FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016
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NEPHROLOGY
PAPER - I
NEPHRO/D/16/20/1
Time : 3 hours Max. Marks : 100
Important instructions:
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- 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) Physiology of renal autoregulation. 5+5
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b) Relevance of renal autoregulation in clinical conditions, especially with AKI. - Pododcyte: Structure, functions and its clinical significance in health & disease. 3+3+4
- Hypomagnesemia: Causes, manifestations, investigations and treatment. 4+2+2+2
- a) Development of kidney and urinary tract. 8+2
b) Enumerate structural anomalies of kidneys. - a) Pathophysiology of distal RTA: 5+5
b) Clinical and metabolic consequences of RTA. - a) Etiology of lactic acidosis. 5+5
b) Approach to a patient with lactic acidosis. - a) Common clinical research study designs. 5+5
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b) Phases in clinical trials. - Vascular calcification in CKD: Pathogenesis, diagnosis and management. 3+4+3
- a) Methods of estimation of serum creatinine 2+8
b) Methods of estimation of GFR. - Moderately increased albuminuria in diabetes: 2+3+3+2
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a) Etiology
b) Limitations
c) Natural history in type II diabetes
d) Clinical trials to prevent progression to macroalbuminuria in phase II diabetes.
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