Embalming II Chapter 16-20 (SPC)

Which types of burns can be corrected with a normal injection and application of cosmetics applied?

1st degree burn

High index fluids are classified as:

having an index of 25-36 index

For the kidney donation case, the embalmer would want to clamp off which artery during injection to build up IVP during injection?

Renal

When positioning a baby, the embalmer would want to use:

Towel wrapped under the infant

If the skin over the purpural areas has been torn or broken open, what should the embalmer do?

Remove loose skin at the beginning of embalming

When only the heart has been removed, what artery can be used to embalm all of the lower extremities?

Abdominal aorta

Preservative absorption of HCHO with the body's proteins work best during?

Pre-rigor

To remove blood from the surface of the skin before embalming it is best to use:

Cold water and a mild soap

In the advance decomposition case, the formation of a soapy waxy substance on the skin is known as?

Adipocere

The Y-tube is used to:

Embalm both legs or arms or sides of the head at the same time

When suturing the Y incision for an autopsied case, which area is most likely to leak?

In the shoulder areas

When embalming with a jaundice fluid that you have never used before, it is best to:

Follow the manufacturer recommendation for dilution

Identify the non-post mortem discoloration:

1. Blood

2. Pathological

3. Decomposition

4. Surface coloring agent

2. Pathological

When using the restricted cervical injection method, this should be your first injection site?

Inject the right common carotid inferior first

Any abnormal color in or on the surface of the skin of a deceased body are known as:

Discoloration

If the embalmer elected to use the restricted cervical injection method on a cranial autopsy only case, the embalmer would have to clamp off this artery during injection superior towards the head:

Internal carotid

For the donor case in which the heart and lungs have been removed, the embalmer should:

1. Paint the walls of the chest cavity with embalming gel

2. Hypodermically inject the flaps of the chest wall

3. Aspirate the abdominal cavity, then inject cavity fluid into it.

When embalming an infant case, which organ does the embalmer need to take special precaution?

Brain

To arterially inject the tissue areas of the posterior neck, shoulder and upper extremity the embalmer should use or an autopsy case this artery:

Subclavian

If the embalmer wanted to use the largest non-aortic artery to inject an infant of 3 months, she would select:

Common carotid

To help control swelling of the eyelids during embalming on an eye enucleation case, the embalmer should consider these procedures:

Use a pulsation injection and a higher index solution

Which of the following would not be classified as an organ donation?

1. Kidneys

2. Liver

3. Lungs

4. Long bones

4. Long bones

The injection of a 2% embalming solution with dye added should correct which of the following discolorations?

1. Carbon monoxide poisoning

2. Livor mortis

3. Petechia

4. Hematoma

1. Carbon monoxide poisoning

2. Livor mortis

When embalming a femur, tibia, and fibula donor, if the embalmer elects to use the procurement technician's suture (method 2), this needs to be done prior to placing the unionalls on?

Aspirate the contents of the fluid inside the legs

This _________ artery lies next to the medial border of the psoas major muscle and is used for arterial injection of the ________________________ on an autopsied case.

iliac; lower extremity

This condition in the body promotes the conversion of bilirubin to biliverdin?

Acidic conditions

Is made up of the frontal, parietal and occipital bones and is removed for a cranial autopsy, this part of the skull is know as?

Calvarium

When embalming the humerus bone donor, it is best to use this artery for injection of the left arm?

Brachial

The book suggests that when lifting or moving a decomposition case which has been placed in a pouch that this should be done to help prevent it from tearing?

Place a sheet under the pouch and lift with the sheet

When embalming a body with sever rigor mortis present, the embalmer should:

1. Use firm massage to encourage fluid distribution

2. Try to break down rigor before injection

Which of the following would not be considered an extravascular blood discoloration?

1. Hematoma

2. Hypostasis

3. Post mortem stain

4. Petechia

2. Hypostasis

At birth, an 8lb baby would be made of how much water?

