UNIVERSITY OF JAFFNA, SRI LANKA
SECOND EXAMINATION FOR MEDICAL DEGREES—JANUARY 2012
COMMUNITY AND FAMILY MEDICINE Paper II
Date: 30.01.2012.
Time: 03 hours
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ANSWER ALL THE SIX QUESTIONS
Answer each QUESTION in separate answer book
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The data collected for an MOH area for 2011 is given below.
Total population 50,000
Number of married females 15-49 years 15,000
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Number of live births 600
Number of still births 10
Number of abortions 35
Total number of deaths (all ages) 250
Number of deaths due to typhoid fever 2
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Number of infant deaths 20
Maternal deaths 1
Number of new cases of TB for 2011 70
Total TB cases in the area 150
Number of cases of typhoid fever 150
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- Calculate all possible rates (80 Marks)
- Give the Mortality rates for Sri Lanka (20 Marks)
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A recent survey of nutritional status in Jaffna district indicated that over 40% of the female adolescent population is anaemic.
- List possible causes of this condition (10 Marks)
- List the long term effects of this condition on the community (10 Marks)
- Give in detail the interventions that you would recommend to reduce the anaemia among the adolescent females (80 Marks)
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- List the mosquito borne diseases spared by Aedes egypti in Sri Lanka (10 Marks)
- List the other arthropod borne diseases (15 Marks)
- Describe the epidemiology and control of the currently, most rapidly spreading disease in Sri Lanka caused by Aedes egypti. (75 Marks)
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- List the stages in the life cycle of human individual (20 Marks)
- List the stages in family life cycle (20 Marks)
- A 45 year old woman presents to you with headache. Her husband is a diabetic. They have two teenage children. The father of the patient is hemiplegic following stroke a few years ago. Describe the facts you would consider in providing opportunistic health education to the woman (60 Marks)
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- List four (4) non communicable diseases (NCD) which cause a great burden on low and middle income countries (20 Marks)
- List the common factors for the non-communicable diseases you have mentioned in 5.1. (20 Marks)
- Describe briefly the life style modifications you would suggest to reduce the incidence of NCD in these countries (60 Marks)
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Write short notes on,
- International classification of diseases (25 Marks)
- Oral contraceptives (25 Marks)
- Food poisning (25 Marks)
- Isolation and quarantine (25 Marks)
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