Embalming III - Exam 4

TYPES OF AUTOPSY EXAMINATIONS

1. Cranial 2. Thoracic 3. Abdominal 4. Pelvic 5. Spinal

PURPOSES OF AN AUTOPSY

1. To determine cause of death 2. To determine the manner of death 3. To determine additional factors contributing to the death 4. To continue the clinical study of the case 5. To investigate problems of physical, chemical, bacteriological, pathological and anatomical conditions

QUICK DRYING SEALER

After drying the cranial floor post-autopsy, what should be used to cover it with?

CREAM SEALER

After placing a large volume of absorbent material in the cranial cavity post-autopsy, and replacing / securing the calvarium cap, what should be used to fill in the line of separation?

SEPARATELY

After removal of temporary sutures, breast plate, and viscera, and the located arteries for injection have been prepared, how should the injection of each artery be completed in regard to a ventral autopsy?

EMBALMING POWDER

After replacing a treated breast plate and rib cage, with regard to a ventral autopsy case, what should it be covered with?

EMBALMING POWDER

After replacing pre-treated viscera, bagged or unbagged, in the ventral cavity of an autopsy case, what should the viscera be coated with?

LIQUID SEALER

After the body of a ventral autopsy has been rinsed and dried, what should be applied to the sutures BEFORE any plastic garment over the torso?

TIME, MONEY AND EFFORT SPENT IN THE PREPARATION OF THE BODY PRIOR TO FINAL SHIPMENT

All of the following are beyond the control of the funeral home when shipping a body by private ground carrier except -time, money and effort spent in the preparation of the body prior to final shipment -temperature of the environment along the route -humidity of the environment along the route -season of the year at the time of shipping

DEEP WOUND PROBLEM

An external spine amputation or bone removal autopsy should be treated as if it were what type of issue?

ONE TO FIVE

Between what ages would a child be considered large enough to utilize the femoral artery and vein; eliminating the abdominal aorta method or common carotid method of preparation?

ADEQUATE

Bodies that are shipped out must be in perfect condition so that they might arrive at the new funeral home in what type of condition?

CRANIAL AND VENTRAL AUTOPSY

COMPLETE autopsy

VENTRAL AUTOPSY

Combination autopsy; includes thoracic, abdominal and pelvic regions

HUMECTANT ADDITIVES

For any infant/child case, what should a mild mixture of cosmetic arterial fluid be modified with?

EXTERNAL AUTOPSY

Full examination of the body by the authority at the site of death for suspicion of foul play, etc.

BED SORE

How should a skin removal be approached when preparing the body for embalming; compared to treating what?

LEFT VENTRICLE

If injecting an infant case by way of the heart, which chamber of the heart is considered most appropriate to insert the arterial tube for the best results?

LEFT VENTRICLE

If the ascending aorta is not accessible for injection because the heart cannot be extracted in the case of a live birth infant preparation, what alternative point can be injected?

4 HOURS

If the body of an infant was embalmed by surface pack, approximately how long should the body remain in the plastic pouch for the chemicals to work efficiently before the pack can be removed for possible cosmetics, dressing, and viewing?

IMPRACTICAL

The umbilical cord contains one vein and two arteries, and each contains a valve, because of this and the size and condition of the cord, embalming through the use of this method proved to be what?

LEFT VENTRICLE OF THE HEART

What alternative structure can be used in the "thoracic" method of embalming an infant if the primary site is inaccessible?

MEDICAL AUTOPSY / MEDICO-LEGAL FORENSIC AUTOPSY

What are the 2 types of autopsies?

RIGHT TO LEFT

What direction should a baseball suture run on a cranial autopsy?

ABDOMINAL AORTA METHOD

What is aka the direct incision method?

AUTOPSY

What is the examination of a dead human body?

NOSTRIL

What is the most practical point of aspiration of the cranium on a stillborn case?

CAVITY FLUID

What is used to saturate the cotton covered body of a stillborn case while inside the viscera bag?

LIVER

What must be avoided when incising the area of skin from the umbilicus to the pubic bone when performing the abdominal aorta method of preparation of a live birth infant case?

INFERIOR VENA CAVA VEIN

What point is accessed for drainage when preparing a live birth infant by the abdominal aorta method?

ABDOMINAL AORTA ARTERY

What point is used for injection when preparing a live birth infant by the abdominal aorta method?

NOSTRIL

What point should an infant/child cranium be aspirated and injected if disposition is delayed?

THE BOTTOM OF THE CAVITY SHOULD BE COATED WITH HARDENING COMPOUND

What procedure should be done before placing the pre-treated viscera in the ventral cavity?

