Thursday, February 17, 2011

POSTGRADUATE INSTITUTE OF MEDICINE

(Subject to change)
Applications are entertained by me from Medical/Dental Officers possessing the minimum requirements prescribed in the regulations to sit for the undermentioned examinations to be held in the year 2011 :- Date of Commencing Examination Last Date for Entries January
10
MD (Dermatology)
03 Dec. ‘10
11
MD (Pathology) Haematology
25 Nov. '10
14
MD (Surgery) Part I - MCQ Paper
15 Dec. '10
17
MD (Medical Microbiology/Medical Virology)
03 Dec.'10
24
MD (Obstetrics & Gynaecology) Part II
10 Nov. '10
24
MD (Pathology) Chemical Pathology
25 Nov. '10
28
MD (Anaesthesiology) Part IB - MCQ Paper
10 Dec. '10
February
01
Selection Examination for Postgraduate Diploma in Reproductive Health
15 Dec.’10
02
MD (Medicine) - Theory Papers
04 Jan. '11
07
MD (Surgery) Part II
15 Dec. '10
09
MD (Orthodontics)
05 Jan. ‘11
09
Selection Examination for Postgraduate Diploma in Psychiatry
03 Jan. ‘11
15
MD (Obstetrics & Gynaecology) Part I - MCQ Paper
16 Dec. '10
21
MD (Community Medicine/Community Dentistry) Part II
10 Jan. ‘11
21
Postgraduate Diploma in Tuberculosis & Chest Diseases
06 Jan. ‘11
28
MD (Family Medicine)
21 Jan. ‘11
28
MD (Orthopaedic Surgery)
03 Jan. ‘11
March
01
Selection Examination in Dermatology
14 Jan. '11
04
MD (Anaesthesiology) Part II
28 Jan. ‘11
07
Ophthalmology Module I
28 Jan. '11
08
Postgraduate Diploma in Transfusion Medicine
21 Jan.‘11
14
MD (Transfusion Medicine)
28 Jan.‘11
17
Selection Examination for Postgraduate Diploma in Child Health
11 Feb. '11
18
MD (Anaesthesiology) Part II
28 Jan. ‘11
21
MD (Oral Surgery)
07 Feb. ‘11
23
Selection Examination in Paediatrics - MCQ Paper
10 Feb. '11
April
04
MD (Anaesthesiology) Part IA
25 Feb.'11
May
02
Selection Examination in Clinical Oncology
18 March, ‘11
06
Selection Examination in Ophthalmology
22 March, ‘11
05
Postgraduate Diploma in Reproductive Health
15 March, ‘11
09
Postgraduate Diploma in Venereology
30 March, ‘11
12
Selection Examination for Postgraduate Diploma in General Dental Practice
25 March, ‘11
23
Ophthalmology Module II
11 April, '11
23
Postgraduate Diploma in Psychiatry
08 April, ‘11 June
01
Certificate of Competence in Anaesthesiology
08 April, '11
06
MD (Otorhinolaryngology)
05 April, ‘11
06
MD (Surgery) Part I - MCQ Paper
21 April, ‘11
16
Selection Examination in Postgraduate Diploma in Hospital Dental Practice
29 April, ‘11
July
04
MD (Anaesthesiology) Part IB - MCQ Paper
03 June, '11
07
Selection Examination for Postgraduate Diploma in Venereology
24 May, '11
11
MD (Surgery) Part II
13 May, ‘11
18
MD (Paediatrics)
03 June, '11
25
Ophthalmology Module III
03 June, ‘11
26
MD (Medicine) - Theory Papers
04 July, '11
August
01
MD (Clinical Oncology) Part I
30 June, ‘11
05
MD (Anaesthesiology) Part II
30 June, '11
08
MD (Community Medicine/
Community Dentistry) Part I/Part II
27 June, ‘11
11
Selection Examination for Postgraduate Diploma in Legal Medicine
10 June, '11
18
Selection Examination for Postgraduate Diploma in Family Medicine
17 June, '11
19
Selection Examination in MD (Psychiatry)
06 July, ‘11
22
MD (Clinical Oncology) Part II
08 July, ‘11
25
Selection Examination for Postgraduate Diploma in Medical Microbiology
11 July, '11
September
05
Selection Examination in Radiology
29 July, ‘11
08
Selection Examination for Postgraduate Diploma in Pathology
25 July, '11
14
Selection Examination in MD (Oral Surgery)/
MD (Orthodontics)/MD (Restorative Dentistry)
02 Aug. '11
15
Selection Examination for Postgraduate Diploma in Clinical Microbiology
05 Aug. '11
22
Selection Examination for MSc (Community Medicine/Community Dentistry)
05 Aug. '11
October
03
MD (Psychiatry) Part II
12 Aug. '11
06
Selection Examination in Medicine
19 Aug. ‘11
19
Selection Examination in MD (Oral Pathology)
02 Aug.‘11
14
Ophthalmology Module IV
05 Sept. ‘11
17
Postgraduate Diploma in Medical Microbiology
23 Sept. '11
17
Postgraduate Diploma in Legal Medicine
12 Aug. ‘11
19
Selection Examination in MD (Oral Pathology)
02 Aug.‘11
20
Selection Examination for Postgraduate Diploma in Transfusion Medicine
13 Sept. '11
21
Selection Examination for MSc (Medical Administration)
26 Aug. ‘11
24
Postgraduate Diploma in Child Health
09 Sept. '11
31
Certificate in Basic Laboratory Sciences
16 Sept. '11
November
01
Postgraduate Diploma in Histopathology
15 Sept. '11
01
Postgraduate Diploma in Family Medicine/MD (Family Medicine)
16 Sept. ‘11
07
Postgraduate Diploma in Chemical Pathology
15 Sept. '11
14
Postgraduate Diploma in Haematology
15 Sept. '11
14
MD (Anaesthesiology) Part IA
03 Oct. '11
14
MD (Forensic Medicine)
07 Oct. ’11
21
MSc (Community Medicine/Community Dentistry)
07 Oct. '11
28
MD (Pathology) Histopathology
21 Oct. ‘11
28
MD (Venereology)
17 Oct. ‘11
December
05
MD (Radiology) Part I/Part II
21 Oct. '11
05
MD (Pathology) Chemical Pathology
21 Oct. ‘11
12
Postgraduate Diploma in Hospital Dental Practice
04 Nov. '11
Further particulars and the prescribed application forms can be obtained by post or personally from the Senior Asst. Registrar/Examinations, Postgraduate Institute of Medicine, 160, Norris Canal Road, Colombo 07.
Details in respect of each of the above examinations will be published and they could be downloaded from the website www.cmb.ac.lk/pgim
Requests for application forms by post should accompany a self addressed stamped envelope 9" x 4" in size and a money order for Rs. 500/- drawn in favour of Postgraduate Institute of Medicine and payable at the Cinnamon Garden Post Office, Colombo 7 or can be downloaded from our website www.cmb.ac.lk/pgim.
Professor Rezvi Sheriff
Director, PGIM
Senior Professor of Medicine
No. 160, Norris Canal Road,
Colombo 7.
27th October, 2010.

