Marks distribution of Assessment of Forensic Medicine: Total marks – 300

  • Written =100 (MCQ+ SEQ+ SAQ+ FA)
  • MCQ-20 (50% SBA+50% MTF),
  • SEQ (Structured Essay Question)-20, SAQ-50 (Short Answer Question) +
  • FA (formative assessment) marks 10
  • Structured Oral Examination= 100
  • Practical=50, OSPE= 40 & Others (PM report, Injury certificate & Practical assignment) =10

Forensic Medicine & Toxicology

Section -01: Introduction to Forensic Medicine and Recent advances in Forensic Medicine.


  • Introduction to Forensic Medicine& its subdivision; medical jurisprudence
  • Recent advances in Forensic Medicine o
  • Emerging issues in sex verification and disorder of sex development (DSD)
  • Medico-legal issues in consent
  • Euthanasia: legal, social and humanitarian aspect
  • Legal and ethical issues in medical records
  • Legal issues in End-of-life care and palliative care
  • Age of child: legal perspective
  • Analytic and Clinical toxicology
  • Mass disaster: Introduction, effect, management strategies, disaster victim identification (DVI)
  • Sports medicine (type, mechanism, management, and prevention of sports injuries.
  • Forensic science
  • Trace evidence (blood stain, blood group, hair, semen)


DNA Profiling


  • Forensic science
  • criminalistics
  • crime scene investigation
  • forensic lab
  • Cybercrime, Basics of ICT
  • History and landmarks of Forensic medicine
  • HLA typing and Bioinformatics


Forensic Medicine & Toxicology

Section 3: Medical Jurisprudence (Medical ethics)


Medical ethics:

  • WMA declaration Geneva declaration, International Code of medical ethics
  • BMDC: Bangladesh Medical &Dental Council (BMDC), its constituents, functions and disciplinary control. a professional death sentence
  • Right & privilege, Duties
  • Rights and privileges of a doctor
  • Rights of patients
  • Duties of a medical practitioner toward patients & society, Professional secrecy & privileged communication
  • Doctor-patient relationship; Component; Skills
  • Fairness and Equity; Specific Health Issues; Jargon in the field of medical ethics.
  • Code of Medical ethic of BMDC
  • Malpractice
  • Ethical malpractice: Professional Infamous conduct
  • Professional (Medical) Malpractice: civil and criminal Negligence
  • Precautions, prevention & defenses against professional negligence
  • Vicarious liability, Contributory negligence, corporate negligence; Res ipsa loquitor Novus actus interne
  • Medical maloccurance; Product liability
  • Applied ethics and research ethics
  • Soft skill and humanities; End-of-life care; palliative care



  • Code and law of medical ethics, its history
  • Tokyo Declaration 1975, Helsinki Declaration. Other important WMA declaration
  • Ethical review board. Procedure of ethical review in a research proposal. Dealing with ethical dilemmas and conflicts
  • Organ Transplant Act. MTP Act. Consumers Protection Act
  • Legal provision related to medical practice


Forensic Medicine & Toxicology

Section 4: Forensic Pathology



01.  Autopsy:

  • Definition; Type; prerequisite; objective
  • Procedure: external, internal (opening body cavity, 3rd incision, removal of viscera, internal exam) and laboratory procedure; Report writing; opinion
  • Collection and dispatch of specimen
  • Inquest report: definition, type, content, magistrate inquest
  • Modern morgue
  • Exhumation: definition, procedure; importance; 2 nd autopsy
  • Forensic anthropology: Post Mortem exam of mutilated and skeletal remains



  • Virtual autopsy procedure, Academic autopsy
  • Special Autopsy & disposal of radioactive corpse
  • Recommendation of autopsy as per Human Rights Commission
  • Clinical autopsy: Legal formalities, Procedure; Precaution; Importance
  • Methods of preserving a dead body



02. Death

  • Mood and manner of death (natural/ unnatural)
  • Asphyxia; syncope; coma
  • PM changes after death
  • Immediate
  • Early change: skin change, eye change, cooling of body, hypostasis, rigor mortis
  • Late change: putrefaction, adipocere formation, and mummification
  • Post-mortem artifacts: Resuscitative artifact, agonal artifact, and postmortem artifact
  • Sudden death
  • Custodial death
  • Anesthetic and operative deaths



  • Radioactive carbon(C14) estimation
  • Forensic entomology
  • Death due to occupational and environmental hazards
  • Dead body management & handling in disaster



03.       Infanticide:

definition, legal bearing, cause of death, and mode of death.