6lbs of water

All of the following could be treated with arterial injection to correct the discoloration except:

1. Hematoma

2. Yellow color associated with Jaundice

3. Bright cherry color of carbon monoxide poisoning

4. The dark red color of livor mortis

1. Hematoma

On the arms of the deceased, you notice the sloughing off of the epidermis layers, this separation of the epidermis from the underlying dermis is known as?

Desquamation

When the viscera is not returned with the body, the embalming book suggest that the empty body cavities be filled with:

Sheeting saturated with cavity fluid to fill cavities

When senile purpura is present in the body, the embalmer would:

1. Handle the affected areas with extreme care not to tear the tissue

2. Use a lower rate of flow when embalming the affected areas

The reason that a post-rigor body shifts its pH from acidic to alkaline is:

The presence of the nitrogenous by-products of decomposition

When embalming a body with decomposition, the embalmer can or should:

1. Add dye to the embalming machine

2. Use a high index fluid above 25

3. Aspiration can be done after the trunk has been injected when using sectional embalming

When embalming the infant case, the embalmer should:

Embalm with a regular index fluid

An embalmer would like to make a 2% solution for two quarts of embalming solution for a still born baby. How much 24 index arterial fluid should be added to the embalming machine?

1. 5 oz

2. 10 oz

3. 16 oz

4. 3 oz

1. 5 oz

Which of the following cases would you might consider using a pre-injection solution prior to arterial injection?

1. A body with mild jaundice

2. Body in intense rigor mortis

3. Decomposition body

4. A body which has been refrigerated for 3 days

1. A body with mild jaundice

When embalming an infant, identify the appropriate steps:

1. Cut eye caps to correct size

2. Use head block and arm positioners to correctly position the body

3. Use a mouth former

4. Needle injector to secure mouth closed

1. Cut eye caps to correct size

An extravascular irregularly shaped blood discoloration that appears on elderly individuals' arms and hands is known as:

Senile purpura

When the death certificate indicated that death was caused by exsanguination from a gunshot wound, the embalmer would expect the body to exhibit:

Lack of color or discoloration

Discoloration on the dependent parts of the body would most likely be?

Post mortem stain

All of the following chemicals or physical reactions are accelerated except __________, when the body lies in a warm moist climate?

1. Decomposition

2. Rigor mortis

3. Dehydration

4. Autolysis

3. Dehydration

Razor burns are a form of:

Dehydration

For a case with diabetes mellitus, the book recommends the embalmer to use:

Restricted cervical injection

When embalming an elderly body afflicted with nephritis and showing signs of gangrene on extremities, it is best to:

Use a high index arterial solution

For a small caliber (.22 rim fire ammunition) gunshot wound to the head which has a tendency to swell during injections, it is best to use:

Minimum amount of a higher index arterial solution

For cases in which the refrigeration unit has frozen the body the embalmer should:

Use restricted cervical injection with low volume of high index fluid

For donor cases who have donated skin by a dermatome, the embalmer would expect which types of problems when preparing the body for viewing?

1. Drying the tissue areas affected by donation

2. Controlling leakage after embalming

This condition may indicate poor peripheral circulation, the embalmer should use to help overcome this problem?

a drain tube to create intermitten drainage

When embalming a non-autopsy case with recent heart surgery, it is best to use:

Carotid artery and internal jugular vein

Which of the following can be used to replace the calvarium?

1. Suture the temporalis muscles

2. Freeze the skull with high index fluid

3. Wedge a wooden dowel into the foramen magnum

4. Use the needle injector

1. Suture the temporalis muscles

4. Use the needle injector

When suturing the scalp on a cranial autopsy, it is best to:

Begin suture on the right side of the head and end on the left side of the head

Which of the following conditions hinder the formation of gas, bloating, and swelling in the dead body:

1. Heat

2. Humidity

3. Cold

4. Dry environment

3. Cold

4. Dry environment

The green color which forms over the right quadrant of the abdomen is caused by:

Hydrogen sulfide reacting with the hemoglobin in the blood

The conversion of the bilrubin to biliverdin is similar to:

Yellow to green

For a body which rigor has come and gone, the embalmer would want to:

Use a high index solution