" 1.

A patient with hepatoma was erroneously diagnosed

as tuberculoma by a licensed physician. This was the Ans: B
result of the non- performance of the necessary
work-ups. The physician is guilty of: 6. Dr. Bunye is scheduled to preside over a CpC in the
A. lllegal practice of mediclne Medical School. He is late, so that on his own
B. Dereliction of duty volition, countered the traffic flow in the opposite
C. Criminal negligence lane to reach his destination. He was caught by a
D. Malpractice traffic officer. Which can he invoke?
a. Doctor's right of way in heavy traffic
b. Right of way in response to an emergency
Nts: D c. None
d. Right to violate minor traffic rules
2. Peter is the son of a cardiologist. Upon graduation
and before passing the board exams, he put his Ans: C
name under a sign bearing his father's name and
started seeing patients. A patient was mismanaged 7. Dr.. lgnacio, an American surgeon is in the philippines
and suffered injury. Peter was sued. What is the fault on holiday. He joined a group of Filipino surgeons in
committed? a medical mission performing operations for the
a. lllegal practice of medicine against peter poor and the marginalized. Which of the following is
b. Malpractice vs. Peter correct?
c. Malpractice vs. Peter's father a. He can invoke reciprocity as the basis for his
d. No liability performing surgery in the philippines.
b. He can practice even without a certification
hts: A of registration from the Board of Medicine.
c. He is illegally practicing medicine in the
3. Paul an 18 year-old married male, was diagnosed philippines.
@ with ruptured acute appendicitis. Who should give d. He needs to pass the local board eiams
the consent for surgery? before he can practice.
a. Paul
b. Consent by the wife is necessary Ans: C
c. Paul's parent
d. Grandparents 8. While driving in EDSA, Dr. Devenecia witnessed the
a shooting of a politician by a group of armed
Alts: A AP assailants. He was subpoenaed to appear in court
and appeared as:
4. Mary's daLghter was suffering from diarrhea. She a. Ordinary witness
consulted Anna who told her to give pedialite
- Mild b. Expert witness
30, a household remedy as classified by BFAD. c. Hostile witness
Which describe appropriately Anna,s action ? d. Reluctant witness
a. Not considered an act constituting practice
of medicine Ans: A
b. lllegal practice of medicine
c. Malpractice acts 9. Dr. Estrada is connected with one of the Regional
d. Acting underfalse pretenses Health Unit's of Abra. One of her task is to
implement the family planning program of the
&rs; A government. She is a devout Catholic and espouses
only the rhythm method. Which of the following is
correct?
5. Gloria de Castro is a faith healer who beats up the a. She has the prerogative to choose
sick to exorcise the evil sprits causing the disease. treatment modalities to apply to patients.
One follower who was injured sued her. Which of b. She can invoke self-limitation to practice
the following statement is correct? based on religious beliefs
a. Freedom to act out one's belief is a c. She must ask to be transferred to duties
constitutionally protected right consistent with her beliefs
b. Gloria is guilty of inflicting physical injuries d. She is liable insubordination for not carrying
c. Gloria is practicing the tenets of her out the duties of her position.
religion.
d. Gloria illegally practiced medicine Ans: C

