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Key Facts: ABMDI Board (F-ABMDI) Exam

240

Multiple-Choice Items

ABMDI Board Certification page

8

Multiple-Choice Sections

ABMDI Board Certification page

46

Advanced Skills List Tasks

ABMDI Policy and Procedure Manual, Appendix H

5.5 hrs

Total Exam Time

ABMDI Board Certification page

4,000 hrs

Required Experience in Past 6 Years

ABMDI Board Certification page

6 mo

Registry Diplomate Standing Required

ABMDI Board Certification page

$550

Application + Examination Fee

ABMDI Policy and Procedure Manual, Fee Schedule

45 CE

Hours per 5-Year Cycle

ABMDI Recertification page

3

Performance Scenarios

ABMDI Board Certification page

F-ABMDI is the advanced ABMDI tier above the D-ABMDI Registry. The 5.5-hour exam has a Performance Section (3 scenarios, 30 minutes each — at least 5 evidence items, at least 10 interview questions, and a brief scene description in medicolegal terms) and a 240-item multiple-choice section (up to 4 hours, 8 sections). Candidates need current Registry Diplomate status in good standing for 6 months, an Associate degree, and 4,000 hours of death investigation experience in the past 6 years. Fees: $100 application + $450 exam, $50 annual maintenance, $250 recertification test. Scoring is pass/fail with a separate cut score per section. Recertification is every 5 years with 45 hours of approved continuing education.

Sample ABMDI Board (F-ABMDI) Practice Questions

Try these sample questions to review concepts for the ABMDI Board (F-ABMDI) exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 126+ question experience with AI tutoring.

