Download DNB 2019 June NEPHROLOGY NEPHROLOGY PAPER 1 Question Paper

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FINAL EXAM

JUNE 2019

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NEPHROLOGY

PAPER-I

Time: 3 hours NEPH/J/19/20/1 Max. Marks:100

Important Instructions:

• Attempt all questions in order.

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• Each question carries 10 marks.
• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.

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• Start the answer to a question on a fresh page or leave adequate space between two answers.
• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. 1. Uric acid handling in kidney. (5+5)
   2. Management of hyperuricemia and gout in chronic kidney disease.

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2. Cystic kidney diseases:
   1. Classification. (3)
   2. Pathogenesis of ADPKD. (7)
3. 1. Epidemiology of acute kidney injury (AKI). (6)

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   2. Management of critically ill patient with AKI in an ICU setting. (4)
4. Complete urine analysis. (10)
5. Renal Tubular Acidosis-Type IV:
   1. Pathophysiology (5)
   2. Management (5)

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6. 1. Immunological evaluation of a patient with kidney disease. (5)
   2. Complement cascade: (5)
7. Renal biopsy:
   1. Indications (2)

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   2. Handling of specimen (2)
   3. Tissue staining methods and morphological assessment (3)
   4. Role of electron microscopy in renal diseases. (3)
8. 1. Nutrition assessment in CKD. (6)

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   2. DASH and Mediterranean Diet in CKD. (4)
9. 1. Study designs, bias and confounding. (5)
   2. RCTs in diabetic nephropathy. (5)

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10. 1. Structure and functions of mesangium. (5)
    2. Glomerular basement membrane: structure, age and sex variation. (5)

POSSESSION/USE OF CELL PHONES IS NOT PERMITTED INSIDE THE EXAMINATION HALL.

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