a.           Dead born (def, Spalding sign, maceration)

b.          Live born

c.           Still born


  • Precipitated labor
  • Cot death, SIDS, feticide
  • Death due to neglect



04.       Violent asphyxia death:

  • Hanging: def, types, cause of death, mechanism of death, PM finding, ML imp
  • Strangulation: definition, type, throat ling, ligature strangulation, cause of death, PM finding, ML imp
  • Drowning: Definition, types, pathophysiology, PM findings, cause of death, ML imp.
  • Suffocation: smothering, choking, and gagging



05.  Wound: (L-6hrs; T-3hrs)

Transportation wound:

  • Trauma in RTA; cause, preventive device (helmet, seat belt syndrome)
  • Injuries sustained by pedestrians; drivers, motorcyclists; and passengers; Crush syndrome
  • Objectives of autopsy in traffic wounds


Firearm and explosives:

  • Firearms, cartridge composition, firearm injuries (entry and exit) according to range, medico-legal aspect.
  • The bomb blast and explosion
  • Electrocution and lightning
  • Autopsy (mass disaster) protocol



  • Transportation: Trauma in Railway disaster; River traffic, Air crush

Forensic Medicine & Toxicology

Section 5: Clinical Forensic Medicine

Forensic Medicine & ToxicologySection 6: IdentificationForensic Medicine & ToxicologySection-09: Forensic ToxicologyForensic Medicine & Toxicology Section-10: PRACTICALForensic Medicine & Toxicology Section-11: Observation of ten Medico-legal Autopsies
Forensic Medicine & Toxicology Section-12: Day visit-06

01.  Death:

  • Basic of death: definition, type, ML imp of somatic death; signs of death; cause manner, mechanism of death; Brain death: types, signs, diagnostic criteria Declaration of death. Ø   Suspended animation; presumption of death


02.  Wound:

  • Medico-legal aspect: injury wound, hurt, battery; grievous hurt; cause of death due to wound; homicide; defense wound; fabricated wound
  • Mechanical wound: abrasion, bruise, laceration, incised wound, and puncture wound


Regional injury:

  • Head injury: Scalp, skull fracture, Intra cranial hemorrhage, brain injuries.
  • whiplash injury.Crush syndrome
  • Domestic Violence: Battered Baby syndrome (BBS); Munchausen syndrome; violence against women
  • Thermal injury: Heat (Burn scald) and cold
  • Torture
  • Neglect and starvation



Chest injury, abdominal injury, genital injury, and extremity injury



03. Forensic aspect of sex:

  • Medico-legal aspects related to marriage
  • Impotency, sterility; Medico-legal aspect
  • Legitimacy; Paternity and maternity
  • Hymen: Type, cause of rupture; medico-legal aspect
  • Virginity and defloration


Sexual offences:

  • Natural: Rape, Adultery, Incest
  • Unnatural: sodomy, Lesbianism, Buccal coitus, Bestiality
  • Investigations: collection & dispatch of specimen (HVS, stain, hair, blood); radiology


Medico-legal report preparation: Impotency, fixation of paternity & maternity, report on sexual violence; rape


Sexual perversions: sadism, masochism, voyeurism, necrophilia, necrophage


  • Psychosexual instinct
  • legal provisions related




  • Definition, types, objectives, and method of identification
  • Identification traits; Identity of living persons & dead bodies
  • Race, religion, sex
  • Age: medico-legal importance; estimation of age
  • Tattoo, scar, stature, mole, birthmark
  • Stature, occupational marks
  • Trace Evidence
  • Forensic Dactylography
  • Forensic Radiology: introduction, scope, and medicolegal issues
  • Forensic Odontology: introduction, scope, and forensic issues
  • Bite marks; Modern technologies used in the identification
  • Identification of mass death & examination of human remains



  • X-ray identification
  • Superimposition. Lip print
  • Brain fingerprinting
  • Lie detector
  • Biometrics; retina scan, Iris scan
  • Forensic Voice analysis
  • Questioned document examination
  • Forensic ballistic


Forensic aspect reproduction:

  • Artificial insemination and other artificial methods of conception with medico-legal implications (Inflowing)
  • Surrogated mother & baby
  • Pregnancy: Medico-legal importance; Signs of pregnancy& duration. PM finding of pregnancy
  • Delivery: signs of recent & remote delivery in living & dead
  • Abortion: types, methods, complication, management duties of a medical practitioner
  • Indication of therapeutic abortion. Spontaneous, Artificial (justifiable and criminal abortion)



  • Feticide and viability; IUF death
  • MTP act
  • Infertility & its medico-legal issues; Invitro Fertilization




