DNB 2019 Dec Previous Question Papers-(Diplomate of National Board) Under NBE
DECEMBER 2019
NEPHROLOGY
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PAPER-I
Time: 3 hours NEPH/D/19/20/1 Max. Marks:100
Important Instructions:
- Attempt all questions in order.
- 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.
- Start the answer to a question on a fresh page or leave adequate space between two answers.
- Draw table/diagrams/flowcharts wherever appropriate.
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Write short notes on:
- a) Vascularization and innervation of the kidneys. 5+5
b) Describe the structural and functional changes with clinical relevance to aging kidneys. - a) Describe the determinants of Glomerular Filtration Rate (GFR). 5+5
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b) Compare and contrast different methods of measured Glomerular Filtration Rate (GFR). - Discuss pathophysiology of acute kidney injury(AKI) with detailed reference to its experimental models. 10
- Pathophysiology of hyperphosphatemia in Chronic Kidney Disease (CKD). 10
- Describe complement pathways and complement mediated glomerular diseases. 5+5
- a) Describe renin angiotensin system. 5+5
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b) Explain the role of renin angiotensin aldosterone pathway blockade in diabetic nephropathy. - a) Describe reverse osmosis (RO) water plant system for a dialysis unit. 4+2+4
b) How ultrapure water is different from RO water?
c) Write a note on extracorporeal management of poisoning. - a) Classify renal tubular acidosis. 2+(2+2+2+2)
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b) Discuss the approach, clinical features, laboratory diagnosis and management of distal renal tubular acidosis. - a) Describe innate and adaptive immune system? 5+5
b) Write a short note on tolerance of allograft. - Describe approach and management of metabolic alkalosis. 5+5
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE
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