Download University of Jaffna (University of Sri Lanka) MBBS (Bachelor of Medicine and Bachelor of Surgery) 2013 August Community and Family Medicine Previous Question Paper

UNIVERSITY OF JAFFNA, SRI LANKA
SECOND EXAMINATION FOR MEDICAL DEGREES--AUG 2013
COMMUNITY AND FAMILY MEDICINE
Date: 27.08.2013.
Time: 3 hours
ANSWER ALL THE SIX QUESTIONS
Answer each Question in separate answer book
1.
A study was conducted to determine the Prevalence of anaemia during pregnancy in
Anuradhapura district and to evaluate present screening methods available for screening of
anaemia. A total of 990 pregnant women participated in the study. In the first, second and
third trimesters, prevalence of anaemia was 7.6%, 19.7% and 19.3% respectively.
Gestational age adjusted anaemia prevalence among pregnant women in this study
population was 14.15 (95% Confidence Interval (CI) 12.0-16.4%). Mean and Median
haemoglobin concentrations of the study sample was 11.8g/di (SD 1.02g/di and IQR 112-
1 2.5 01). Sensitivity and Specificity of the haemoglobin colour scale method was 50%
(95% CI 20.0-71.0%) and 76.3% (95% CI66.9-83.7%) respectively. Sensitivity and
specificity of conjunctival method in detecting anaemia during pregnancy was 18.8%
(95% CI 11.9-28.4) and 69.3% (95% CI 58.2-78.6%)
Source: Chathurani U et al. Anaemia in pregnancy in the District of Anuradhapura, Sri Lanka
-
need for updating prevalence data and screening strategies: Ceylon Medical Journal. 2012 Sep;
57(3):101-6
1.1. What is the study design?
( 10 Marks)
1.2. Define the terms given in Bold.
(35 Marks)
1.3. Based on the findings of this study, give 2 recommendations which
will be useful to field health staff
(20 Marks)
1.4. Describe the importance of screening for anaemia in pregnant
mothers
(3 5 Marks)
2.
2.1. Explain "Surveillance Case Definition"
(30 Marks)
2.2. Discuss the mechanism of Morbidity and mortality data collection
in Sri Lanka
(40 Marks)
2.3. Mr Kandiah Selvakumaran aged 59 years was admitted to Jaffna Teaching
Hospital at 7 pm on 15/07/2013, with a history of severe chest pain and
sweating. ECG showed Q waves with ST elevation. He was treated as a
patient suffering from Acute Myocardial Infarction. He had been
previously treated for Diabetes Mellitus and Hypertension. In spite of
treatment
he
passed
away
at
8
pm
on
18/07/2013
Write a Certificate of cause of Death
( 30 Marks)
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3.
During one of your routine home visits you met an 82 years-old retired
teacher Mrs. Rajarathinam. She is a widow and is living alone
3.1. List Five Health problems Mrs. Rajarathinam may have
( 15 Marks)
3.2. Discuss how you could assess Mrs. Rajarathinam's health status
during your home visit
( 35 Marks)
3.3. Briefly describe how you could provide a "coordination of Care" to
her.
( 35 Marks)
3.4. List five indications for a home visit
(15 Marks)
A research study is planned, to assess the association between cigarette
smoking and deaths due to coronary heart disease.
4.1. Write the hypothesis for this study
( 20 Marks)
4.2. Write down the most suitable study design to confirm the
hypothesis and give reasons
(40 Marks)
4.3. Briefly describe the plan for data analysis in order to confirm the
hypothesis
( 40 Marks)
5.
5.1. Describe the types of Hospital waste and discuss the methods of disposal
of hospital waste
( 70 Marks)
51. Briefly describe how hospital waste is disposed at Jaffna Teaching
Hospital, and suggest improvements needed
(30 Marks)
Write short Notes on
6.1
Smoking cessation programmes
(25 Marks)
6.2. Natural disasters and their prevention
( 25 Marks)
6.3. Ethics in medical Practice
( 25 Marks)
6.4. Medical Audit
( 25 Marks)
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