POSTGRADUATE INSTITUTE OF MEDICINE

PAPER I
Answer all questions.
Each question to be answered in a separate book.
1. A 30 year old HIV positive woman complained of acute abdominal pain.
Discuss the management of this patient. (100 marks)
2. You are appointed as the Venereologist in charge of a district STD clinic. During the initial assessment, you found that the-clinic services are not adequately utilized by the most at-risk populations (MARPs) living in the area.
Describe the steps you would take to improve this situation. (100 marks)
3.
3.1 Describe the impact of STls (excluding HIV) and bacterial vaginosis on
pregnancy and neonate. (50 marks)
3.2 Outline the steps that can be taken to reduce transmission of STls (excluding HIV) to baby during pregnancy and neonatal period.
(50 marks)
4. Discuss the strengths, weaknesses, opportunities and threats of using the already available services in a Health Unit (MOH unit), in preventing sexually transmitted
infections (STls) and promoting sexual health of a community. (l00 marks)
5. A 40 year old man recently diagnosed with HIV infection was admitted to National Hospital with fever, headache, numbness and weakness of left leg and seizures affecting the left side of the body for one week. His CD4 count was 90 cells/cu mm.
Discuss the management of this patient. (100 marks)

20 - VENEREOLOGY

20 - VENEREOLOGY
(03) MD (Venereology) Examination
01. May 2006 02. May 2007
POSTGRADUATE INSTITUTE OF MEDICINE
UNIVERSITY OF COLOMBO
MD (VENEREOLOGY) EXAMINATION
MAY, 2006
Date : 24th May, 2006 Time :1.30 p.m. - 4.30 p.m.
PAPER I
Answer all questions.
Each question to be answered in a separate book.
1. As the newly appointed venereologist to the STD clinic at Matara, you observe
that the patient attendance is low and that there is a high defaulter rate. In
addition, there are limited resources for the diagnosis and management of sexually
transmitted infections (STI).
1.1. List the possible reasons for the low patient attendance and high defaulter
rate. (25 marks)
1.2. Discuss what action you would take to improve accessibility and enhance
patient retention in your clinic. (75 marks)
2. Describe your first line of antiretroviral therapy of an asymptomatic 28 year old
female with a CD4 count of 80 ceU-s/!-11 and explain your rationale for this
choice including why other agents were not chosen. Assume that all common
antiretroviral therapies are available to you. (100 marks)
3. Write short notes on :
3.1. Male circumcision and risk of sexually transmitted infections.
(25 marks)
3.2. Imaging studies for the diagnosis of pelvic inflammatory disease.
(25 marks)
3.3. The role of direct microscopy as a diagnostic tool for sexually transmitted
infections (illustrate your answer with examples). (25 marks)
3.4. Programme to reduce maternal morbidity, fetal loss and neonatal mortality
and morbidity due to syphilis (list the components) (25 marks)
4. A cohort of HIV infected and non-infected male and female populations are being
followed for more than 10 years. The cohort consists of injecting drug users, men
having sex with men, bisexuals and heterosexuals. Some of them are on
antiretroviral treatment depending on their virological and immunological
markers. The following observations were made in this cohort:
Observation A
After seroconversion, a few of them progressed to AIDS very rapidly (less
than 3 years).
4.1. Outline the viral, immune and host factors important for the rapid
progression. (50 marks)
Observation B
As a result of unprotected sexual relationships some seronegative
members in the cohort became HIV positive.
4.2. Describe the public health measures that could be used to minimize such
outcomes in the future. (50 marks)
5. Discuss briefly:
5.1. Clinical trial (40 marks)
5.2. Meta-analysis (30 marks)
5.3. Parametric tests in statistical analysis (30 marks)
6. A 40 year old married man presents to a STD clinic with a painful perianal
lesions. He admits to having several sexual exposures with casual male partners.
6.1. List the conditions you would consider in the differential diagnosis of the
above. (20 marks)
6.2. Discus the factors you would consider in arriving at a diagnosis.
(80 marks)

MD MAY 2007

POSTGRADUATE INSTITUTE OF MEDICINE
UNIVERSITY OF COLOMBO
MD (VENEREOLOGY) EXAMINATION
MAY 2007
Date: 28th May 2007 Time: 1.00 p.m. - 4.00 p.m.
PAPER I
Answer all questions.
Each question to be answered in a separate book.
1. A 32 year old married female executive complains of an intermittent vaginal
discharge of one year's duration. Discuss the possible common causes, their
diagnosis and management. (100 marks)
2. Discuss the issues you would consider in deciding the suitability of introducing a
human papilloma virus vaccine in Sri Lanka. (100 marks)
3.
3.1 Discuss the role of surveillance in prevention of HIV/AIDS.
(40 marks)
3.2 How should HIV surveillance be prioritized depending on the level
of the HIV epidemic of a country. (60 marks)
4. A 35 year old woman presented to the central STD clinic with oral thrush and
retrosternal discomfort on swallowing. Clinic records show that she had tested
HIV positive two years ago but defaulted from care. Discuss your management
of this patient. (100 marks)
5. A 28 year old female with a history of pre-term delivery attends your clinic with a
3 months history of amenorrhoea and a positive urinary HCG result. She has
asymptomatic HIV infection, is antiretroviral therapy naive and has a recent CD4
count of 340 cells/μL.
5.1 Discuss the risks and benefits of antiretroviral therapy for this patient.
(40 marks)
5.2 Describe your management options for this patient. (60 marks)

MD MAY 2008

POSTGRADUATE INSTITUTE OF MEDICINE
UNIVERSITY OF COLOMBO
MD (VENEREOLOGY) EXAMINATION
MAY 2008
Date: 5th May 2008 Time : 1.00 p.m. - 4.00 p.m.
PAPER I
Answer all questions.
Each question to be answered in a separate book.
1. A 30-year-old married man presented to the Central STD Clinic, Colombo with
genital ulcers of 4 days duration. He had unprotected sex with 3 casual female
partners during the last 3 months whilst in India. Last unprotected sexual
exposure with a casual partner was 10 days back. On return he had unprotected
sex with his wife.
List the differential diagnosis and discuss the management of this patient.
(100 marks)
2. Discuss the advantages and disadvantages of initiating antiretroviral therapy
for the following scenarios.
2.1. Primary HIV infection (40 marks)
2.2. Chronic HIV infection with CD4+ T-cell lymphocyte count less
than 200 cells/μl (20 marks)
2.3. Chronic HIV infection with CD4+ T-cell lymphocyte count between
200 and 400 cells/μl (20 marks)
2.4. Chronic HIV infection with CD4+ T-cell lymphocyte count greater
than 400 cells/μl (20 marks)
3.
3.1. Discuss the appropriateness of introducing antenatal screening for
Chlamydia trachomatis infection in Sri Lanka. (60 marks)
3.2 In a European study on the effect of Chlamydial infection on pregnancy
outcome, 800 infected and 3200 uninfected pregnant women were
followed up. The numbers of pre term deliveries among infected and
uninfected women were 80 and 160 respectively. The results of the
significance test was reported as P3.2.1 What type of study is this ? (10 marks)
3.2.2. Explain what is meant by P3.2.3. Calculate and interpret a measure of the strength of association
between Chlamydial infection and preterm delivery.
(20 marks)
4. Since the mid 1980s, a number of steps have been taken to respond to the HIV
epidemic in Sri Lanka.
4.1. List the various stakeholders involved in the national response to
the HIV epidemic in Sri Lanka. (20 marks)
4.2. Describe the steps taken in Sri Lanka in response to the HIV epidemic.
(40 marks)
4.3. Describe the areas which need further improvement.
(40 marks)
5. A 49-year-old married man was admitted to a teaching hospital with a history of
non-productive cough, progressive dyspnoea, fatigue and intermittent fever. His
HlV screening test was positive.
5.1. Discuss in detail the clinical management of this patient. (70 marks)
5.2. Outline the long term comprehensive care plan. (30 marks)

MD MAY 2009

POSTGRADUATE INSTITUTE OF MEDICINE
UNIVERSITY OF COLOMBO
MD (VENEREOLOGY) EXAMINATION
MAY 2009
Date: 25th May 2008 Time : 1.00 p.m. - 4.00 p.m.
PAPER I
Answer all questions.
Each question to be answered in a separate book.
1. It has been suggested that antenatal VDRL screening in Sri Lanka can
be discontinued as the number of positive cases of syphilis found for
the year 2006 was less than 50.
1.1. Discuss the advantages and disadvantages of the VDRL test as
an antenatal screening test for syphilis. (40 marks)
1.2. How do you justify continuation of current antenatal syphilis
screening programme in Sri Lanka ? (60 marks)
2. A 44 year old HIV positive woman is on zidovudine, lamivudine and
nevirapine for 3 months. She is feeling weak and is found to have a
haemoglobin of 8 g/l. Her current CD4 count is 90 cells/mm3.
2.1. List the causes of her anaemia. (30 marks)
2.2. Discuss her management. (70 marks)
3. A man presents with the first episode of genital herpes. His partner is
30 weeks pregnant. Discuss the management of this couple. (100 marks)
4. HIV epidemic in Sri Lanka
4.1. List the gaps in the national response to HIV epidemic in
Sri Lanka which were identified in the external review carried
out in 2006. (20 marks)
4.2. Explain the effective measures that can be taken to improve
the situation. (80 marks)
5. A 40 year old man with fever for 2 months was admitted to National
Hospital of Sri Lanka. His HIV antibody test was positive and AST
and ALT showed a five-fold rise with CD4 count of 22 cells/mm3.
Investigations revealed HBsAg and HCV-Ab tests negative.
5.1. What differential diagnosis would you consider in this case ?
(30 marks)
5.2. Discuss the management of this patient. (70 marks)

