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Forensic Medicine · Injuries: gunshot residue testing
Sample itemHand swabs from a man suspected of firing a country-made pistol are positive on the old dermal nitrate (paraffin) test. Why is this result alone unreliable?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. The test detects nitrates and nitrites, which also come from fertiliser, tobacco, cosmetics and urine, so false positives are common
The paraffin test detects nitrates and nitrites from burnt powder, but these occur in many common substances, so it is non-specific. Modern methods such as atomic absorption spectrometry or SEM-EDX look for barium, antimony and lead particles, which are far more specific.
Option by option
A. It becomes positive only after the weapon has been fired more than twenty times
The test has no requirement of a number of discharges.
B. The test detects only lead, which is never produced when a firearm is discharged
Lead is among the elements released on firing, though the test does not look for it.
C. It is valid only for rifled long weapons and not for pistols
The test is not restricted to rifled weapons; its problem is poor specificity.
D. The test detects nitrates and nitrites, which also come from fertiliser, tobacco, cosmetics and urine, so false positives are common (correct)
Correct. Common sources of nitrates give false positive results.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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