I-
 c. Real estate property
10. Jose was stabbed and brought to Dr. Juan for d. Medical library, equipment and instruments
management. Dr. Juan refused to treat Jose since he
was a physiatrist. Which one of the following is Ans: D
applicable?
a. Dr. iuan can invoke his right to choose his 15. Jose gave consent to surgically remove one of his
patients kidneys which he intends to sell to a patient in Japan
b. Dr. Juan must manage the stabbing victim with chronic renal disease. Which one of the
c, lt is illegal to refuse rendering medical following requisites was violated as to make the
service consent invalid?
d. Dr. Juan is liable for damages a. lnformed and enlightened
b. Obtainedvoluntarily
Ans: B c. Subject matter must be legal
d. Enlightened
11. ln a malpractice case, Dr. Santos was ordered by the
court to produce at trial the patient's charts, Ans: c
laboratory and x-ray results and other documents
under his possession and control. The process served 16. Dr. Tan refuses to attend on several occasions a
on him to dothis is called: court hearing citing as reason that he has a lot of
a. Ordinary Subpeona OPD patients to see. He may cited for:
b. Subpoena duces tecum a. Direct contempt of court
c. Subpoena ad testificandum b. lndirect contempt of court
d. Court summons c. Disrespect for the court
d. Unduly prioritizing his clinic practice
Ans: B
Ans: B
12. You evaluated a 55 -year old man with 3 month
history of chest pains and fainting spells that you L7, A resident physician followed the order of a
feel merit cardiac catheterization. After informing consultant that a face value was grossly wrong and
him fully of the benefits, consequences, risks, etc.. resulted in injury to the patient. Which is correct?
he was able to demonstrate that he understands all a. The resident clerk is not liable since he is
of these, he refuses the intervention. What should merely a trainee under the supervision of
you do? the consultant.
a. Respect his choice b. Both the consultant and the resident are
b. E5plore reasons for his decision and try to liable for poor patient care
convince him again. c. The consultant is not liable since the
c. Consider the discussion ended discretion lies with resident to either follow
d. Continue with the procedure nevertheless or not to follow his advice
d. The resident is liable since he is the one
Ans: A who exercised the clinical judgment that
injured the patient
13. A 60- year old patient has complaints of abdominal Ans:
that is persistent but not extreme. Workup shows
hepatoma. He just retired from a busy professional 18. A Z4-year old woman who has previously received
career and he and his wife are about to leave for a no prenatal care presents a term. On ultrasound she
round the world cruise. What should you do? has a placenta previa, but she refuses to cesarean
a. Exercise the therapeutic privilege and section for any reason. What should the physician
inform him later when he returns do?
b. lnform him of his condition now a. Operate since this is an emergency
c. lnform him when his condition worsens b. Respect the patient's wishes
d. lnform his wife first c. Refer the matter to the ethics committee as
this involves the life of the mother and the
Ans: B fetus
d. The physician should get a court order to
14. One of the following is not subject to legal execution force a cesarean section
if a physician loses a civil suit for malpractice.
a. Golf shares Ans:
b. Stocks and money in bank
 19. Jose's inability to pay Dr. Kildare his fees for services d. Theanesthesiologist
rendered may result in:
a. Automatic termination of the patient-MD Ans: C
relationship
b. Action for collection filed by the physician 24. The receptionist in the hospital lobby receives a fee
against the patient from Dr. Ola for referring cases to the latter. This
c. Lessened physician liability for negligence fee, which is unethical, is called:
d. Abandonment a. Contingent fee
b. Dichotomous fee
Ans: B c. Retainer fee
d. Referral fee
20. ln a case of botched up surgery, Dr. Pedora, the
chairman of surgery at Marconi Medical Center was Ans. B
called in to testify on the procedure. He is giving
testimony as: 25. Dr. Ola refused to render service in an emergency
case in an NPA controlled territory. Which is correct?
A. Ordinary witness a. His license will be revoked
B. Expert witness b. He will be civilly liable for the injuries
C. Hostile witness sustained by the patient by the patient for
D. Defense witness his failure to treat.
c. He can refuse service if there is risk on his
Ans: B life.
d. He violated his professional oath.
21. An administrative complaint was filed with the PRC
against a physician who was eventually found guilty. Ans: c
This may result in:
a. Reprimand, suspension or revocation of 26. Operating room nurses are employees of the
license to practice hospital and any wrongful act committed by them,
b. lmprisonment for criminal negligence the hospital must be held liable. However, where a
c. Civil damages paid to the patient to private surgeon enters the operating room to
compensate for injuries sustained operate on his private patient, any wrongful act
d. Need to be re-certified committed by the nurses in this course of such
operation, the private surgeon not the hospital must
Ans: A be held liable. This is based on the doctrine of:
a. Borrowed servant
22. Dr. P. Abling's wife filed an administrative complaint b. Vicarious liability
before the PRC against her husband who was living c. Res ipsa loquitor
with a mistress for having abandoned her and her d. Foreseeability
three children. The doctor's acts are grounds for
revoking his registration certificate and classified as: Ans: A
a. Personal disqualification
b. Unprofessional conduct 27. As a result of the deformity he sustained from a
c. Unethical conduct facelift operation, Mary Juana su6d Dr. Hanny Bal for
d. Criminal act mental anguish, social humiliation and moral shock.
The type of damages she can recover as a result of
Ans: A these is;
a. Actual damages
23. A gynecologist performed a total abdominal b. Compensatory damages
hysterectomy on a patient with myoma uteri. Before c. Exemplary damages
closing the abdomen, he discovered that the patient d. Moral damages
had cancer of the cecum so he referred the patient
to a general surgeon to perform the resection. Three Ans: D
days post-op, the patient had to be reopened and a
piece of gauze was found. Who may be held liable 28. A patient suffering from a painful incurable disease
underthe Captain ofthe ship Doctrine? asked his physician to give him lethal dose of poison.
a. The operating room nurse OUT OF PITY, the physician gave the poison which
b. The second surgeon the patients swallowed and a result died. The
c. The gynecologist physician is guilty of:
 a. Murder
b. Homicide 34. lf an emergency case is brought to the hospital but
c. Giving assistance to suicide was denied attendance, the following may be held
d. Dishonorableconduct liable
a. Physician only
Ans: A b. Physician and nurse
c. Physician and hospital director
29. lf Filipino physicians are allowed to practice in d. Physician, nurse and hospital director
Nigeria, Nigerian doctors may also practice in the
Philippines by virtue of the principle of: Ans: D
a. Exchange program
b. Diplomacy 35. There is negligence in the following circumstance
c. lnternational right a. Not Biving antibiotics in cataract extraction
d. Reciprocity b. Not giving anti-rabies vaccine to a patient
bitten by a dog
Ans: D c. Not giving tetanus toxoid to a patient who
stepped on a nail
d. Not doing a skin test before administering
30. lf a physician considers a procedure extremely lV oxytocin
necessary but the patient refuses, he may:
a. Seek another doctor's opinion Ans: c
b. Politely withdraw as attending physician
c. Ask other members of the family to give 35. The hospital is almost full and the only vacant beds
consent are in the ward. An infectious case was admitted in
d. Abandon the patient the ward resulting to contamination of other
patients. The physician who admitted the patient is
Ans: B liable under this doctrine
a. Last clear chance
b. Foreseeability
37. By refusing to allow medical students to see her in c. Continuingnegligence
her room, a patient is practicing her right to; d. Contributorynegligence
a. Confidentiality
b. Refuse treatment Ans: B
c. Privacy
d. D.isclosure 37. One of the following is a corporate liability of a
hospital
Ans: C a. the resident physician failed to do a skin
test before giving an lV antibiotic
32. Administrative cases against physicians are filed at b. the mother of a pediatric patient slipped on
the: the floor of the hallway resulting to injury
a. Specialty Societies c. the laboratory technician made a mistake in
b. Philippine Medical Association cross-matching blood
c. Professional Regulation Commission d. a medical intern injected a drug
d. CivilService Commission intravenously when it should have been
intramuscular
Ans: C

Ans: B
33. Criminal cases against physicians are characterized
by 38. Doing cesarean section when normal delivery is
a. Case is filed with the professional possible is an example of
regulation commission a. Qualitative over-treatment
b. Penalty imposed is imprisoninent and/or b. Quantitative over treatment
fine c. Negative defensive medicine
c. As a general rule, there is no appeal for the d. Liabilityprophylaxis
accused
d. There is no need for expert witness Ans: A

Ans: B
CASE: Mr. A. brought his 3 year old son to a hospital. Dr. 44. Patient leaves the hospital against advice:
B, the admitting physician admitted the pediatric case to the a. Continuingnegligence
medicine ward because the pediatric ward is full. During the b. Res ipsa loquitor
night, the patient child was seen in the floor with a c. Vffiitp
fractured skull resulting from a fall. I was found out that d. Contributory negligence
the bed was without railings. Mr. A. wanted to sue Dr. B and
the hospital. Ans: D

39. The doctrine applicable in this case would be: 45. A terminally ill patient is given an overdose of
a. Res ipsa loquitor sedatives without his knowledge. What crime if any
b. Osiensible agent is committed by the doctor?
c. Forseeability a. Murder
d. Common knowledge b. No crime because ethically allowed
c. Homicide
Ans: C d. Assisted suicide

40. Suppose before admission Mr. A was informed of Ans: A

the absence of railings to protect the child from fall:
a. Assumption of risk 46. Common defense of the hospital are regards
b. Continuing negligence consultants liability to his private patients;
c. Res ipsa loquitor a. lndependentContractor
d. Common knowledge b. Joint and several liability
c. Captain ofthe ship doctrine
Ans: A d. Vicarious liability

