Download University of Jaffna (University of Sri Lanka) MBBS (Bachelor of Medicine and Bachelor of Surgery) 2020 September Community Family Medicine Part II Previous Question Paper
UNIVE'P!SITY OF JAFFNA, SRI LANKA ECONID EXAMINATION FOR MEDICAL
DEGREES -- SEPTEMBER 2020 COMMUNITY FAMILY MEDICINE PART II.
Date . 30.09.2920
Time: 9am l2pm (3 hours)
-
ANSWER ALL THE SIX QUESTIONS
Answ er each- question in a separate answer book.
1. A 39 year old bank manager and his wife, 35 year old school teacher, are living with
twin children. Recently, parents of the bank manager are also started to living with
them. Both children have been diagnosed with autism.
1.1 List five (05) health problems this family encounters.
(20 Marks)
1 2 Discuss the role of family in handling the problems mentioned in 1.1
(40 Marks)
1.3 Discuss the role of family physician in supporting the family to
handle the problem mentioned in 1.1.
2.1 List live (05) institutions/organizations that provide mental health services in Jaffna
District
(10 Marks)
2.2 Briefly describe the availability and gaps in community-based mental health services in
Jaffn:!
(20 Marks)
2.3. Discuss the importance of multi-sectoral collaboration in relation to mental health
(30 Marks)
2. 4. iscuss the mental health impact of the CON/ID 19 pandemic
(40 Marks)
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3.Unmet need for family planning is reported to be high among special groups such as
single
mothers and females of late reproductive age
.
3.1 Define the term 'Unmet need for family planning'
(10 Marks)
.3.2 1 ;st five (05) factors contributing to unmet need among females of late reproductive age.
(15 Marks)
3.3 Hriefh discuss the advantages of reducing unmet need for family planning
(35Marks)
3.4 Briefly describe the steps of an intervention to reduce Unmet need for family planning in
an area if you were the Medical Officer of Health
(40 Marks)
1 of 2
4. Chest CT (computerised tomography) is thought to be sensitive but less specific in diagnosing, the
2019 coronavirus disease (COVID19).
We aimed to compare
the performance of CT and initial RT-PCR for clinically
Suspected COVID-19 patients outside the epicentre Wuhan, China.
The sensitivity and specificity were 79% (27/34) and 100% (48/48) respectively for initial RT-
PCR and 77% (26/34) and 96% (46/48) respectively for chest CT." (He et al., 2020)
t h
2019 coronavirus disease
We aimed to compare the per formance of C T and
4.1 How would you interpret the sensitivity of 79% for initial RT-PCR to a lay person?
(20 Marks)
4.2 Present the appropriate data in the table below.
(20 Marks)
Person with
Person without
Total
Covid-19
Covid-19
Chest CT positive for
Covid-19
Chest CT negative for
Covid-19
Tni-A1
1.3 Briefl), discuss two (02) consequences of false positive results of these
tests.
( 20 Marks)
-1.4 Briell discuss the most important consequence of false negative results of these
tests. (10
Marks)
1,5 Which one of the two tests you would choose? Give the reasons for your choice.
(30 Marks)
igh intake of fruit and vegetable is linked with reduced risk of cardiovascular (10 Marks)
diseases and mortality. A recent meta-analysis indicates a relative risk of (20 Marks)
0.89 (95% CI: 0.85-0.93) for
(30 Marks)
'ause mortality per 200 g/day increase in the intake of fruit and vegetables. (40 Marks)
5.1 Detine the terms in bold letters
5.2. Interpret the findings
.; . 3. Outline a study to test this hypothesis in a MOH area
5.4. Briefly discuss the benefits of systematic review in medical practices
( 25 Marks)
( 25 Marks)
( 25 Marks)
Short Notes
(25 Marks)
6.1 Red flag signs in primary care
6.2 Fitness for work assessment
6.3 Community based palliative care
6.4 Complementary feeding
This post was last modified on 19 October 2021