Download University of Jaffna (University of Sri Lanka) MBBS (Bachelor of Medicine and Bachelor of Surgery) 2019 February Community and Family Medicine Previous Question Paper
UNIVERSITY OF JAFFNA, SRILANKA
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SECOND EXAMINATION FOR MEDICAL DEGREES -- FEBRUARY 2019
COMMUNITY & FAMILY MEDICINE
Date: 11.02.2019
Time: 3 hours
ANSWER ALL THE SIX QUESTIONS
Answer each question in a separate answer book.
I. A 64 year oldwornan with diabeteswas recently diagnosed with chronic kidney disease
stage 3. Detailed clinical review of her revealed that she had poor treatment adherence
and irregular clinic follow up.
1.1. Define -treatment adherence".
(20 marks)
1.2. List three (3) factors which influence the treatment adherence of this woman. (30 marks)
1.3. Briefly discuss the measures to improve "treatment adherence" to this kind of diabetic
patients at University Family Health Centre, Kondavil.
(50 marks)
2.
2.1. Define the term epidemiology
(20 marks)
2.2. Discuss the uses of epidemiology in medical practice
(40 marks)
2.3. A study to assess the relationship between regular use of aspirin and colon cancer has
found that the odds ratio for colon cancer among aspirin users is 0.6 with a 95% confidence
interval of 0.4-9.
2.3.1. Indicate the possible study design used for the study
(10 marks)
2.3.2. Discuss the rationale for the selection of the study designmentioned in 2.3.1.
(30 marks)
3. Media reports suggest that over 600 abortions are performed daily in Sti Lanka. According to
research carried out in various parts of the country, the most common reasons reported by
women for having an abortion are: completion of the family and becoming pregnant too soon
after the birth of the last child.
3.1 Define 'unmet need for family planning'.
(10 marks)
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3.2 List five (5) types of health related facilities that provide family planning services.
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(20 marks)
3.3 Describe the Public Health Midwife's role in providing contraceptive services.
(30 marks)
3.4 Discuss possible ways that community empowerment could be used to reduce the
unmet need for family planning in the Nallur MOH Area.
(40 marks)
4. A study was conducted to determine the prevalence of glucose intolerance and parameters
associated with risk for this in women with Polycystic Ovary Syndrome (PCOS).
4.1. The interquartile range of age of the participants was 18 to 40 years. Interpret
this finding.
(20 marks)
4.2. The prevalence of glucose intolerance was 38.6% (95% CI: 32.7 to 44.7). Interpret
this finding.
(30 marks)
PCOS women had higher prevalence of glucose intolerance compared to control
women (Chi-square = 7.0, degree of freedom -- 1,P - ' 0.01). Giving reason, indicate if
the association is significant or not.
(20 marks)
4.4. PCOS women had higher prevalence of glucose intolerance compared to control
women (Odds ratio= 2.76; 95% CI = 1.23 to 6.57). Giving reason, indicate if the
association is significant or not. (30 marks)
5. Hepatitis A is a viral liver disease which affects both children and adults. The severity of the
disease could vary from mild to severe. It is a highly contagious disease and can go into outbreak
situations easily if the appropriate measures are not taken swiftly.
5.1. Define "outbreak".
(10 marks)
5.2. List the important steps in the investigation of outbreak.
(30 marks)
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5.3. Name three(3) main activities in the prevention of hepatitis A.
(20 marks)
5A. Describe in detail on one of the activities mentioned in 5.3.
(40 marks)
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6. Write short note on:
6.1. Referral in Family practice.
(25 marks)
6.2. Important aspects of healthy diet.
(25 marks)
6.3. Palliative care.
(25 marks)
6.4. Certificationof death.
(25 marks)
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This post was last modified on 19 October 2021