MD MAY 2010

POSTGRADUATE INSTITUTE OF MEDICINE
UNIVERSITY OF COLOMBO
MD (VENEREOLOGY) EXAMINATION
MAY 2010
Date :- 10th May 2010 Time : 1.00 p.m. – 4.00 p.m.
PAPER I
Answer all questions.
Each question to be answered in a separate book.
1.
1.1. Discuss the rationale for using targeted interventions approach in
prevention and control of HIV / AIDS in Sri Lanka ? (60 marks)
1.2. Briefly describe the components of the essential prevention
package used in targeted interventions for prevention of sexual
transmission. (40 marks)
2. In May 2007 a 46 year old man presented with ano-genital ulcers at the
Central STD clinic.' He also complained of fever, sore throat and
maculopapular rash of one week duration. He admitted receptive and
insertive anal intercourse with a man two weeks prior to appearance of
these symptoms. His VDRL, TPP A and HIV antibody tests were
negative. He was treated clinically for genital herpes.
After two months, his HIV screening test was positive and confirmed with
Western blot test.
He was lost to follow up for three years and presented again in May 2010
with fever, fatigue, non-productive cough, loss of appetite, oral thrush,
and difficulty in swallowing.
2.1. Discuss the differential diagnosis for his fever and other symptoms at
the initial presentation. (50 marks)
2.2. Outline the management of his current clinical presentation.
(50 marks)
3. A 30 year old homosexual man complained of diarrhoea of 2 weeks
duration following commencing treatment for his HIV infection with
tenofovir, lamivudine and Kaletra (lopinavir/ritonavir). His CD4 count
is 40 cells/mm3 and the HIV viral load is 200,000 copies/ml.
Discuss the causes and management of his diarrhea. (100 marks)
4. Discuss critically the effects of socio-demographic changes on the
prevalence of HIV / AIDS and STIs in Sri Lanka. (100 marks)
5. A 35 year old married woman with a period of amenorrhoea of 10 weeks
presented to the STD clinic with genital ulcers of 8 days duration. She has
returned from Middle East two weeks back. She admitted having sexual
exposures with casual partners while working there.
5.1. List the differential diagnosis of genital ulcers in this patient ?
(20 marks)
5.2. How would you manage her ? (80 marks)
POSTGRADUATE INSTITUTE OF MEDICINE
UNIVERSITY OF COLOMBO
MD (VENEREOLOGY) EXAMINATION
DECEMBER 2010
Date : 13th December 2010 Time : 1.00 p.m. -4.00 p.m.
PAPER I
Answer all questions.
Each question to be answered in a separate book.
1. A 30 year old HIV positive woman complained of acute abdominal pain.
Discuss the management of this patient. (100 marks)
2. You are appointed as the Venereologist in charge of a district STD clinic. During the initial assessment, you found that the-clinic services are not adequately utilized by the most at-risk populations (MARPs) living in the area.
Describe the steps you would take to improve this situation. (100 marks)
3.
3.1 Describe the impact of STls (excluding HIV) and bacterial vaginosis on
pregnancy and neonate. (50 marks)
3.2 Outline the steps that can be taken to reduce transmission of STls (excluding HIV) to baby during pregnancy and neonatal period.
(50 marks)
4. Discuss the strengths, weaknesses, opportunities and threats of using the already available services in a Health Unit (MOH unit), in preventing sexually transmitted
infections (STls) and promoting sexual health of a community. (l00 marks)
5. A 40 year old man recently diagnosed with HIV infection was admitted to National Hospital with fever, headache, numbness and weakness of left leg and seizures affecting the left side of the body for one week. His CD4 count was 90 cells/cu mm.
Discuss the management of this patient. (100 marks)

DIPLOMA IN VENEREOLOGY EXAMINATION

20 - VENEREOLOGY
(02) Diploma in Venereology Examination
01. July 2003 02. August 2004
03. June 2005 04. June 2006
05. July 2007
POSTGRADUATE INSTITUTE OF MEDICINE
UNIVERSITY OF COLOMBO
DIPLOMA IN VENEREOLOGY EXAMINATION
JULY 2003
Date : 18th July, 2003 Time : 1.30 p.m. – 4.30 p.m.
PAPER II
(ESSAY TYPE QUESTIONS)
Answer All questions.
Each question to be answered in a separate book.
1. The medical, nursing and laboratory staff of a provincial hospital are deeply
anxious after a middle aged man who has been in and out of the hospital for the
past 12 months is found to be HIV positive. You as the Venereologist have been
requested to talk to the staff and have been given 2 hours for your presentation.
a) What are the shortcomings in the hospital system that led to
this situation? (20 marks)
b) List the topics you would cover in your presentation. (20 marks)
c) Give an outline of your presentation in point form, to cover the
listed topics. (60 marks)
2.
a) What is surveillance? (20 marks)
b) Describe the types of surveillance used in, sexually
transmitted diseases (STD )/I-HV / AIDS. (40 marks)
c) Discuss the role of surveillance in relation to STD/HIV/AIDS
in Sri Lanka. (40 marks)
3. A woman 30 weeks pregnant presents to the STD clinic with a contact slip given
by her husband. The diagnosis on the contact slip is first episode genital herpes.
Discuss the further management of this couple
(100 marks)
4. Three youths from a remote village in your district are diagnosed as s1, s2 and s3
in your clinic. All three named the same female contact. They also volunteered
the information that several other youths in the village have also had sexual
intercourse with her. No earlier cases have been reported from this village.
a) Explain the terms “'index patient” , “source contact” and
“associate contact” (15 marks)
b) What do you understand by Epidemiological (Epi) treatment.
List its advantages and disadvantages. (25 marks)
c) Define an epidemic. (10 marks)
d) What preventive measures would you as the Venereologist institute
to contain this outbreak using both human and material resources
available to you ? (50 marks)
5. “Voluntary counseling and testing (VCT) is an important for HIV prevention
and care”,
Comment on the above statement. (100 marks)

DIP AUGUST 2004

POSTGRADUATE INSTITUTE OF MEDICINE
UNIVERSITY OF COLOMBO
DIPLOMA IN VENERELOGY EXAMINATION
AUGUST 2004
Date : 24th August, 2004 Time : 1.30 p.m. – 4.30 p.m.
PAPER II
(ESSAY TYPE QUESTIONS)
Answer All questions.
Each question to be answered in a separate book.
1. A recently diagnosed 28 year old HIV infected women with a CD4 I cell count of
180/mm3 and a viral load of 65,000 copies/ml is referred by a Gynaecologist to the
STD clinic. Her husband is abroad on business and his HIV status is not known.
She requests advice on contraception and says she is considering starting
antiretroviral therapy.
Discuss the advantages and disadvantages of the contraceptive options available
with reference to both her HIV status and potential HIV management.
(100 marks)
2. A study was conducted to assess the effectiveness of a new antibiotic in the
treatment of gonorrhoea. Out of 400 newly diagnosed patients with gonorrhoea
200 were randomly allocated to receive the new treatment and the other 200
received the standard antibiotic.
Among the patients who received the new antibiotic 190 were cured and in the
other group 160 were cured.
2.1 What kind of study is this? (10 marks)
2.2 Explain why the patients were randomly allocated to the two
groups. (20 marks)
2.3. Describe the other important measures taken in this kind of
study to reduce bias. (30 marks)
2.3 What statistical test would you perform on the above data ? Give
reasons for your choice. (Please note that you are not expected
to perform the test.) (20 marks)
2.4 Indicate how you would present the above data as a graph by
drawing a rough sketch (20 marks)
3. You are newly appointed as a MO/STD in charge of a peripheral STD clinic that
is administered by the provincial health authorities. Underutilization of this
clinic by the people who need STD cars is a significant finding of your initial
assessment.
3.1 Describe with examples possible contributing factors for above finding.
(25 marks)
3.2 What steps can you take to improve this condition ? (25 marks)
3.3 Enumerate the key people with whom should establish cordial
relationship to achieve your objective. (15 marks)
3.4 Until you improve adequate clinic utilization by the needy
people in your area, how would you (35 marks)
4. Screening for syphilis is considered a public health priority.
4.1 List five opportunities available to screen women for syphilis.(15 marks)
4.2 Give an indicator that can be easily calculated monthly from
records maintained in the antenatal clinic to assess each of the
following.
i. Coverage of antenatal syphilis screening.
ii. Treatment coverage for syphilis. (20 marks)
4.3 Suggest recommendations with justification to improve
antenatal VDRL coverage. (65 marks)
5. The available statistics at the National STD AIDS control programme in Sri
Lanka, show a declining trend in the incidence of gonorrhoea during the last two
decades (from 1981 t0 2002). This scenario has changed recently and the
statistical returns for the year 2003 clearly indicate a sudden increase of the
number of reported cases of gonorrhoea.
5.1 Discuss the possible reasons for this change in trend. (50 marks)
5.2 As the medical officer in charge of a provincial STD clinic what
are the measures you would take to control this situation in
your area. (50 marks)

