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)