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Forensic Medicine · Sexual offences: seminal fluid confirmation
Sample itemA man accused of rape had a vasectomy years ago, and a vaginal swab shows no spermatozoa on microscopy. Which test can still confirm seminal fluid?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Prostate-specific antigen (p30) immunoassay
Seminal plasma contains prostate-specific antigen (p30), produced by the prostate, so its detection confirms semen even when spermatozoa are absent, as in vasectomy or azoospermia. The other tests listed are tests for blood.
Option by option
A. Prostate-specific antigen (p30) immunoassay (correct)
p30 is secreted by the prostate and persists when sperm are absent.
B. Takayama test
The Takayama test produces pink feathery haemochromogen crystals from blood.
C. Teichmann haemin crystal test
The Teichmann test produces haemin crystals from blood.
D. Kastle-Meyer test
The Kastle-Meyer (phenolphthalein) test is a presumptive test for blood.
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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