41. Suppose Mr. A has already previously and repeatedly Ans: A

complained of the absence of railings to Dr. b but no
attention was given to the complaint, which doctrine
could be applicable? 47. When a surgeon operates on a patient without
a. Assumption of risk consent, this constitutes an assault and even
b. Continuing negligence without proof of injury resulting, the plaintiff may
c. Contributorynegligence recover what type of damage?
d. Common knowledge a. Nominal
b. Moderate
Ans: B c. Exemplary
d. Liquidated
42. Suppose one day after an intramuscular injection a
part of the needle was discovered protruding from Ans: A
the buttocks of the patient, what is the doctrine
applicable? 48. When a body is the subject matter of a criminal
a. Assumption of risk investigation, it may exhumed:
b. Res ipsa loquitor a. Anytime
c. Contributorynegligence b. 3 years after burial
d. Continuing negligence c. 5 years after burial
d. 10 years after burial
Ans: B
Ans: A
43. Originally there were railings on the bed of the
patient. Mr. A, the father removed the railings so 49. When is patient's consent necessary?
that he himself can sleep on the bed. His child fell a. ln an emergency, patient need
with a broken skull. What is the doctrine applicable? tracheostomy
a. Res ipsa loquitor b. ln a women diagnosed with ectopic
b. Borrowed servant doctrine pregnancy, it turns out to be a case of acute
c. Contributorynegligence appendicitis and the surgeon decides to
d. Common knowledge remove the appendix
c. During an appendectomy, the surgeon
Ans: C discovers an abnormal ovary and decided to
remove it.
 d. The colon was perforated during c. Mugging
simoidoscopy and the surgeon decides on d. Gagging
laparatomy to undertake repair.
Ans: C
Ans: C
55. This type of injury need not be reported to police
50. The trestimony of an expert witness is NOT needed authorities underPD 169:
to prove a negligent act when which doctrine is a, Serious physical injuries
applicable? b. Mutilation
a. Res ipsa loquitor c. Slight physical injuries
b. Borrowed servant d. Less serious physical injuries
c. Ostensible agent
d. Captain of the ship Ans: C

Ans: A 55. Which one of the following points should be

. considered in determining defloration:
a. Labias are in close contact with one another
Legal Med; b. Normal V shape configuration of the
fourchette has been lost
c. Sharpness of the rugosities of the vaginal
51. Blood that does not clot, acidic in pH, with the canal
presence of epithelial cells and Doderlain d. Hymen is intact
microorganisms is probably:
a. Blood from a hemoPhiliac Ans: B
b. Menstrual blood
c. Blood from a person with metabolic 57. The following are true of virginity:
acidosis a. Refers to females
d. Septic blood b. Applicable to males and females
c. Genital organs altered by carnal knowledge
Aos: B d. A woman of virtue

52. Which is true regarding exit wounds? Ans: A

a. always present
b. bend to be smaller than the corresponding 58. Josefa is 10 years old. She gave consent to have
entrance wounds carnal knowledge with a male tourist provided she is
c. margins are usually everted, unbruised and paid money. Which is true?
unabraded
@ a. Josefa is a victim of statutory rape.
b. Josefa is a child prostitute and thus no rape
Ans: C occurred.
c. There is no rape since consent is given by
Josefa.
53. One of the following is no longer true of rape under d. Josefa must be 12 years old to be a victim of
RA 8353: statutory rape.
a. Offender may be any person
b. Offended party must be female Ans: A
c. lnsertion of the penis into another person's
mouth or anus 59. Carnal knowledge means
d. lnsertion of any instrument or object into a. Knowledge aboutthe nature of sexual life
the genital and orifice of another person b. Rupture of the hymen
c. Slightest penetration of the female sexual
Ans: I organ by the male sex organ
d. Full penetration is necessary

