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Pathology · USMLE Step 1 · Healthcare and Nursing

USMLE Pathology: Forensic and Autopsy Basics

Cause versus manner of death, postmortem tissue changes, and basic wound pathology concepts.

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34 basic cards for USMLE Step 1 Pathology. Set 5 of 27 in USMLE Pathology. It opens with "In forensic pathology, what is the 'cause of death'?" and "In forensic pathology, what is the 'manner of death'?". Study it alongside the other USMLE Step 1 sets below.

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In forensic pathology, what is the 'cause of death'?
Show answerThe specific injury or disease that starts the lethal chain of events (e.g., gunshot wound, myocardial infarction).
In forensic pathology, what is the 'manner of death'?
Show answerThe circumstance or fashion in which the cause of death came about.
What are the five standard manners of death?
Show answerNatural, accident, suicide, homicide, and undetermined.
Who has legal authority to determine the manner of death?
Show answerThe medical examiner or coroner.
A patient dies from an unexpected fatal reaction to a medication taken exactly as prescribed. What manner of death is this?
Show answerAccident.
What is the 'mechanism of death'?
Show answerThe physiologic derangement, such as exsanguination or arrhythmia, produced by the cause of death that actually brings about death.
On a death certificate, what does the 'immediate cause of death' refer to?
Show answerThe final disease or condition that directly resulted in death.
On a death certificate, what does the 'underlying cause of death' refer to?
Show answerThe disease or injury that set in motion the chain of events leading to death.
When is a death classified with an 'undetermined' manner of death?
Show answerWhen the available evidence is not sufficient to establish a specific manner with reasonable certainty.
What manner of death applies when another person's intentional act causes death?
Show answerHomicide.
What is 'algor mortis'?
Show answerThe postmortem cooling of the body toward ambient temperature.
Approximately how long after death does rigor mortis first begin to appear?
Show answerAbout 2 to 6 hours after death.
Rigor mortis follows ____, which states that stiffening appears first in small muscles (such as the jaw and eyelids) and progresses to larger muscle groups.
Show answerNysten's law
About how long after death does rigor mortis begin to resolve?
Show answerAbout 24 to 36 hours after death, as autolysis breaks down muscle proteins.
What is 'livor mortis' (postmortem lividity)?
Show answerPurple-red discoloration of the skin caused by gravity settling blood into dependent capillaries after circulation stops.

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