Download University of Jaffna (University of Sri Lanka) MBBS (Bachelor of Medicine and Bachelor of Surgery) 2018 October Community and Family Medicine Previous Question Paper
UNIVERSITY OF JAFFNA, SRI LANKA
SECOND EXAMINATION FOR MEDICAL DEGREES -- OCTOBER 2018
COMMUNITY & FAMILY MEDICINE
Date: 08.11 2018
Time: 3 hours
ANSWER ALL THE SIX QUESTIONS
Answer each question in a separate answer book.
1. A recent household survey conducted by Department of Community and Family
Medicine in Nallur MOH area revealed that there are more than 40 patients suffering
from stroke and cerebral palsy. Family members of the patients are the key care givers.
Consider yourself as a Family Physician at the University Family Health Centre.
_ Lliist five (5) common health problems the patients would encounter. (20 marks)
l.2.List five (5) common health problems the care givers would encounter.(20
marks) 1.3.Briefly discuss a comprehensive care program for the patients and care
givers.
(60 marks)
2. Health in adolescence is the result of the interactions of factors influencing the
perinatal, natal and early childhood period. Specific biological and social role changes
during puberty that are influenced by health and social determinants.
2.1.List the common health related issues among the adolescents.
(15 marks)
2.2.List Five (5) socially disadvantages groups of adolescents who experiences common
health issues listed in 2.1.
(20 marks)
2.3.Name three (3) services available for adolescents to address these issues in Sri Lanka.
(15 marks)
2.4.Briefly describe how life skills training for adolescents will help to overcome the
above mentioned health issues.
(50 marks)
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3. Despite the favourable health indices of Sri Lanka, occupational health services in the
areas of surveillance and health interventions face significant challenges.There is a
need to identify priority areas that require attention in occupational health and safety
services of Sri Lanka.
3.1.Define the term surveillance.
(10 marks)
3.2.List five (5) occupation related health problems that can occur in a grinding mill
worker.
(10 marks)
3.3.Name five (5) different stakeholders involving in the practice of occupation health
and safety of a garment factory.
(10 marks)
3.4.List five (5) challenges in implementing the occupational health surveillance in Sri
Lanka.
(30 marks)
3.5.Briefly describe the role of a primary care doctor in prevention of occupation related
injuries in the area.
(40 marks)
4. According to the Family Health Bureau, in 2016, the maternal mortality ratio (MMR)
was 33.8 deaths per 100,000 live births in Sri Lanka. The maternal mortality for
Kilinochchi District in the years 2014, 2015, and 2016 are given below.
Table 1: Maternal mortality in Kilinochchi District (2014-2016)
Year
No. of maternal deaths
!AMR (deaths per 100,000 live births)
2014
2015
0
0
2016
2
81.7
4.1. Define the term "maternal death".
(10 marks)
4.2. List four data sources the Family Health Bureau may have used to estimate 1VIMR in
Kilinochchi District.
(20 marks)
4.3. Critically analyse the increase in MMR in Kilinochchi District.
(30 marks)
4.4. Discuss the social determinants of MMR.
(40 marks)
5. Use of urinary catheters conveys a substantial risk of urinary tract infection (UTI). - A
group of physicians believe that use of one type of urinary catheter is more likely to
encourage infection than use of other types in an intensive care setting. They planned a
study to review medical records over a 5 year period for all users of urinary catheters
in an ICU presented in Table 2.
Table 2: Distribution of number of patients and new U` I's by type of catheter
Types of catheter
Number of patients
Number of new EMI'S
Suspected type of catheter
1000
200
All other catheters
5000
100
Noting the increased frequency of new UTI's when the suspect catheter type is used, they
regard their hypothesis as confirmed. To reduce nosocomial UTI's, they recommend
discontinuing use of that type of catheter in the ICU.
5_ 1.Detine the following terms.
5.1.1. Hypothesis
(10 marks)
5.1.2. Risk
(10 marks)
5.2.Mention the study design applied in the study.
(10 marks)
5.3.Explai n the reasonls for your answer in 5.2.,
(20 marks)
.
5.4.From these data:
5.4.1. Calculatethe risk for UTI associated with the suspect catheter compare to all
other catheters.
(20 marks)
5.4.2. The rate of new UTI's which are specifically due to the choice of the suspect
catheter, above the rate conferred by use of another catheter type.
(10 marks)
5.5. Briefly discuss the correctness of the recommendation.
(20 marks)
6. Write short notes on
6.1. Consultation in Family Medicine
(25 marks)
6.2. Elimination of Tuberculosis
(25 marks)
6.3. Electronic Medical Record (EMR)
(25 marks)
6.4. Prevention of Dengue
(25 marks)
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This post was last modified on 19 October 2021