54. A special form of strangulation with the assailant Ans: C

standing at the back of the victim and the forearm is
applied in front of the neck is called:
a. Throttling 60. Wilma scratched Jerry in the face in an altercation.
b. Palmar strangulation The doctor attended to the injury that resolved in
 less than 10 days but a resultant keloid scar Ans: A
formation. The legal classification of this injury is:
sliv ,uctc 7at/ o7 /le
a. Mutilation
b. Slight injuries 66.rheprominence*o!"?*alr:l;;?-,2?i":^:"
c. Serious physical injuries more visible among people with fair complexion
d. Less serious injury during decomposition is called:
a. Skin Arborization
Ans: c b' Venous' a'4w /tle 04e6/''c^
c. " 't'll)v
Marbolization "
61. Bumper fracture of the leg bones in pedestrian - d. Venous visibility
vehicle collision is a consequence of:
a. Secondary impact Ans: C
b. Hit and run injuries
c. Primary impact 67. Tardieu spots are associated with:
d. Run over injuries a. Hanging
. b. Manuatstrangulati6'n
stranguration
i' :f:lffi
62. This finding in death ls not consistent and may or
may not appear on a person ho died: Ans: A
a. Rigor Mortis
b. Algor Mortis
c. Putrefaction 68. The presence of many stab wounds inflicted on a
d. Cadaveric spasm victim who died points to:
a. Serious physical injuries
Ans: D b. Homicide
c. Murder
63. Bill was distraught at being found guilty of the d. Parricide
heinous crime of raping his daughter and sentenced
to death. He subsequently became insane. Which Ans: C
should take place?
a. He should be executed. 69. The crime of mutilation is understood to mean:
b. His execution should be stayed untii he a. inflicting physical injury
recovers b. Rendering any part of the body useless
c. fle should go another trial upon recovery of c. lntentionally cutting off any reproductive
sanity. part of the body
d. He should be pardoned. d. Accidentally depriving

Ans: B Ans: C

64. This finding suggests suicide: ,' cloice'

a. lndication of struggle 70. A whitish foam in the mouth and nostrils as a sign of
b. Presence of hesitation cuts or tentative drowning is:
incisions a. Emphysema
c. Multiple wounds in different parts of the @ b. Tache noire
body c. Edema aquasum J ?* ev heA
d. No history of depression' d. Champignon d'ocume

Ans: B Ans: D

65. Disorientation, mental confusion, dizziness, sensory 71. Accidental death of a young child by suffocation
disturbances exaggerated emotional state suggests either from the pressure of the beddings and pillows
that the blood alcohol level is: or from the pressure ofthe unconscious or drunk
a. 150-300 mg% mother is called:
b. 400 mg% a. Battering
c. l@ m{/o b. Overlaying
d. 20 mgo/o c. Burking
d. Mugging
 Ans: C
Ans: B

77. The declaration of a patient who knows that he is

72. Fingerprinting is considered to be the best valuable dying from cancer tells his physician this his
method of identification. lt is universally used compadre told him that he (compadre) killed his wife
because fingerprints, until decomposition, are not is:
changeable from the time they are formed in the a. Hearsay evidence - ?
fetus during pregnancy in the: b. Dying declaration
a. Second month c. Testimonialevidence
b. Third month d. Deposition
c. Fourth week
d. Fifth month Ans: D