EMBALMING POWDER

What should be added once the cavity pack of an external spine amputation has been removed?

POWDERED SEALER

What should be applied to the incision area of after a cranial autopsy?

LIQUID SEALER

What should be applied when the surface of a skin removal is dry?

STERNUM

What should be incised in a "V" shape when performing the heart method preparation of a live birth infant?

LOWER EXTREMITIES

What should be injected first when preparing a live birth infant via the abdominal aorta method?

POWDERED SEALER

What should be used in a bone removal autopsy after the cavity pack has been removed and embalming powder has been applied (before suturing)?

POWDERED SEALER

What should be used in a ventral autopsy case in the incision as the skin is sutured together; add this as you go?

MASSAGE CREAM

What should be used to protect against dehydration on the face, neck, arms, hands, legs, and feet of any infant/child case?

HARDENING COMPOUND

What should be used, with regard to a ventral autopsy, on a dry floor and inside of the rib cage?

ASCENDING AORTA ARTERY

What structure is normally used as the most desired primary injection site of arterial fluid when employing the "thoracic" method of embalming an infant?

BASEBALL STITCH

What suture is recommended as a hidden stitch which could be used on a cranial autopsy?

COMPLETE

What type of autopsy consists of the examination of the contents of the cranial and ventral cavities?

ABDOMINAL

What type of autopsy consists of the examination of the gastrointestinal tract below the diaphragm?

CRANIAL

What type of autopsy involves the post mortem examination of the brain only?

RIGHT AND LEFT COMMON CAROTID

When embalming the autopsy case, what blood vessels would be utilized to inject the head of the deceased?

RIGHT COMMON ILIAC

When embalming the autopsy case, what vessel would be used to inject the lower right extremity?

LEFT SUBCLAVIAN

When embalming the autopsy case, what vessel would be utilized to inject the upper left extremity?

UMBILICUS TO THE PUBIC BONE

When performing the abdominal aorta method of preparation of a live birth infant, what area is incised in the skin of the abdominal wall at the mid-line?

ASCENDING AORTA

When performing the heart method of preparation on the body of a live birth case, where should the injection point be?

MASSAGE CREAM

When preparing the infant case, which of the following is recommended to be applied to the tissues of the visible parts of the body during embalming?

DURING ARTERIAL INJECTION

When should a cavity pack be utilized in the instance of an external spine amputation?

DURING THE INJECTION

When should aspiration of drainage from the ventral cavity of an autopsy take place?

POSTERIOR TO THE EAR

When the pathologist makes an incision for a cranial autopsy, which of the following best describes the proper location for the incision to begin? - Anterior to the tragus - Inferior to the front of the ear lobe - Superior and anterior to the top of the ear - Posterior to the ear

CAVITY FLUID

When treating a skin removal, what should be applied via hypodermic and surface pack?

UMBILICAL CORD

Where did early embalmers attempt to enter to embalm a stillborn baby?

STANDARD ENTRY POINTS

Where should a stillborn be injected when using a hypodermic method of arterial fluid or cavity fluid injection into the cranial and ventral cavities?

SAME INCISION

Where should the aspiration and injection point of the ventral cavity of a live birth infant go through when performing the heart method?

RIGHT ATRIUM

Where should the drainage point be when performing the heart method of preparation on the body of a live birth case?

SUPERIOR VENA CAVA

Which of the following blood vessels is NOT suitable for the injection of arterial fluids into a small infant? - Arch of the Aorta - Abdominal Aorta - Ascending Aorta - Superior Vena Cava

USING AN ELEVATED INDEX AND VOLUME OF ARTERIAL FLUID

Which of these is a recommended procedure for a typical ship-out case? -using the normal index and volume of arterial fluid -using an elevated index and volume of arterial fluid -using a smaller index and volume of arterial fluid

JUSTIFY THE INCREASE IN COST OF TREATMENT PRIOR TO THE DEATH

Which of these is not one of the stated purposes of a post-mortem examination? -confirm the diagnosis of the attending physician -justify the increase in cost of treatment prior to the death -determine the exact manner and cause of death -discover any factors which contributed to the cause of death

TIME DELAY, TYPE OF TRANSPORTATION, AND ENVIRONMENTAL CONDITIONS DURING SHIPPING

Which of these lists has the most influence on the considerations given to the preparation of a ship-out case? -environmental temperature and humidity -age, race, sex, and religion of the deceased -time delay, type of transportation, and environmental conditions during shipping -time, place, cause, and manner of death of the deceased