Download University of Jaffna (University of Sri Lanka) MBBS (Bachelor of Medicine and Bachelor of Surgery) 2019 September Community and Family Medicine Previous Question Paper
UNIVERSITY OF JAFFNA, SRI LANKA
EXAMINATION FOR MEDICAL DEGREES -- SEPTEMBER 2019
COMMUNITY & FAMILY MEDICINE
PART II
Date: 10.10.2019
Time: gam-12pm (3 hours)
ANSWER ALL THE SIX QUESTIONS
Answer each question in a separate answer book.
1. A 65 year old lady presented to the Family Health Centre (FHC) with multiple complaints. A
detailed clinical evaluation revealed that she was suffering from "Empty Nest Syndrome".
1.1 Outline "Empty Nest Syndrome".
(20 marks)
1.2. List five (5) health problems, highly prevalent in elders.
(20 marks)
1.3. Briefly discuss the detailed clinical evaluation in helping the diagnosis of Empty
Nest Syndrome.
(40 marks)
L4. List five (5) facts to be considered in prescribing medications to elders.
(20 marks)
2.1. Name two national health programmes implemented in the prevention and control of
cervical cancer.
(20 marks)
22. Briefly describe the issues on successful implementation of these programmes
mentioned in 2.1.
(40 marks)
23. Briefly describe the role of community empowerment in improving the provision of
these programmes mentioned in 2.1.
(40 marks)
3. A study was conducted to determine the increased risk of non-alcoholic fatty liver disease
(NAFLD) among women with Polycystic Ovary Syndrome (PCOS) when compared to women
without PCOS.
-1
03
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NAFLD
NAFLD
Figure 1: Association between Body Mass Index (BMI) and NAFLD
3.1. Name the type of graph in Figure 1.
(10 marks)
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3.2. Interpret the finding in Figure 1.
(20 marks)
13. A t-test for the association between BMI and NAFLD status had the following
findings.
t-value = - 12.5, degrees of freedom = 68,414 and p-value = <0.0001
13.1. Comment on choice of this statistical test.
(20 marks)
3,3.2. Giving reason, indicate if the association is significant or not
(15 marks)
3.4. Women with PCOS had higher prevalence of NAFLD compared to women without
PCOS (Relative risk= 2.23; 95% confidence interval 1.86 to 2.66).
3.4.1. Comment on the choice of this measure of risk (relative risk).
(I 5 marks)
3.4.2. Giving reason, indicate if the association is significant or not.
(20 marks)
4. In 2018, the Ministry of I Iealth adopted the 'Healthcare Delivery for Universal Health Coverage'
policy, Under this new policy, primary care centres (divisional hospitals and primary medical care
units) are to be strengthened across the county.
4.1. List 5 possible benefits of enhancing Universal Health Coverage for the people
residing in rural areas of Sri Lanka,
(10 marks)
4.2 Explain how this policy could enhance the delivery of secondary and tertiary care
services in Sri Lanka. (30 marks) 4,3 Describe the challenges the Ministry of Health may
face in implementing this policy.
(40 marks)
4,4 List four other than the aspects of healthcare delivery that may need to he addressed
to improve the quality of primary care.
(20 marks)
5. Maternal suicides arc one of the emerging health issues in Sri Lanka. As Nallur MOH, you are
tasked with prevention of maternal suicide through mental health promotion in your area.
5,1. List 5 non-health sector stakeholders you could involve in maternal suicide
prevention in your division,
(10 marks)
5.2. Explain the role of the area Public Health Midwife in maternal suicide
prevention.
(20 marks)
5.3 Describe the key steps you would follow in designing a mental health promotion
intervention in your area.
(30 marks)
5.4 Discuss the socio-dernographic and cultural factors that you would consider when
designing a mental health promotion intervention in the Nallur MOII area.
(40 marks)
6. Write short notes on
6.1. Breaking bad news
(25marks)
6.2. Cohort study
(25marks)
6.3. Cancer registry
(25marks)
6.4. Child ?owth monitoring practices
(25marks)
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This post was last modified on 19 October 2021