Download DNB 2019 Dec 2019 Dec NEPHROLOGY PAPER II Question Paper

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FINAL EXAM

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DECEMBER 2019

Time: 3 hours

Max. Marks:100

NATIONAL BOARD OF EXAMINATIONS

NEPHROLOGY

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Important Instructions:

1. Attempt all questions in order.
2. Each question carries 10 marks.
3. Read the question carefully and answer to the point neatly and legibly.
4. Do not leave any blank pages between two answers.

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5. Indicate the question number correctly for the answer in the margin space.
6. Answer all the parts of a single question together.
7. Start the answer to a question on a fresh page or leave adequate space between two answers.
8. Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

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1. a) Remote organ effects in acute kidney injury (AKI). 5+5
   b) Contrast—associated AKI: does it exist and what we tell patients.
2. a) An approach to a patient with cystic kidney diseases. 5+5
   b) Discuss briefly the management of autosomal dominant polycystic kidney disease (ADPKD).
3. a) How to approach a pregnant lady with acute kidney injury? 3+(3+4)
   

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   b) Describe briefly about immunosuppression and outcomes of pregnancy in a renal allograft recipient.
4. a) Prevalence, screening and diagnosis of cognitive dysfunction in ESRD patients. 5+5
   b) Describe possible mitigators and treatment for cognitive decline amongst patients on dialysis.
5. a) Haemodialysis associated infections 5+5
   b) How can we prevent and treat?

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6. a) What is ultrafiltration failure (UFF) in peritoneal dialysis? 3+3+4
   b) What are the different methods of peritoneal equilibration test (PET)?
   c) How will you approach a patient with UFF?
7. Oral direct anti-viral therapy for hepatitis C virus (HCV) treatment before and after kidney transplant. 5+5
8. a) How will you approach and treat steroid resistant nephrotic syndrome? 5+5
   

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   b) Write a short note on relevance of genetic testing for steroid resistant nephrotic syndrome.
9. a) Perioperative immunization for organ transplant recipient. 5+5
   b) Prophylaxis protocol for post-transplant opportunistic infection.
10. a) Clinical relevance of Non-HLA antibodies. 5+5
    b) Clinical relevance of donor specific cell free DNA in kidney transplant rejection.

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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL