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Forensic Medicine · Sexual offences: impotence and sterility
Sample itemA 32-year-old married man with normal erections and ejaculation is found to have azoospermia from testicular failure and cannot father children. Medicolegally he is:
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Sterile but not impotent
Impotence is inability to perform sexual intercourse, whereas sterility is inability to produce offspring. A man with azoospermia but a normal erection and ejaculation is sterile only. Sterility is not by itself a ground for annulling a marriage, whereas impotence may be.
Option by option
A. Sterile but not impotent (correct)
He can perform intercourse but cannot produce sperm, so he is sterile but not impotent.
B. Both impotent and sterile
He is not impotent, as intercourse is possible.
C. Neither impotent nor sterile
Azoospermia makes him sterile, so he cannot be called fertile.
D. Impotent but not sterile
He has normal erection and ejaculation, so he is not impotent, and he cannot father children.
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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