DIP JUNE, 2005

POSTGRADUATE INSTITUTE OF MEDICINE
UNIVERSITY OF COLOMBO
DIPLOMA IN VENERELOGY EXAMINATION
JUNE, 2005
Date : 7th June, 2005 Time : 9.30 a.m. – 12.30 p.m.
PAPER II
(ESSAY TYPE QUESTIONS)
Answer All questions.
Each question to be answered in a separate book.
1.
A 32 year old anxious looking man presents to the STD clinic with a problem. He
is married for 6 years. He is asymptomatic but his wife who is 6 months pregnant
.had developed warty lesions in the vulva 2 weeks back. The lesions are gradually
increasing in size. He indicates suspicion about his wife as he is asymptomatic.
On questioning he admits having had sexual contacts with two known partners 6
and 9 months back. According to him all his partners are well known to him and
perfectly healthy.
1.1. What are the important points you would cover in counselling
this man ? (40 marks)
1.2. How would you manage this man ? (30 marks)
1.3. How would you manage his marital partner? (30 marks)
2. A case control study was conducted to test the hypothesis that regular/consist
condom use protects against sexually transmitted infections (STIs ). One hundred
patients diagnosed as having an STI and one hundred controls with no evidence of
STI were selected from the STD clinic. The following table is based on the data
from this study.
Relationship between condom use and STI,
__________________________________________________________________
Cases Controls
__________________________________________________________________
Regular/ Consistent condom use
Yes 40 60
No 60 40
Total 100 100
Chi square = 8.0 DF = 1
Odds Ratio (OR) = 0.44
P value = 0.005
2.1 Explain the three terms that are underlined. (30 marks)
2.2 How would you explain these findings to lay person ? (40 marks)
2.3 Describe briefly 3 different approaches that can be used to
increase condom use. (30 marks)
3. A 35 year old married man has urethritis after an unprotected exposure 5 days
ago. He had taken some unspecified medication given by a pharmacist. He is
flying to Holland tomorrow to join his spouse with whom he has a very active sex
life. Condoms are not an option in their sex life.
3.1 List the investigations you will carry out in the short time available to you.
(30 marks)
3.2 How will you manage this case ? (30 marks)
3.3 How will you counsel him ? (40 marks)
4.
4.1 STD AIDS is a preventive programme with a curative component.
Discuss the above statement in the context of primary and secondary
prevention. (50 marks)
4.2 Why is primary prevention more important today than ever before?
(20 marks)
4.3. List the measures that should be adopted to strengthen primary
prevention. (30 marks)
5.
5.1. Enumerate the features that make HIV / AIDS surveillance different from
the surveillance of other common communicable diseases. (35 marks)
5.2 Compare and contrast the sero-surveillance and behavioural
surveillance for HIV infection. (35 marks)
5.3. List the different strategies recommended for HIV antibody testing in
various scenarios. Briefly indicate the rationale in each strategy.
(30 marks)

DIP JUNE2006

POSTGRADUATE INSTITUTE OF MEDICINE
UNIVERSITY OF COLOMBO
DIPLOMA IN VENERELOGY EXAMINATION
JUNE, 2006
Date : 20th June, 2006 Time : 9.30 a.m. – 12.30 p.m.
PAPER II
(ESSAY TYPE QUESTIONS)
Answer All questions.
Each question to be answered in a separate book.
1. Discuss the role of health care workers other than the doctors in a provincial
STD clinic in Sri Lanka in the management and control of STD/HIV.
2. HIV / AIDS Surveillance is an important area in a AIDS Control
programme
2.1. What is meant by HIV/AIDS surveillance ? (20 marks)
2.2. How does HIV/AIDS surveillance assist the National AIDS control
programme ? (20 marks)
2.3. How do you classify countries according to the level of the HIV
Epidemic ? (30 marks)
2.4. What are the priority areas of HIV/AIDS surveillance for a country
like Sri Lanka ? (30 marks)
3. A female sex worker diagnosed with late latent syphilis in 2003 had been
treated with three doses of benzathine penicillin at weekly intervals.
The syphilis serology at time of diagnosis was VDRL R (4) and TPP A 2+.
The patient did not attend clinic after the third injection until January 2006
when she came requesting a check up. The results of the VDRL test carried
out monthly since January 2006 are as follows:
January - WR(O)
Defaulted follow up in February
Mrch - R(2)
April -WR(O)
May - R(4)
June -R(8)
3.1. Discuss the possible reasons for the above serological test results.
(50 marks)
3.2. Discuss the management of this patient in June 2006.(50 marks)
4. During the year 2005 the following events were reported from a
Medical Officer of Health (MOH) area with an estimated mid year
population of 100 000.
Live births 800
Total deaths 300
Infant deaths 12
Maternal deaths 02
4.1. Calculate and comment on all relevant rates. (40 marks)
4.2. Discuss briefly the problems associated with the screening
programme for syphilis among antenatal women in an MOH area.
Outline your suggestions to improve the situation. (60 marks)
5. Increasing numbers of herpes simplex virus (HSV) infection could
lead to an explosive HIV epidemic worldwide.
5.1. Discuss the interaction between HSV and HIV infection.
(50 marks)
5.2. Describe the clinical and public health measures that can be taken
to minimize further spread of HSV infection in the population.
(50 marks)

DIP JULY 2007

POSTGRADUATE INSTITUTE OF MEDICINE
UNIVERSITY OF COLOMBO
DIPLOMA IN VENEREOLOGY EXAMINATION
JULY 2007
Date: 03rd July 2007 Time: 9.00 a.m. - 12.00 noon
PAPER II
(ESSAY TYPE QUESTIONS)
Answer all Questions.
Each question to be answered in a separate book.
1.
1.1. A teacher wanted to determine whether male babies have a higher
mean birth weight than female babies. In a large random sample of
full term singleton births, he found the mean and standard deviation
of birth weight (in grams) for males to be 2800 and 150 respectively.
The corresponding figures for females were 2700 and 150. A
significance test (Z test) was performed and the p value was found to
be 0.001.
1.1.1 Determine the 95% reference range for birth weights for male
infants and female infants (20 marks)
1.1.2 State the Null hypothesis for the significance test (10 marks)
1.1.3 What is meant by p = 0.001 ? (20 marks)
1.1.4 What other information is needed to perform a Z test on the
data given above ? (10 marks)
1.2 Describe briefly the services provided to pregnant women by the Medical
Officer of Health and hislher team (40 marks)
2. Discuss the following statement of a National AIDS Policy in a country.
"Mandatory HIV testing is an effective measure to prevent the spread of
HIV/AIDS". (100 marks)
3. Hepatitis B surface antigen (HBsAg) was found to be positive in a male STD
patient during the routine screening at the Central STD clinic, Colombo.
3.1 What other laboratory investigations would you request to further clarify
his status, giving reasons for each test you request ? (40 marks)
3.2. What issues would you highlight during the counseling of this patient if he
was found to be a chronic hepatitis B carrier ? (60 marks)
4. A 27 years old male presented to an STD clinic with a complaint of a painless
penile ulcer for five (5) weeks and a lump in the left groin. He has taken self
treatment for the ulcer. He denied having any sexual exposures and admitted
using heroin on a regular basis. He used to be a member of a gang of injecting
drug-users about one (l)year ago.
On examination, patient had an indurated, clean, non-tender penile ulcer with
enlarged lymph-node in left groin.
Day 1 - urethral smear - no abnormalities found
dark-ground examination treponemes not seen
giant cells - not seen
VDRL/TPP A - blood drawn
Day 2 - DG examination - treponemes not seen
VDRL-R(16), TPPA-2+
The patient revealed the following sexual history to doctor on the second day.
Female partners; 25-30 in last one (1) year and more than 100 life-time partners
including foreigners.
Male partners; 1 in last year and 8 life-time partners.
He used condoms occasionally with partners.
4.1 What is your diagnosis ? Give reasons for your diagnosis. (20 marks)
4.2 What are the risk factors for sexually transmitted infections that are given
in the history ? (20 marks)
4.3 Discuss the important aspects of management in this patient.
(60 marks)
5. A 32 year old female domestic worker has brought her one week old son to a
paediatric ward with swelling of both eyes and discharge from left eye. She has
been separated from her husband for the past 3 years and had four casual male
partners during last two years. She attended the antenatal clinic twice during this
pregnancy but did not undergo any tests. Baby and mother were referred to the
Central STD clinic for further management.
5.1 Discuss the possible diagnoses in this baby. (20 marks)
5.2 Briefly outline the steps that could have been taken to prevent conditions
stated above. (30 marks)
5.3 Discuss the comprehensive management of this case. (50 marks)

