Section outline

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    General

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    DTM&H teachers

    Not available unless: You belong to DTM&H teachers
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    PTMC teachers

    Not available unless: You belong to PTMC teachers
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    MCQ submission area

    Here you can submit some best of 5 questions that we can use for practice quizzes or exams. One question per form. After you have submitted 5 questions you can download a Certificate of Appreciation. If the question is used publically, we will acknowledge your contribution. Thank you very much.

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        Tips for writing MCQs

        GENERAL

        • Questions should ideally start with a short vignette (see examples). Ideally the candidate should be able to think of the answer without seeing the responses
        • Avoid negative words such as ‘not’ or ‘except’
        • If using images, avoid those that identify the patient

        TOPICS

        Here some example topics according to our curriculum. Please draft MCQs based on your expertise:

        Infectious diseases

        Emphasis on infections that are important in the tropics, such as HIV, malaria and TB:

        • Viral infections: HIV/AIDS, Dengue fever and other arboviruses, Lassa/Ebola and other causes of VHF, Rabies, viral gastrointestinal infections, SARS, MERS-CoV, Japanese encephalitis and other viral encephalitides, Polio, Measles, Hepatitis viruses
        • Bacterial infections: Anthrax, Brucellosis, Leptospirosis, Leprosy, Melioidosis, Plague, Relapsing fever, Tetanus, Tuberculosis, Typhoid, Typhus/Rickettsial infections
        • Protozoal infections: Gut protozoa, Leishmania, Malaria, Trypanosomiasis

        • Parasitic infections: Cestodes, helminths and other nematodes, filariasis, schistosomiasis, other trematodes
        • Fungal infections: Deep mycoses, Histoplasmosis, Cryptococcal disease, other fungal infections
        • Arthropods: Myiasis, other Arthropod infections/infestations, Vectors of clinical importance (lice, ticks, mites)
        • Infection syndromes: Diarrhoeal diseases, Hepatitis, Meningitis, Respiratory infections, PUO/Fever, Sexually Transmitted Infections

        Public health

        • Water and sanitation, Disaster/refugee medicine, Maternal, Child and Reproductive health, Nutrition, Epidemiology, Immunisation

        Non-communicable diseases

        Emphasis on impact and management of these problems in the tropics:

        • Diabetes, Hypertension, Cardiovascular disease, Asthma, Epilepsy, Stroke, Mental health, Rheumatic fever, Travel medicine, Bites and stings, Skin disease, Anaesthesia, Ophthalmology, Malignancies, Surgery/trauma, Drugs/alcohol, Vitamin deficiencies, Malnutrition

        COMPETENCIES

        Vary the competencies you are tesing, for example:

        • Epidemiology (including any vectors and other forms of transmission, life-cycles)
        • Manifestations / Clinical course
        • Diagnosis
        • Management
        • Prevention (including vaccines)
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        Example MCQ

        A 35-year-old Iraqi man was found to have an enlarged liver on routine clinical examination. He did not complain of any symptoms.

        On examination, he was not jaundiced and his temperature was 37.0°C. Investigations:

        • Serum total bilirubin 15 μmol/L (1–22) 

        • Serum alanine aminotransferase 30 U/L (5–35) 
        • Serum alkaline phosphatase 325 U/L (45–105)
        • CT scan of liver (see image)

        What is the most appropriate test to confirm the diagnosis?

        1. Amoebic antibody test
        2. Fasciola hepatica antibody test
        3. Hepatitis B serology
        4. HIV test
        5. Hydatid antibody test (correct answer)
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    SAQ submission area

    Here you can submit some Short Answer Questions (SAQ) that we can use for practice quizzes or exams. One question per form. After you have submitted 3 questions you can download a Certificate of Appreciation. If the question is used publically, we will acknowledge your contribution. Thank you very much.

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        SAQ writing guidance

        Emphasis on clinical management, disease control, and public health. You can choose 5 from 10 available questions. Short-answer, bullet-point answers are fine, as opposed to a long essay (e.g. 5 bullet points). 20 marks can be given per question.

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        Example SAQ

        Question stem

        To control HIV infection in a rural community in a developing country, what three public health measures may be used to help achieve maximum effectiveness and impact? (6 marks)

        For each of these measures, describe why they are effective in preventing the spread of HIV. (14 marks)

        Answer key

        The answer might discuss three of the following interventions:

        • syndromic treatment of sexually transmitted disease (STD): how clinical trials have shown efficacy in HIV prevention
        • provision of free condoms in STD clinics: how this may be achieved and what evidence there is for effectiveness
        • health advice concerning the mode of HIV transmission: the best way to provide this
        • male circumcision: how this may be achieved and what evidence there is for effectiveness
        • provision of antiretroviral therapy: what evidence there is for effectiveness
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    Tropical Medicine Societies

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    KEMRI course