  • Definition of forensic psychiatry. Classification of mental disorder, lucid interval, testamentary capacity
  • Important terms of forensic psychiatry. Elements of forensic psychiatry (psychosis, neurosis, delirium, delusion, illusion, hallucination, confabulation, phobia, impulse, etc.)
  • Issues of incompetency to stand trial/event
  • Criminal responsibility of an insane person
  • Personality disorder related to crime
  • Aggressive behavior and medicolegal issues
  • Diminished responsibility
  • Civil and Social Responsibilities
  • Substance abuse affects the mental state
  • True insanity and feigned insanity
  • Rules in relation to forensic psychiatry


  • Mental health act
  • Advances in Forensic Psychiatry
  • Psychosexual instinct




General aspects of poisoning:

  • Forensic Toxicology. Legal provisions related to Poisons & poisoning
  • The general aspect of toxicology
  • Poisons. Classification of poisons
  • Factors modifying the action of poison
  • Antidote. · Principles of Management of acute & chronic poisoning
  • Prevention of domestic poison & therapeutic poison


Specific Poisoning:

  • Corrosive poisons: strong acids and alkalis
  • Acetaminophen (paracetamol) poisoning
  • Metallic poisons: Lead, Arsenic, Copper and Mercury
  • Deliriants: Datura, Cannabis
  • Somniferous agents: Opium and its derivatives; Hypnotics- Barbiturate
  • Inebriates: Alcohol, methyl alcohol
  • Petroleum product: Kerosene oil
  • Gaseous poisons: Carbon monoxide, Chlorine, CO2, Cooking gas (methane)
  • Insecticides: Organo-phosphorus comp (OPC) and chloro-compound
  • Snake Bite
  • Drug dependence and drug abuse. Doping
  • Food poisoning
  • Potka fish (Pufferfish)


  • Spinal poison; Cardiac poison; cocaine
  • Organic irritant: ricinuscommunis; ergot; arbusprecatorius; calatropis; cantharides; scorpion
  • Clinical toxicology; Environmental toxicology; Occupational toxicology; Analytic toxicology


A.  Demonstration: (18hrs)

  • Demonstration & observation of ten medico-legal autopsies
  • Observation/examination of intoxicated persons in the ward (Indoor)
  • Flip chart
  • Weapons: Blunt weapons; Cutting weapons; sharp-pointed
  • Dangerous weapon: firearms
  • Forensic photograph
  • Identity: Tattoo; fingerprint; Barr body & Davidsons body
  • Thanatology: Marbling, degloving, demonstration rigor mortis
  • Asphyxia death: Ligature marks; FB in trachea (Choking) Hanging; Strangulation; Partial hanging; smothering; sexual asphyxia; traumatic asphyxia; diatoms; drowning
  • Trauma: Hesitation cut; fabricated injury; incised wound; cut-throat wound with hesitation mark; defense wound; shotgun injury; pattern abrasion; graze abrasion; contact rifle entry wound; chop wound; pugilistic attitude; soot particle in the trachea; Lacerated wound
  • Toxicology specimen(poison)
  • Corrosives: Hcl, H2SO4, HNO3, carbolic acid; Oxalic acid; Salicylic acid; corrosive alkali
  • Inorganic: lead; copper; Arsenic; Mercury; Phosphorus
  • Organic: chili seeds; Snake
  • Systemic
  • CNS: inebriants (Alcohol; methyl alcohol); deliriants (Dhatura, Cannabis Indica); Poppy (Opium); Nux vomica
  • Insecticides: OPC; Chloro-compound
  • Domestic: kerosene; naphthalene; harpist; salon; Dettol


B.  Exercise: (22yrs)

  • Preparation of certificates on the following Medico-legal situations
  • Prepare 5-10 Injury report
  • Prepare 10 Postmortem reports
  • Prepare a death certificate according to ICD-10 with the recording of the death note.
  • Prepare medical (fitness & sickness) certificate; discharge certificate; Birth certificate
  • Prepare a report on Insanity
  • Prepare age estimation report
  • Prepare a report of sexual assault
  • Recoding Dying declaration
  • Examine for estimation of the age of a person
  • Examine the victim of physical assault
  • Examine victims of sexual assault
  • Examine a drunkenness case
  • Management of poisoning case
  • Age estimation from bones by X-rays
  • Assignment

C.          Observation

D.         Experiment:

E.          Role play: Drunkenness Infamous conduct

F.           Presentation

G. Problem-solving:

  • The college authority will contact and fix the schedule with a suitable time & date to attend
  • Transport will be provided by the college authority
  • Contents Visit to court. Visit to police station stop Crisis Center (OCC)DNA lab, Forensic lab