DIP APRIL 2008

POSTGRADUATE INSTITUTE OF MEDICINE
UNIVERSITY OF COLOMBO
DIPLOMA IN VENEREOLOGY EXAMINATION
APRIL 2008
Date : 21st April 2008 Time : 1.00 p.m. - 4.00 p.m.
PAPER I
(ESSAY TYPE QUESTIONS)
Answer all questions.
Each question to be answered in a separate book.
1. Describe important aspects of the epidemiology of HIV / AIDS in Sri
Lanka. (100 marks)
2. A 30-year-old female presented to the STD clinic with multiple genital warts
(vulval warts) at a period of gestation of 20 weeks. Her last sexual exposure with
husband, who is working away from home, was three months back. She has had
unprotected sexual exposures with two casual male partners during the last three
months.
2.1. Discuss the implications of genital warts in pregnancy .(50marks)
2.2. Outline how you would manage this patient. (50 marks)
3.
3.1. Describe briefly the natural history of HIV infection. (30 marks)
3.2. Define client initiated and provider initiated HIV testing. (30 marks)
3.3. Discuss the applications of these two options in the natural
history of HIV infection. (40 marks)
4. A 26-year-old female presented to an STD clinic with a contact slip
from the marital partner which contained the diagnosis of gonococcal infection.
She did not have any complaints. She is on oral contraceptive pills. She is married
for 2 years and her last unprotected sexual exposure with husband was 2 days
ago. She has had extramarital unprotected sexual exposures with two known male
partners during last 3 months and the last exposure was 2 weeks ago.
On examination she had 2 lumpy lesions of 0.5 x 0.5 cm in perineum, whitish
thick discharge at introitus, scratch marks on vulva and groin. Speculum
examination revealed thick whitish vaginal discharge and an erythematous and
oedematous cervix.
Microscopic investigations:
vaginal smears - hyphae and spores present, clue cells present
cervical smear - more than 30 pus cells/per high power field
4.1. Outline the management of this patient giving reasons. (35 marks)
4.2. When she presented for follow up, results of the tests done in the first visit
were available.
Chlamydia Elisa test - positive
VDRL - R (32)
TPP A - positive
Discuss the management of this patient. (65 marks)
5.
5.1. Discuss the shortcomings in the notification and investigation of
communicable diseases in Sri Lanka. (50 marks)
5.2. Briefly describe the measures that can be taken to rectify the
situation. (50 marks)

DIP APR 2009

POSTGRADUATE INSTITUTE OF MEDICINE
UNIVERSITY OF COLOMBO
POSTGRADUATE DIPLOMA IN VENEREOLOGY EXAMINATION
APRIL 2009
Date : 27th April 2009 Time : 1.00 p.m. - 4.00 p.m.
PAPER I
(ESSAY TYPE QUESTIONS)
Answer all questions.
Each question to be answered in a separate book.
1. A 30 year old married woman was referred to the STD clinic by a medical officer
of health (MOH) in her second pregnancy at a period of amenorrhoea (POA) of
20 weeks with a positive VDRL report. Further serological tests done at the STD
clinic confirmed the diagnosis of early latent syphilis. She was given
erythromycin for two weeks as she was allergic to penicillin. She defaulted for
follow up. Later she was referred to the STD clinic by a paediatrician with a three
day old neonate with a skin rash and blood stained nasal discharge.
1.1. Discuss the management. (70 marks)
1.2. Outline the steps that could have been taken by the medical officer in the
STD clinic to prevent the neonate getting affected. (30 marks)
2. HIV / AIDS Surveillance is an important area in a AIDS Control Programme.
2.1. Define surveillance in HIV. (10 marks)
2.2. What is sentinel surveillance in HIV ? (20 marks)
2.3. Outline the importance of HIV surveillance data. (30 marks)
2.4. Discuss second generation surveillance in HIV. (40 marks)
3. A 40 year old man presented to a dermatologist with oral thrush and
difficulty in swallowing. The patient was referred to the Central STD Clinic
with a confirmed positive HIV antibody test. Outline the management of
this patient. (100 marks)
4. A group of 1600 injecting drug users were enrolled in a prospective cohort
study to assess risk behaviours. At the time of enrolment 400 subjects were
found to have at least one STI. During one year of follow up 300 out of the
1200 who were free of STI at baseline, developed an STI.
4.1. Calculate the prevalence of STI at baseline. (15 marks)
4.2. Calculate the incidence rate of STI. (15 marks)
The scientific paper reporting the findings of the above study stated as
follows:
“ The relative risk for developing an STI was 2.2 (95% confidence
interval 1.3 to 3.4; p = 0.008) for non condom users compared to
condom users.”
4.3. Explain the meaning of the above statement. (30 marks)
4.4. Describe briefly the problems associated with the conduct of cohort
studies. (40 marks)
5. A 25 year old pregnant woman with a period of amenorrhoea (POA) of 28
weeks presented to the obstetrician with lumpy lesions in the genital area of
three weeks duration. She was referred to a STD clinic and was diagnosed
as having genital warts. Discuss the management. (100 marks)

DIP MAY / JUNE 2010

POSTGRADUATE INSTITUTE OF MEDICINE
IUNIVERSITY OF COLOMBO
POSTGRADUATE DIPLOMA IN VENEREOLOGY EXAMINATION
MAY / JUNE 2010
Date : 31st May 2010 Time : 1.00 p.m. – 4.00p.m.
PAPER I
(ESSAY TYPE QUESTIONS)
Answer all questions.
Each question to be answered in a separate book.
1. A 25 year old woman with a period of amenorrhoea (POA) of eight
weeks presented to Central STD clinic with multiple, superficial and
painful vulval ulcers for 2 days which were preceded by blisters. She
has no past history of similar lesions.
1.1. How would you arrive at a diagnosis in this patient ? (30 marks)
1.2. Discuss the management of this patient. (70 marks)
2.
2.1. Describe the differences between monitoring and evaluation.
(40 marks)
2.2. Discuss the usefulness of routinely collected data for monitoring
and evaluation of services provided by STD clinics in Sri Lanka.
(60 marks)
3. A 28 year-old married HIV positive man attended the Central STD
Clinic with pruritus and scars all over the body. His CD4 count was
180 cell/μL and the full blood count was normal except for the
Hb 6.5 g/dL. He admitted having several sexual encounters in the
past with male partners with and without condoms.
3.1. What further investigations would you request before deciding
on antiretroviral (ARV) treatment for this patient ? (30 marks)
3.2. Give a first line ARV regimen for this patient, with reasons.
(20 marks)
3.3. Discuss the issues you would address in counseling this patient.
(50 marks)
4. In a study among sexually active men, 30 out of 100 condom users
were found to have STIs, compared to 20 out of 100 non-condom users.
4.1. Give three (03) explanations for this observation. (30 marks)
4.2. Interpret the study finding using a statistical test. Give all relevant
steps. (Statistical tables and equations are provided.) (70 marks)
5. A 30 year old male presented to the Central STD clinic with tenesmus
and mucoid rectal discharge for last 3 weeks. He gave a history of
sexual exposures with several men during last 2 years.
5.1. List the possible causes for his presentation. (20 marks)
5.2. How would you arrive at a diagnosis ? (30 marks)
5.3. Describe the management of this patient. (50 marks)