1A senior investigator is dispatched to lead a complex multi-victim scene. According to OSAC ASB Std 037 and NAME guidance, what is the FIRST priority on arrival?
A.Begin victim photography before securing the scene perimeter
B.Secure the scene, establish ME/Coroner jurisdiction, and incident command
C.Notify next of kin by phone before law enforcement secures access
D.Reposition the decedent for fingerprinting before scene documentation
Explanation: Per OSAC ASB Std 037 and NAME scene-investigation standards, the lead medicolegal death investigator must first confirm scene safety, establish jurisdictional authority (ME/Coroner control of the decedent), and integrate with the incident command structure. Documentation, family notification, and body movement follow only after authority and safety are secured. Premature photography or movement risks chain-of-custody and contamination challenges in court.
2A new investigator under your supervision arrives at a residential scene before you. What is the MOST important supervisory step you should take by phone before arrival?
A.Direct them to start witness interviews before you arrive on scene
B.Direct them to secure the scene, log arrival time and personnel, and avoid disturbing the decedent
C.Have them complete and sign the preliminary death certificate
D.Authorize release of the body to the funeral home pending your arrival
Explanation: As the senior on-call investigator, your first remote direction protects the integrity of the scene and the trainee's report. Securing the perimeter, logging time/personnel, and freezing the body in situ preserves evidence and ensures the case meets accreditation review. Premature interviews, certification, or body release without ME pathologist authorization undermine chain of custody and trainee competency development.
3During quality review you find that a junior investigator's narrative routinely uses lay terms such as 'big bruise on head.' Which corrective action best aligns with NAME and OSAC standards?
A.Rewrite the narrative yourself without discussing the issue with the investigator
B.Coach standardized medical terminology, measurements, and provide a reference template
C.Reassign the investigator to administrative duty for the remainder of the case
D.Remove the original report from the case file and replace it silently
Explanation: NAME and OSAC promote standardized terminology and structured documentation. Effective supervision uses coaching and reference tools (anatomical regions, measurements in cm, color/age descriptors) rather than rewriting work silently or punitively removing personnel. Reports remain part of the record; corrections are issued as addenda with documented training.
4A body at a fire scene shows a cherry-red lividity pattern, soot in the airway, and a carboxyhemoglobin (COHb) level of 62%. What does this combination MOST strongly support?
A.Postmortem placement in fire without antemortem smoke inhalation
B.Antemortem CO inhalation during the fire (soot, elevated COHb)
C.Cyanide poisoning as the sole cause without smoke exposure
D.Hypothermia as the primary mechanism of death in the fire
Explanation: Cherry-red lividity, soot in the airway, and elevated COHb (typically considered lethal in adults at >50%) together indicate the decedent was alive and breathing during the fire. Postmortem placement would not produce airway soot or significant COHb. Cyanide (from HCN) is a co-contributor in synthetic-material fires but does not by itself explain the COHb level.
5In a suspected fentanyl-related overdose, the laboratory reports the routine immunoassay is negative for opiates and fentanyl. What is the MOST appropriate next step?
A.Conclude the death is not opioid-related based on the negative screen
B.Request confirmatory LC-MS/MS with expanded fentanyl analog and nitazene panels
C.Repeat the same routine immunoassay on a second blood specimen
D.Certify the manner as natural without additional toxicology workup
Explanation: Routine immunoassays often miss novel fentanyl analogs and nitazenes due to limited cross-reactivity. CDC and SAMHSA guidance during the 2024-2026 overdose surge emphasizes confirmatory LC-MS/MS with expanded analyte panels. Re-running an insensitive screen or signing without confirmation risks a misclassified manner.
6Postmortem redistribution (PMR) is most pronounced for which class of drugs?
A.Highly water-soluble drugs with small volumes of distribution
B.Lipophilic basic drugs with large Vd (e.g., tricyclics, methadone)
C.Drugs eliminated exclusively by renal excretion without tissue binding
D.Inhaled anesthetic gases with rapid pulmonary elimination
Explanation: PMR is greatest for lipophilic basic drugs with large volumes of distribution (Vd > 3 L/kg), such as tricyclics, methadone, and many antipsychotics. After death, these drugs diffuse from tissue reservoirs back into central blood, falsely elevating heart-blood concentrations. Peripheral (femoral) blood and vitreous comparison are used to estimate the antemortem concentration more reliably.
7For PMI estimation in advanced decomposition, which forensic-anthropology resource is most associated with empirical taphonomy research used to model decomposition rates?
A.FBI Behavioral Analysis Unit violent-crime profiling database
B.University of Tennessee Anthropological Research Facility (Body Farm)
C.NHTSA Crash Reconstruction Laboratory reference collection
D.CDC Sudden Death in the Young Case Registry taphonomy module
Explanation: The University of Tennessee Knoxville Anthropological Research Facility (ARF), commonly called the Body Farm, produces the empirical taphonomy and ADD (accumulated degree day) data used by forensic anthropologists to estimate PMI in outdoor decomposition cases. Other listed agencies have unrelated missions.
8A body is found outdoors in early summer with active fly larvae (Calliphoridae) on the face. The lead investigator should:
A.Collect larvae in ethanol and live portions with scene temperature data
B.Discard insect larvae because they contaminate medicolegal evidence
C.Identify only adult flies at the scene without collecting immature stages
D.Defer all entomology collection until the pathologist performs autopsy
Explanation: Forensic entomology protocols require dual sampling: preserved larvae stop development for staging, while live larvae are reared to confirm species. Concurrent scene weather (ambient temp, sun/shade, habitat) is essential because development is temperature-dependent. Entomology evidence collected without scene context loses much of its PMI value.
9During an in-custody death investigation, the decedent was restrained prone with body weight on the upper back. Which mechanism is MOST commonly raised in expert discussion?
A.Cardiac tamponade from blunt thoracic impact during restraint
B.Positional and restraint asphyxia limiting thoracic excursion
C.Acute appendicitis precipitated by struggle during restraint
D.Anaphylaxis to oleoresin capsicum deployed during the encounter
Explanation: Prone restraint with weight on the upper back limits diaphragmatic and thoracic expansion, producing positional/restraint asphyxia. Investigators must document restraint duration, position, body habitus, and concurrent stressors (struggle, stimulant intoxication). NAME and IACP guidance discourages prolonged prone restraint specifically because of this mechanism.
10Which professional position most accurately reflects the current scientific status of 'excited delirium' as a cause-of-death term?
A.It is an established ICD-10 diagnosis with objective postmortem criteria
B.Major medical bodies have moved away from it as a cause-of-death term
C.It is the preferred cause of death for any agitated in-custody subject
D.It is restricted to pediatric sudden-death classification only
Explanation: By 2023, the AMA, ACEP, and NAME formally moved away from 'excited delirium' as a cause-of-death diagnosis because it has no objective postmortem criteria and has been criticized for racial bias and use to obscure restraint-related deaths. Investigators document the underlying physiology (stimulant intoxication, hyperthermia, restraint) rather than relying on this label.

