This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Asphyxia, Subject name: Forensic Medicine
Judicial Hanging causes 
Select and explain. 
A. C2-3 fracture dislocation, B. C4-5 fracture dislocation, C. C6-7 fracture dislocation, D. C7-8 fracture dislocation
A: C2-3 fracture dislocation
Answer: A: C2-3 fracture dislocation 
Explanation: In judicial hanging rope is looped round the neck , with the knot under the angle of the jaw. The person is made to stand on a platform above trapdoors, which open downwards when a bolt is drawn. On drawing the bolt, the person drops to the lenght of the rope. The sudden stopage of the moving body associated with the position of the knot , causes fracture-dislocation at the level of the second & third , or third & fouh cervical veebrae Ref: The synopsis of forensic medicine & Toxicology. Dr. K. S. Narayan Reddy. 28th edition pg: 181