20 - VENEREOLOGY

20 - VENEREOLOGY
(01) Qualifying Exmination for Diploma in Venereology
(now Selection Examination in Diploma in Venereology)
01. May 2002 02. May 2003
03. May 2004 04. May 2005
05. July 2006 06. July 2007
POSTGRADUATE INSTITUTE OF MEDICINE
UNIVERSITY OF COLOMBO
QUALIFYING EXAMINATION FOR DIPLOMA IN VENEREOLOGY
MAY 2002
Date : 14th May, 2002 Time : 1.30 p.m. – 4.30 p.m.
Answer All Five questions.
Each question in a separate book.
1. The STD ADS Control Programme was set up as a preventive programme. with a
curative component.
1.1 List the preventive components of the programme (25 marks)
1.2 List 5 other programi11es in the Ministry of Health that, work
closely with the STD/ AIDS Control Programme (15 marks)
1.3 Describe each of the preventive components brief1y and how they
are implemented at a practical level in the programme
(Write no more than 15 lines per each component) (60 marks)
2. The World Health Organization promotes syndromic management of sexually transmitted
diseases (STD) as a strategy to control STDs.
2.1 Define syndromic management of STD. (15 marks)
2.2 List the STD syndromes identified by the STD/ AIDS Control
Programme in Sri Lanka (25 marks)
2.3 Discuss the advantages and disadvantages of syndromic
management of STDs. (60 marks)
3. A 30 year old Sri Lankan male, never been out of the country and married for 2 years,
complains of genital ulcers of one weeks duration.
3.1 Briefly describe the information you would ask from this patient
in the history. (20 marks)
3.2 List five sexually transmissible infections you will consider in
your differential diagnosis (10 marks)
3.3 What investigations would you like to do. Assuming that laboratory
facilities of a provincial level laboratory are available to you. (20 marks)
3.4 Assuming you were a primary health care medical officer.
describe briefly the management or this patient. (50 marks)
,
,
4. A 23 year old sexually active unmarried woman complains of a vaginal discharge of two
weeks duration.
4.1 What important features would you ask when taking the history
to help in the diagnosis. (20 marks)
4.2 List five common sexually transmissible agents that cause
vaginal discharge. (10 marks)
4.3 Assuming you are in a Provincial STD Clinic, list five basic laboratory
investigations you would carry out to assist in the management. (20 marks)
4.4 Discuss the important aspects in the managements of this patient. (50 marks)
5. A neonate 7 days old is brought to you with discharge from both eyes. You are far away
from a STD Clinic or an Eye Hospital.
5.1 What information would you seek from the mother of the neonate. (20 marks)
5.2 What is your differential diagnosis. (10 marks)
5.3 What laboratory investigations will you carry out in your
institution. (20 marks)
5.4 Discuss the management of the case. (50 marks)

DIP MAY 2003

POSTGRADUATE INSTITUTE OF MEDICINE
UNIVERSITY OF COLOMBO
QUALIFYING EXAMINATION FOR DIPLOMA IN VENEREOLOGY
MAY 2003
Date : 8th May, 2003 Time : 1.30 p.m. – 4.30 p.m.
Answer All Five questions.
Each question in a separate book.
1. A. total of 358 HIV infected Sri Lankans had been reported to the National SID/AIDS
Control Programme (NSACP) by December 2000; but the' NSACP had estimated that
8,500 people with HIV / AIDS were living in the country at that time (Source - Annual
Health Bulletin 2000).
1.1 What are the possible reasons for this discrepancy? (30 marks)
1.2 What are your recommendations to reduce this gap? (40 marks)
1.3 Discuss briefly the role of Sentinel Surveillance for control of
HIV in Sri Lanka. (30 marks)
2. A 28 year old mother of two at 28 weeks POA attending MOH antenatal clinic, was
found to be having a positive VDRL 1:4 [R(4)].
2.1 What are the implications of this finding? (30 marks)
2.2 What are the important issues the MOH should consider in
dealing with this case? (20 marks)
2.3 If this patient is referred to you, as the MOlC of the provincial
SID Clinic how would you manage this case? (50 marks)
3.
3.1 In what ways does the laboratory help in the management
of patients suspected of having an STD in Sri Lanka. (20 marks)
3.2 List five sexually transmitted diseases. With each disease,
describe briefly the laboratory findings expected in the Sri Lankan
context. (50 marks)
3.3 Even with Syndromic Management of STDs, the laboratory
Services are required at the central level. Discuss. (30 marks)
4. A 30 year old male working in a tourist hotel is admitted to hospital with a history of
undiagnosed continued fever for one month. A blood sample is collected from this patient
for investigations.
4.1 After taking the blood the nurse pricks her finger with the needle.
Write briefly what measures should be taken in the management
of this situation. (40 marks)
4.2 In the ward this sample is accidentally dropped on the floor
and the bottle is broken. How would you clean the spill. (30 marks)
4.3 What do you understand by Universal Precautions. (30 marks)
5. During a school medical inspection, you spot a 14 year old girl with a depressed bridge of
nose.
5.1 What is the term used to describe this condition. (15 marks)
5.2 List other stigmata you would look for in this girl. Describe
any five of them briefly. (Not more than three sentences each). (30 marks)
5.3 What serological tests should be done on this girl? (20 marks)
5.4 Who else do you think should be investigated in this instance. (15 marks)
5.5 Having confirmed your diagnosis what additional measures
could be taken in further managing this patient. (20 marks)
)

DIP MAY 2004

POSTGRADUATE INSTITUTE OF MEDICINE
UNIVERSITY OF COLOMBO
QUALIFYING EXAMINATION FOR DIPLOMA IN VENERELOGY
MAY 2004
Date : 11th May, 2004 Time : 1.30 p.m. – 4.30 p.m.
Answer All Five questions.
Each question in a separate book.
1. In June 2001, United Nations met in a Special Session of the General Assembly and
agreed on comprehensive and coordinated global response to the AIDS crisis. The
UNGASS (Special Session) made a declaration of commitment. One of its targets and
goals included;
"Make treatment and care for people with HIV / AIDS as fundamental to the AIDS
response as is prevention". ie. Equal importance should be given for both care of patients
and prevention.
Comprehensive care for people living with HIVI AIDS involves a number of important
interventions in addition to increased provision of antiretrovirals.
1.1. List five other interventions which will contribute to achieve the
above goal. (25 marks)
1.2 List two important outcomes of provision of antiretrovirals to HIV/ AIDS
patients. (10 marks)
1.3. List five opportunistic infections that could occur in an AIDS
patient during the course of the disease. (25 marks)
1.4. Write a brief account on multisectoral approach to containing the HIV I AIDS
epidemic. Your answer should not be more than one page. (40 marks)
2. As the MOH of an area while going through VDRL reports of antenatal clinic attendees
you find a reactive VDRL result with a titre R (8) and positive TPP A. According to the
area PHM the particular mother had already delivered at a provincial hospital and the
baby is 7 days old. Both mother and baby are doing well at home.
2.1. List the possible reasons for failure to identify this case early. (20 marks)
2.2. How would you manage the mother and the baby as the MOH? (30 marks)
2.3. If you were the MO/IC of the provincial STD clinic how would
you manage the family? (50 marks)
3. Comment on the following statement "In order to control the spread of HIV infection in
Sri Lanka everyone entering the country (both foreigners and Sri Lankans) should be
screened for HIV at the port of entry" .
(100 marks)
4. A 28 year old Business Executive has just returned from Singapore after participating in a
Seminar. On the last day he has had unprotected vaginal and oral sex with a fellow
female participant from China. The following day soon after returning home he has had
unprotected sex with his wife. He is asymptomatic but very worried.
4.1. What information will you seek in the history ? (20 marks)
4.2. What clinical findings would you look for while examining
this patient? (20 marks)
4.3. List the investigations you would carry out. (20 marks)
4.4. What further advice would you give this patient for purposes
of follow up? (40 marks)
5. A 33 year old unmarried sportsman seeks medical attention for lower abdominal pain,
fever and painful swelling of his scrotum.
5.1. What conditions will you consider in your differential diagnosis? (20 marks)
5.2. List the features in the history and examination that would help
you in your differential diagnosis. (30 marks)
5.3. If he has a purulent discharge per urethra or he gives a history of
recent discharge per urethra, in addition to his scrotal swelling,
outline how you would manage this case at a district level hospital
where there is no STD clinic. (50 marks

