American Board of Medicolegal Death Investigators (ABMDI) Practice Exam

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What is the term for pinpoint hemorrhage within the conjunctiva of the eyes?

  1. Petechial hemorrhage

  2. Contusion

  3. Ecchymosis

  4. Hemorrhagically

The correct answer is: Petechial hemorrhage

The term for pinpoint hemorrhage within the conjunctiva of the eyes is petechial hemorrhage. This type of hemorrhage appears as small red or purple spots on the conjunctiva due to bleeding under the skin, often resulting from small blood vessels bursting. Petechiae can occur in various circumstances, including trauma, increased pressure from coughing or straining, and certain medical conditions. Contusion refers to a bruise resulting from forceful impact, leading to blood pooling under the skin, which is more extensive than the small spots seen in petechial hemorrhages. Ecchymosis also describes a larger bruise that can appear in various sizes and is typically the result of trauma as well, reflecting a more significant bleed than petechiae. The term hemorrhagically, while related to bleeding, does not specifically describe the pinpoint nature of the hemorrhage within the conjunctiva. Thus, the distinctive characteristics of pinpoint hemorrhages clearly define petechial hemorrhage as the correct answer.