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)