About the ABMDI Board (F-ABMDI) Exam

The F-ABMDI Board Certification is ABMDI's advanced tier, open to current Registry Diplomates who conduct or supervise medicolegal death scene investigations. The 5.5-hour computer-based examination has two parts: a Performance Section with three scene scenarios (30 minutes each), and a 240-item multiple-choice section completed in up to 4 hours and divided into 8 content sections drawn from the ABMDI Advanced Skills List. Successful candidates earn the Fellow (F-ABMDI) designation.

Exam sponsor: American Board of Medicolegal Death Investigators (ABMDI). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Questions

240 questions

Time Limit

5.5 hours: up to 4 hours for 240 MC items plus 30 minutes for each of 3 Performance Section scenarios

Passing Score

Pass/fail only; a separate modified Angoff cut score is preset for each section and every section must be passed

Exam / Certification Fees

$100 application + $450 examination with proctoring; retest $150 (one section), $250 (two), $350 (three or more)

Exam sponsor website

Reported exam pass rate: Not published. ABMDI does not publish first-time F-ABMDI pass rates. Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

Part 1 of 2; 3 scenarios, 30 min each

Performance Section

For each death-scene scenario, identify at least five items of evidence, develop at least ten questions for witnesses or suspects, and write a brief scene description in medicolegal terms, using only the written scenario and the scene photographs.

1 of 8 MC sections

Investigating Specific Death Scenes

Drug-related, child, motor vehicle, blunt force, firearms, fire, hanging, drowning, mechanical and chemical asphyxia, sharp force, electrocution, therapeutic complication, police action, and poisoning deaths.

1 of 8 MC sections

Investigating Multiple Fatalities

Deaths in plane, train, and auto crashes; weather-related deaths; and bomb or explosion deaths.

1 of 8 MC sections

Investigating Atypical Death Scenes

Masqueraded (staged) deaths, media-sensitive deaths, deaths caused by animals, and deaths from infectious causes.

1 of 8 MC sections

Investigating Institutional Deaths

Deaths in custody (wards of the state) and deaths in extended care facilities such as nursing homes and group homes.

1 of 8 MC sections

Demonstrating Leadership Skills

Role modeling and mentoring, recognizing and correcting deficiencies in procedures and policies, maintaining high personal performance standards, and professional interaction with coworkers and colleagues.

1 of 8 MC sections

Demonstrating Legal Knowledge

Soliciting legal opinions, legal procedures, unique case problems, reviewing a death certification, and recognizing agency jurisdiction.

1 of 8 MC sections

Communication Skills

Interviewing skills, report writing skills, and counseling families about autopsy findings and their concerns.

1 of 8 MC sections

Demonstrating Advanced Forensic Science Knowledge

Collecting data and material for odontology, anthropology/archeology, toxicology, entomology, serology, ballistics/firearms, tool marks and trace evidence, conducting postmortem identification, and advanced photography.

Preparing for the ABMDI Board (F-ABMDI) Exam

What You Need to Know

  • Passing score: Pass/fail only; a separate modified Angoff cut score is preset for each section and every section must be passed
  • Exam length: 240 questions
  • Time limit: 5.5 hours: up to 4 hours for 240 MC items plus 30 minutes for each of 3 Performance Section scenarios
  • Exam / certification fees: $100 application + $450 examination with proctoring; retest $150 (one section), $250 (two), $350 (three or more) Official sources

Using Our Practice Resources

  • Work through all 126 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

ABMDI Board (F-ABMDI): Suggested Study Strategy

1Work Appendix H of the ABMDI Policy and Procedure Manual task by task — the Advanced Skills List is the published blueprint and its 46 tasks map directly onto the 8 multiple-choice sections.
2Read the Policy and Procedure Manual cover to cover before drilling questions; it is the authoritative source on eligibility, per-section cut scores, retest rules, and conduct.
3Practice the Performance Section to the published minimums: for each timed 30-minute scenario, list at least five items of evidence, write at least ten witness or suspect questions, and draft a brief scene description in medicolegal terms.
4Study the sections candidates neglect — Leadership, Legal Knowledge, and Communication together account for three of the eight sections, and each carries its own cut score you must pass.
5Drill the atypical and institutional scenes specifically: masqueraded (staged) deaths, media-sensitive deaths, animal deaths, infectious-cause deaths, custody deaths, and extended care facility deaths.
6Study OSAC ASB Std 037 (scene investigation) and Std 038 (notification of next of kin), which drive many advanced scene-leadership items.
7Drill postmortem redistribution, vitreous versus blood toxicology, and fentanyl analog detection limits; advanced toxicology interpretation is heavily represented.
8Complete FEMA ICS-200/300/400 and study DMORT and ESF-8 so multiple-fatality questions become recognition rather than reasoning.
9Maintain an honest gap log: any item missed twice goes to a one-page flashcard until you score it correct under timed conditions.

