Forced Sterilization And Northern Tamils

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)