Ans: C 78. A statement by a dying patient to the attending

. physician in reference to the persons who inflicted
73. The type of asphyxial death when oxygen is injury on him is known as:
delivered to the tissues but cannot be utilize a. Privilegedcommunication
properly due to failure of cellular oxidative process b. Dying declaration
is: c. Hearsay evidence
a. Anoxic d. lnadmissibleevidence
b. Histotoxic
c. Anemic anoxic Ans: B
d. Stagnant anoxic
79. The drug used as truth serum in detecting deception
Ans: B is
a. meperldine
74. A child born out of lav,rful wedlock where the parent b. hyoscinehydrobromide
eventually had a valid marriage is considered: c. sodium amytal
a. lncestuous d. sodium pentothal
b. Sacrilegious
c. Adulterous Ans: D
d. Legitimated
80. Algor Mortis refers to:
Ans: D a. lrritability
b. Softening ofthe body
c. Cooling ofthe body
75. Physical injuries which develop on parts of the body d. Hardening ofthe body
when bone tissues are deep seated caused by
forcible impact of hard blunt objects are usually: Ans: C
a. Abrasion
b. Contusion 81. When a blow on the forehead cause contusion of the
' c. Hematoma eyeball due to fracture of the bone at the roof of the
d. Lacerated wound orbit, the injury is classified as
a. Coup
Ans: B b. Contre-coup
c. Coup contre-coup
d. Locus minoris resistencia
75. Evidence obtained regarding the issue of the truth
serum is not admissible In court because: Ans: D
a. The information is obtained under duress
b. The information given by the sLspect is not 82. The average time required for death in drowning is
voluntary since he is under the influence of a. 2-5 minutes
a drug b. 10-25 minutes
, c. The truth serum is still in experimental c. 20-30 minutes
stage d. 7-2 hours
d. The information is obtained through deceit
Ans: A
 c. smudging
83. When blood accumulates in the most dependent d. fouling
portions of the dead body, it is called
a. Primary flaccidity Ans: A
b. Sticondaryflaccidity
c. Post-mortemlividity 90. This is a quantitative determination of the chloride
d. Algor mortis content of the blood in the right and left ventricle of
the heart:
Ans: C a. Gettler's test
b. Takayama test
84. The following manner of death should be autopsied, c. Winslow's test
EXCEPT; d. Loord's test
a. suicides
b. death unattended by physician Ans: A
c. accidental death
d. death occurring in natural manner . 91. The average time required for death in drowning is
a. 1-3 minutes
Ans: D b. 2.5 minutes
c. 5-10 minutes
85. Presidential Decree 169 mandates all doctors to d. 3-6 minutes
report all cases involving;
a. Slight and less physical injury Ans: B
b. Mutilation
c. Less serious and serious physical injuries 92. The test which determines the whether semen
d. Child abuse cases is of human origin or not:
a. Biological test of farnum
Ans: C b. Ganguli's method
c. Berberio's
85. lts main function is the transformation of mechanical d. Puramen reaction
energy by the hit of the firing pin on the percussion
cap to chemical energy: Ans: A
a. Primer
b. Powder 93. Cutis Galina or Washer v'roman's hands and feet on
c. Bullet the corpse signifies that:
d. P.rojectile a. The body has been in water for sometime
b. The body isthat of a laundry woman
Ans: A c. The body died for drowning
d. The body died for syphilis
87. When the color of the contusion changes to green,
the contusion's estimated age is Ans: A
a. 2-4 days
b. 4-5 days 94. The presence of weapon which is highly grasped by
c. 7-10 days the hand of a victim of a shooting incident is an
d. 14-15 days example of
a. Rigor mortis
Ans: B b. Death stiffening
c. Cadaveric spasm
88. The primer is usually made up of d. Cadaveric rigidity
a. Lead, barium and antimony
b. Lead and barium Ans: C
c. Lead and antimony
d. Lead, barium and copper 95. One of the following is no longer true of rape under
RA 8353:
Ans: A a. Offender may be any person
b. Offended party must be female
89. Tattooing is also known as c. lnsertion of the penis into another person's
a. stippling mouth or anus
@ b. soot
 d. lnsertion of any instrument or object into LOl.Sexual intercourse is NOT necessary in this crime:
the genital and orifice of another person a. Abduction
b. Seduction
Ans: B c. Adultery
d. Concubinage
96. Permission to disinter remains of persons who died
of dangerous communicable diseases maybe granted Ans: A
after a burial of
a. 4 years L02.Virginity is a requirement in this crime:
b. 5 years A. Simple seduction
c. 6 years B. Forcible abduction
d. 7 years C. Qualified seduction
D. White slave trade
Ans: B
jce Ans: C
a4
,
97. This is a medical evidence made known or addressed
to the senses of the court no limited to the sense of
vision, but is intended to the sense of hearing, taste,
smell and touch:
t a. Experimental evidence
b. Documentaryevidence
' c. Autoptic or real evidence 2 0 .ts'''$t/l
d. Corpus evidence
Ans: C

& on"of the following is no longer true of rape under

RA 8353:
a. Offender may be any person
b. Offended party must be female
c. lnsertion of the penis into another person's
mouth or anus
d. lnsertion of any instrument or object into
the genital and orifice of another person

Ans: B

99. The most prominent sign of death is:

a. Progressive fall of the body temperature
@ b. Cessation of heart action and circulation
c. Cessation of respiration
d. lnsensibility of body loss of power to move
Ans: A

One of the following is no longer true of rape under

RA 8353:
a. Offender may be any person
b. Offended party must be female
c. lnsertion of the penis into anbther person's
mouth or anus
d. lnsertion of any instrument or object into
the genital and orifice of another person

Ans: B