Download University of Jaffna (University of Sri Lanka) MBBS (Bachelor of Medicine and Bachelor of Surgery) 2014 June Medical Parasitology Previous Question Paper

UNIVERSITY OF JAFFNA, SRI LANKA
SECOND EXAMINATION FOR MEDICAL DEGREES (PART I) June 2014
Medical Parasitology
Date : 03.06.2014
Time allowed: 2 hour
Answer all four questions
1.
A 45 year old male returned from India after a month of business trip was
admitted to the Teaching Hospital Jaffna with the complaints of fever with chills
and rigors. Clinical examination revealed that the above patient was anemic and
having the splenomegaly.
1.1.
What could be the parasite responsible for the above condition
(10 Marks)
1.2
How will you confirm the above condition
(30 Marks)
1.3
What are the measures that you will implement to prevent further
spreading of the above parasitic infection in the community?
(60 Marks)
2.
A 15 year old school boy staying in the hostel was presented to skin clinic
complaining of intense itching (pruritus), at the site of webbing between the
fingers. I le also mentioned that the itchiness was worse especially at night.
2.1. What could be the possible parasite responsible for the above?
(05 Marks)
2.2
How will you confirm the infection which you mentioned above?
(25 Marks)
2.3
Briefly describe the appropriate treatment procedure for the above
patient.
(35Marks)
2.4
h ow will you advice the patient to prevent the reinfection of the above
parasite.
(35Marks)
PTO...

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3. A 25-year-male was bitten by a snake on his foot while working in his paddy
field. The patient was admitted to the hospital 2 hours after the bite. On
admission the victim complained severe pain at the bite site. Examination of the
patient revealed marked swelling and bleeding at the site of bite. His blood was
incoagulable when assessed by the 20WBCT. But, there was no evidence for
having any neurological manifestations of envenoming. He passed urine few
hours after the admission. It was normal in color and there were no proteins or
red cells in the urine.
3.1. Name the most likely snake that could have been responsible for the
(H) Marks)
above.
3.2.
Briefly describe the reasons for the above (3.1) judgment
(25 Marks)
3.3. What are the measures that you will take to minimize the anaphylactic
reactions while administrating the antivenom?
(25 Marks)
3.4. How will you make the clinical decision whether the above patient has
completely recovered or he needs more anti venom after the initial anti
venom dose?
(40 Marks)
4. Write short notes on the following
4,1.
Prevention and control of emerging ]eishmaniasis in Sri Lanka
(30Marks)
4.2.
Hepatic amoebiasis
(30 Marks)
4.3
Parasitic Zoonosis
(40 Marks)

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