Frequently Asked Questions

What is the F-ABMDI Board Certification?

F-ABMDI is the advanced certification of the American Board of Medicolegal Death Investigators, available to experienced Registry Diplomates who demonstrate mastery of all aspects of medicolegal death investigation. Candidates who pass become a Fellow of the ABMDI (F-ABMDI) and are issued a certification number.

How is the F-ABMDI exam structured?

The 5.5-hour examination has two parts. The Performance Section presents three death-scene scenarios, 30 minutes each, in which the candidate writes a brief scene description using medicolegal terminology, develops at least ten questions to ask witnesses or suspects, and identifies at least five items of potential evidence. The Multiple-Choice Section contains 240 items completed in up to 4 hours and is divided into 8 content sections drawn from the ABMDI Advanced Skills List.

What are the 8 sections of the F-ABMDI multiple-choice exam?

Investigating Specific Death Scenes; Investigating Multiple Fatalities; Investigating Atypical Death Scenes; Investigating Institutional Deaths; Demonstrating Leadership Skills; Demonstrating Legal Knowledge; Communication Skills; and Demonstrating Advanced Forensic Science Knowledge. These sections come from the Advanced Skills List included in the application packet and reproduced in Appendix H of the ABMDI Policy and Procedure Manual.

How is the F-ABMDI exam scored?

ABMDI reports pass/fail only. A separate cut score is preset for each section using the modified Angoff method, in which subject matter experts rate how many investigators with the required experience would answer each item correctly, and the candidate must pass every section. The testing agency does not report numerical scores, so there is no published overall percentage to aim for.

What are the eligibility requirements for F-ABMDI?

Candidates must currently hold ABMDI Registry Diplomate (D-ABMDI) certification in good standing for a minimum of six months, hold at least an Associate degree, be currently employed by a Medical Examiner/Coroner jurisdiction or equivalent federal authority with the responsibility to independently conduct or supervise medicolegal death scene investigations, and document a minimum of 4,000 hours of death investigation experience in the past six years.

How much does the F-ABMDI exam cost?

The non-refundable application fee is $100 and the Board Certification examination fee with proctoring is $450. After certification the annual maintenance fee is $50. Retesting with proctoring costs $150 for one section, $250 for two sections, and $350 for three or more sections.

What happens if I fail a section of the F-ABMDI exam?

You retest only the sections you failed, and at least 30 days must pass between testing dates. A candidate has three attempts to pass the entire certification examination within an application cycle. After a third failure, a remediation process requires restarting the application in its entirety, accumulating additional death investigation experience, and using different practitioners to sign off before reapplying.

How do I recertify F-ABMDI?

Recertification is every five years. You must document current ME/Coroner employment and scene-investigation responsibility or otherwise show continued competency, complete an Ethics Statement, and submit 45 hours of approved continuing education. The recertification administrative fee is $25, and candidates who must demonstrate continued competency by proctored examination pay a $250 recertification test fee.

What continuing education does ABMDI accept?

ABMDI accepts continuing education approved by the AMA, ANA, ABA, AAPA, ASCP, CAP, Emergency Medical Services, FEMA, IACET, the Pennsylvania State Police, the Department of Homeland Security, and post-secondary institutions recognized by national educational accrediting agencies. College courses convert at five continuing education hours per credit hour, a published refereed article earns ten hours, and leadership activities earn one hour each up to five hours per cycle. Audits begin six months before the certificate expiration date.

How is F-ABMDI different from the D-ABMDI Registry?

The Registry certification is the entry-level credential and is scoped to the NIJ guide Death Investigation: A Guide for the Scene Investigator and the 40 Fundamental Tasks of Medicolegal Death Investigation, tested in 240 multiple-choice items across 7 sections. Board Certification is the advanced tier, requires current Diplomate status, adds the written Performance Section, and tests the 46 tasks of the Advanced Skills List across 8 multiple-choice sections including multiple fatalities, atypical and institutional deaths, leadership, and advanced forensic science.

Is the F-ABMDI exam computer-based?

Yes. ABMDI examinations are computer based and proctored virtually using a live, remote proctoring service through an ABMDI subcontractor. The proctor verifies identity with a valid government-issued photo ID, and the testing room must be quiet, well lit, and free of unauthorized aids.