Download DNB 2017 Dec NEPHRO NEPHRO PAPER I Question Paper

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DECEMBER 2017

NEPHROLOGY

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PAPER - I

Time : 3 hours NEPHRO/D/17/20/1 Max. Marks :100

Important instructions:

1. Attempt all questions in order.
2. Each question carries 10 marks.

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3. Read the question carefully and answer to the point neatly and legibly.
4. Do not leave any blank pages between two answers.
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.

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8. Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. Euvolemic hyponatremia: 5+5

   1. Enumerate causes
   2. Management of SIADH

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2. T-Regulatory cells: 4+6

   1. Normal function
   2. Role in renal transplantation

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3. a) Functional iron deficiency anaemia 5+5

   b) Role of hepcidin in iron metabolism

4. a) Current status of biomarkers-in glomerular diseases 5+5

   b) Study end-points in glomerular diseases

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5. a) Causes of diuretic resistance 5+5

   b) Management of diuretic resistance

6. a) Role of FGF-23; Klotho & PTH axis in chronic kidney 5+5 diseases.

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   b) Changes in FGF-23 and PTH post transplant

7. a) Three-pore model of peritoneal membrane 5+5

   b) Concept of sodium sieving

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8. a) Concept of urinary anion-gap 5+5

   b) Furosemide/Fludocortisone test for urinary acidification

9. a) Juxta-glomerular apparatus 5+5

   b) Role of tubuloglomerular feedback in health and disease

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10. BK virus nephropathy: 5+5

    1. Role of BKV screening in pre and early post transplant period.
    2. Management of BK virus nephropathy.

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

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