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Forensic Medicine · Sexual offences: sperm persistence
Sample itemA woman presents three days after an alleged assault. Which site of the genital tract is most likely to still contain detectable sperm?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. The endocervical canal
Sperm are protected in the cervical mucus and persist longest in the endocervical canal, where they may be found after several days. Elsewhere in the vagina they decline over hours to a day or two because of drainage, motility loss and acidity. A cervical sample is therefore valuable in delayed presentation.
Option by option
A. The urethral meatus
The urethral meatus does not retain sperm for days.
B. The perineum
Sperm on the perineum are lost quickly by washing or wiping.
C. The endocervical canal (correct)
Correct. The cervical canal is the site of the longest sperm survival.
D. The vaginal introitus
The introitus is cleared early by washing and drainage.
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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