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Forensic Medicine · Injuries and wounds: antemortem incised wound
Sample itemA man is found dead with an incised wound on the forearm. The edges are gaping and swollen with blood clots in the depth, and there is infiltration of blood into the surrounding tissue. What does this indicate?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. The wound was inflicted during life
Antemortem wounds show gaping with retracted edges, as the elastic skin pulls apart, with infiltration of blood into the tissue and firm clotting. After death, wounds gape little, there is minimal bleeding and no true infiltration or clotting. These are the signs of a vital reaction.
Option by option
A. The wound was inflicted during life (correct)
Correct. Gaping, clotted and infiltrated wound edges are signs of vital reaction.
B. The wound was inflicted shortly after death
A wound made after death shows little bleeding and does not have clots infiltrating tissues.
C. The wound is a postmortem animal artefact
Animal artefacts lack the vital reaction found here.
D. The wound was made at autopsy
Autopsy incisions lack infiltration and clots because circulation has ceased.
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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