FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2015
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NEPHROLOGYPAPER - I
NEPH/D/15/20/1
Time : 3 hours
Max. Marks : 100
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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:
- Class - I HLA system under the following headings:
- Define class - I HLA system.
- Structure of class - I HLA.
- Clinical significance of class - I HLA in health and disease.
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- Class - I HLA system under the following headings:
- Hyperkalemia under the following headings:
- Pathophysiology of complications of hyperkalemia.
- Immediate management.
- Newer antihyperkalemic agents.
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- Renal diseases with their prevalence in:
- Rheumatoid arthritis.
- Sarcoidosis.
- Scleroderma.
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- Vascular calcification in chronic kidney disease under the following heads:
- Pathology.
- Pathophysiology.
- Diagnosis.
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- Management of chronic asymptomatic hyponatremia.
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- a) Structure of the peritoneal membrane.
- b) Steps to preserve ultrafiltration capacity.
- Role of urine dipstick testing:
- Parameters tested.
- False positivity and negativity.
- Radionuclides used in Nephrology for imaging: Clinical usage and limitations. Role of PET scan in renal patients.
- Thin basement disease — diagnosis and outcome.
- Renal transplantation in Alport’s disease.
- Type IV RTA. Secondary causes of renal tubular acidosis. Management of distal RTA.
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POSSESSION / USE OF CELL PHONES IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
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