no mark, so hanging is not excluded (correct)
Correct. The nature of the ligature affects how visible the mark is.
C. No mark means that death was not due to hanging
The absence of a mark does not rule out hanging with a soft ligature.
D. A faint mark proves hanging after death
Mark intensity does not indicate hanging after death.
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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