Download DNB 2015 Dec NEPHROLOGY P III Question Paper

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS

DECEMBER 2015

NEPHROLOGY

PAPER - III

NEPH/D/15/20/111

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Time : 3 hours

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.

1. Write short notes on:
   1. Acquired renal cystic disease under the following heads:
      1. Diagnosis
      2. Prevalence
      3. Complications
      4. Management

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   2. Registries (National and International) as research tool.
   3. The Transplantation of Human Organs and Tissues Act, 2011 under the following heads:
      1. Important differences from THOA, 1994
      2. Salient requirements of a centre to be recognized for transplantation.

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2. 1. Steroid avoidance in renal transplant - pros and cons.
   2. Clinical usage of mTOR inhibitors in renal transplant patients.
3. Hemodialfiltration in maintenance dialysis patients under the following headings:
   1. Technical requirements.

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   2. Global usage pattern.
   3. Clinical outcomes.
4. ABO incompatible renal transplants under the following headings:
   1. Historical perspective.
   2. Current clinical protocols.

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   3. Outcomes as compared to compatible renal transplantation.
5. Vaccinations under the following headings:
   1. Chronic kidney disease — predialysis and dialysis patients.
   2. Vaccinations to be avoided in post renal transplant patients.

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6. 1. Revised Chapel-Hill classification of vasculitis.
   2. Mention the important differences from the previous classification.
7. 1. Enumerate the markers of iron status in CKD with their normal values.
   2. Diagnosis and treatment of iron overload.

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   3. Newer erythropoiesis stimulating agents.
8. 1. Diagnosis and treatment of myeloma kidney.

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

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