DIP MAY 2005

POSTGRADUATE INSTITUTE OF MEDICINE
UNIVERSITY OF COLOMBO
QUALIFYING EXAMINATION FOR DIPLOMA IN VENERELOGY
MAY 2005
Date : 12th May, 2005 Time : 1.30 p.m. – 4.30 p.m.
Answer All Five questions.
Each question in a separate book.
1. Briefly comment on the following statements.
1.1 Promotion of condom use will lead to an increase in promiscuity. (35 marks)
1.2 Legalising prostitution will lead to a decrease in the
incidence of sexually transmitted infections. (35 marks)
1.3 For the year 2002 the crude death rate for Sri Lanka and the
United Kingdom (UK) were 6.6 and 10.4 respectively. This is
due to the good health service provided in Sri Lanka. (30 marks)
2. The prevalence of HIV varies from country to country. According to the UNAIDS and
WHO classification, Sri Lanka is considered to be a low prevalence country.
2.1 List possible reasons for different HIV epidemic patterns in
the world. (50 marks)
2.2 What are the activities that should be carried out to
maintain the low HIV prevalence in Sri Lanka? (50 marks)
3. A 40 year old unmarried man complains of an ulcer on the shaft of penis of 10 days
duration.
3.1 What information will you seek in the history ? (25 marks)
3.2 What clinical findings will you look for when examining the patient?
(25 marks)
3.3 List the appropriate investigations that you would carry out. (25 marks)
3.4 If none of the above investigations are available to you, how
would you manage this patient? (25 marks)
4.
4.1 Write a brief account on stigma and discrimination in
the context of HIV/AIDS epidemic in Sri ,Lanka. (50 marks)
4.2 Describe the measures that you would suggest to
minimize stigma and discrimination in the above context. (50 marks)
5. There are about 25 full time government STD clinics in Sri Lanka. Discuss in what way
these clinics contribute to the prevention of sexually transmitted infections in the country.
(100 marks)

DIP JULY 2006

POSTGRADUATE INSTITUTE OF MEDICINE
UNIVERSITY OF COLOMBO
SELECTION EXAMINATION FOR DIPLOMA IN VENERELOGY
JULY 2006
Date : 13th July, 2006 Time : 1.00 p.m. – 4.00 p.m.
Answer All Five questions.
Each question in a separate book.
1. As the university medical officer, you are given the responsibility of educating a small
group of university students on safer sexual practices.
1.1 What is meant by safer sexual practices ? (30 Marks)
1.2 Briefly describe the practices you would highlight in your
educational session. (70 marks)
2. As the MOH you are informed by a group of villagers in the area that a woman who had
returned from abroad is HIV positive. They are worried to have an HIV infected woman
in the village.
2.1 Discuss briefly how would counsel this group. (40 marks)
2.2 How would you manage this woman who is suspected to be HIV
Positive ? (60 marks)
3. Reproductive tract infections (RTIs) are a public health problem in Sri Lanka
3.1 What is meant by reproductive tract infections? (30 marks)
3.2 Outline the steps that can be taken to reduce the incidence of
reproductive tract infections in Sri Lanka. (70 marks)
4. As of end 2005, only three cases of transfusion related HIV infection have been reported
I Sri Lanka. This is due to the steps taken to ensure blood transfusion safety in the
country.
Comment on the above statement. (100 marks)
5. As the newly appointed MOH you are planning to make a presentation at the monthly
conference to improve STD/HIV prevention activities in the area.
5.1 How would you assess the current situation in the area before
your presentation ? (25 marks)
5.2 List the topics you would cover in this presentation (25 marks)
5.3 Outline the content of your presentation to cover the topics
listed above. (50 marks)

DIP JULY, 2007

POSTGRADUATE INSTITUTE OF MEDICINE
UNIVERSITY OF COLOMBO
SELECTION EXAMINATION IN DIPLOMA IN VENEREOLOGY
JULY, 2007
Date : 19th July 2007 Time :- 1.00 p.m. - 4.00 p.m.
Answer all five questions.
Answer each question in a separate book.
1.
1.1. List the different clinical services that can playa role in reducing the
burden of sexually transmitted infections. (30 marks)
1.2. Discuss the role of the above clinical services in reducing the burden
of sexually transmitted infections. I (70 marks)
2. The reported number of sexually transmitted infections (STI) from all STD
clinics during the year 2005 are given below.
Syphilis - 847 (rate 0.85 per 100,000)
Gonorrhoea - 1,198 (rate 6.8 per 100,000)
Total STIs - 10,153
"According to the above statistics, sexually transmitted infections do not appear to
be an important public health problem in Sri Lanka".
Discuss the above statement. (100 marks)
3. A 40 year old male is admitted to a medical ward with complaints of severe
dyspnoea and dry cough. He has been admitted to the ward repeatedly during
the last 6 months with similar symptoms. He is married and has two school-going
children. He is the sole bread-winner of the family. Failing other management
options, the consultant instructs you to get an HIV antibody test done on this
patient.
3.1. As the Senior House Officer of the ward, how would you arrange for
the HIV antibody test ? (30 marks)
3.2. If the screening test for HIV infection is reported as positive, what
further steps would you take in managing this patient ?
(40 marks)
3.3. What are the social implications of this situation ? (30 marks)
4. "Syndromic management of sexually transmitted infections is not an
appropriate strategy for Sri Lanka".
Discuss the above statement. (100 marks)
5. All pregnant women who attend antenatal clinics in Sri Lanka should be
routinely screened for HIV infection.
Discuss the advantages and disadvantages of this proposed strategy.
(100 marks)

DIP JULY 2009

POSTGRADUATE INSTITUTE OF MEDICINE
UNIVERSITY OF COLOMBO
SELECTION EXAMINATION IN POSTGRADUATE DIPLOMA IN
VENEREOLOGY
JULY 2009
Date: 10th July 2008 Time :1.00 p.m.-4.00 p.m.
Answer all five questions.
Answer each question in a separate book.
1. “HIV/AIDS epidemic in Asia has made a big impact in Myanmar,
Thailand, India, Cambodia and some other countries. In comparison
Sri Lankan epidemic is in low prevalence state.”
Discuss this statement. (100 marks)
2. A 45 year old widow presents to you at the well women clinic in your
MOH area with a history of excessive vaginaldischarge for 3 months.
2.1. List the possible reasons for the vaginal discharge in this women.
(30 marks)
2.2. What further imformation would you gather in the history ?
(30 marks)
2.3. How would you manage this patient as the Medical Officer of
Health in the well women clinic ? (40 marks)
3. Theme of the World AIDS Day 2009 is “Universal Access and Human
Rights”. As a Medical Officer of Health, describe in detail how you
would plan and carry out a programme to commemorate World AIDS
Day in your area based on the above theme. (100 marks)
4. Write an essay on current status of control and prevention of sexually
transmitted infections in Sri Lanka. (100 marks)
5. Write short notes on :-
5.1. Measures of central tendency. (25 marks)
5.2. Validity of a screening test. (25 marks)
5.3. Incidence and prevalence. (25 marks)
5.4. Literacy rate in Sri Lanka. (25 marks)

DIP JULY 2010

POSTGRADUATE INSTITUTE OF MEDICINE
UNIVERSITY OF COLOMBO
SELECTION EXAMINATION IN POSTGRADUATE DIPLOMA IN
VENEREOLOGY
JULY 2010
Date: 9th July 2008 Time :1.00 p.m.-4.00 p.m.
Answer all five questions.
Answer each question in a separate book.
1. Describe the important factors that may increase the vulnerability of a
person to sexually transmitted infections in Sri Lanka. (100 marks)
2. Write short notes on the following :
2.1. 95% confidence interval (25 marks)
2.2. p value < 0.05 (25 marks)
2.3. Information bias (25 marks)
2.4. Odds ratio of 3.5 (25 marks)
3. Discuss the statement given below. (100 marks)
“ Provincial STD clinics in Sri Lanka are responsible for prevention
of sexually transmitted infections (STIs) and providing clinical care.
However, since the medical officers at the provincial STD clinics
have limited opportunities to reach the community, the responsibility
of the prevention of STIs should be handed over to the area medical
officer of health (MOH) “
4. A 26 year old antenatal clinic attendee complains of having few
painless lumps in the vulval region. Examination of this pregnant
mother revealed several warty growths in the vulva.
4.1. What important information would you obtain in the history.
(40 marks)
4.2. Discuss how you would manage this patient as the medical
officer of health (MOH) in charge of the antenatal clinic.
(60 marks)
5. The estimated number of people living with HIV in Sri Lanka by the
end of 2009 was 3000. However, the actual number of HIV cases
detected by the end of 2009 was 1196.
Discuss how HIV case detection can be improved in Sri Lanka.
(100 marks)

CALENDAR OF EXAMINATIONS – 2011

POSTGRADUATE INSTITUTE OF MEDICINE
University of Colombo
CALENDAR OF EXAMINATIONS – 2011
(Subject to change)
Applications are entertained by me from Medical/Dental Officers possessing the minimum requirements prescribed in the regulations to sit for the undermentioned examinations to be held in the year 2011 :- Date of Commencing Examination Last Date for Entries January
10
MD (Dermatology)
03 Dec. ‘10
11
MD (Pathology) Haematology
25 Nov. '10
14
MD (Surgery) Part I - MCQ Paper
15 Dec. '10
17
MD (Medical Microbiology/Medical Virology)
03 Dec.'10
24
MD (Obstetrics & Gynaecology) Part II
10 Nov. '10
24
MD (Pathology) Chemical Pathology
25 Nov. '10
28
MD (Anaesthesiology) Part IB - MCQ Paper
10 Dec. '10
February
01
Selection Examination for Postgraduate Diploma in Reproductive Health
15 Dec.’10
02
MD (Medicine) - Theory Papers
04 Jan. '11
07
MD (Surgery) Part II
15 Dec. '10
09
MD (Orthodontics)
05 Jan. ‘11
09
Selection Examination for Postgraduate Diploma in Psychiatry
03 Jan. ‘11
15
MD (Obstetrics & Gynaecology) Part I - MCQ Paper
16 Dec. '10
21
MD (Community Medicine/Community Dentistry) Part II
10 Jan. ‘11
21
Postgraduate Diploma in Tuberculosis & Chest Diseases
06 Jan. ‘11
28
MD (Family Medicine)
21 Jan. ‘11
28
MD (Orthopaedic Surgery)
03 Jan. ‘11
March
01
Selection Examination in Dermatology
14 Jan. '11
04
MD (Anaesthesiology) Part II
28 Jan. ‘11
07
Ophthalmology Module I
28 Jan. '11
08
Postgraduate Diploma in Transfusion Medicine
21 Jan.‘11
14
MD (Transfusion Medicine)
28 Jan.‘11
17
Selection Examination for Postgraduate Diploma in Child Health
11 Feb. '11
18
MD (Anaesthesiology) Part II
28 Jan. ‘11
21
MD (Oral Surgery)
07 Feb. ‘11
23
Selection Examination in Paediatrics - MCQ Paper
10 Feb. '11
April
04
MD (Anaesthesiology) Part IA
25 Feb.'11
May
02
Selection Examination in Clinical Oncology
18 March, ‘11
06
Selection Examination in Ophthalmology
22 March, ‘11
05
Postgraduate Diploma in Reproductive Health
15 March, ‘11
09
Postgraduate Diploma in Venereology
30 March, ‘11
12
Selection Examination for Postgraduate Diploma in General Dental Practice
25 March, ‘11
23
Ophthalmology Module II
11 April, '11
23
Postgraduate Diploma in Psychiatry
08 April, ‘11 June
01
Certificate of Competence in Anaesthesiology
08 April, '11
06
MD (Otorhinolaryngology)
05 April, ‘11
06
MD (Surgery) Part I - MCQ Paper
21 April, ‘11
16
Selection Examination in Postgraduate Diploma in Hospital Dental Practice
29 April, ‘11
July
04
MD (Anaesthesiology) Part IB - MCQ Paper
03 June, '11
07
Selection Examination for Postgraduate Diploma in Venereology
24 May, '11
11
MD (Surgery) Part II
13 May, ‘11
18
MD (Paediatrics)
03 June, '11
25
Ophthalmology Module III
03 June, ‘11
26
MD (Medicine) - Theory Papers
04 July, '11
August
01
MD (Clinical Oncology) Part I
30 June, ‘11
05
MD (Anaesthesiology) Part II
30 June, '11
08
MD (Community Medicine/
Community Dentistry) Part I/Part II
27 June, ‘11
11
Selection Examination for Postgraduate Diploma in Legal Medicine
10 June, '11
18
Selection Examination for Postgraduate Diploma in Family Medicine
17 June, '11
19
Selection Examination in MD (Psychiatry)
06 July, ‘11
22
MD (Clinical Oncology) Part II
08 July, ‘11
25
Selection Examination for Postgraduate Diploma in Medical Microbiology
11 July, '11
September
05
Selection Examination in Radiology
29 July, ‘11
08
Selection Examination for Postgraduate Diploma in Pathology
25 July, '11
14
Selection Examination in MD (Oral Surgery)/
MD (Orthodontics)/MD (Restorative Dentistry)
02 Aug. '11
15
Selection Examination for Postgraduate Diploma in Clinical Microbiology
05 Aug. '11
22
Selection Examination for MSc (Community Medicine/Community Dentistry)
05 Aug. '11
October
03
MD (Psychiatry) Part II
12 Aug. '11
06
Selection Examination in Medicine
19 Aug. ‘11
19
Selection Examination in MD (Oral Pathology)
02 Aug.‘11
14
Ophthalmology Module IV
05 Sept. ‘11
17
Postgraduate Diploma in Medical Microbiology
23 Sept. '11
17
Postgraduate Diploma in Legal Medicine
12 Aug. ‘11
19
Selection Examination in MD (Oral Pathology)
02 Aug.‘11
20
Selection Examination for Postgraduate Diploma in Transfusion Medicine
13 Sept. '11
21
Selection Examination for MSc (Medical Administration)
26 Aug. ‘11
24
Postgraduate Diploma in Child Health
09 Sept. '11
31
Certificate in Basic Laboratory Sciences
16 Sept. '11
November
01
Postgraduate Diploma in Histopathology
15 Sept. '11
01
Postgraduate Diploma in Family Medicine/MD (Family Medicine)
16 Sept. ‘11
07
Postgraduate Diploma in Chemical Pathology
15 Sept. '11
14
Postgraduate Diploma in Haematology
15 Sept. '11
14
MD (Anaesthesiology) Part IA
03 Oct. '11
14
MD (Forensic Medicine)
07 Oct. ’11
21
MSc (Community Medicine/Community Dentistry)
07 Oct. '11
28
MD (Pathology) Histopathology
21 Oct. ‘11
28
MD (Venereology)
17 Oct. ‘11
December
05
MD (Radiology) Part I/Part II
21 Oct. '11
05
MD (Pathology) Chemical Pathology
21 Oct. ‘11
12
Postgraduate Diploma in Hospital Dental Practice
04 Nov. '11
Further particulars and the prescribed application forms can be obtained by post or personally from the Senior Asst. Registrar/Examinations, Postgraduate Institute of Medicine, 160, Norris Canal Road, Colombo 07.
Details in respect of each of the above examinations will be published and they could be downloaded from the website www.cmb.ac.lk/pgim
Requests for application forms by post should accompany a self addressed stamped envelope 9" x 4" in size and a money order for Rs. 500/- drawn in favour of Postgraduate Institute of Medicine and payable at the Cinnamon Garden Post Office, Colombo 7 or can be downloaded from our website www.cmb.ac.lk/pgim.
Professor Rezvi Sheriff
Director, PGIM
Senior Professor of Medicine
No. 160, Norris Canal Road,
Colombo 7.
27th October, 2010.