Download DNB 2015 Dec NEPHROLOGY P I Question Paper

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2015

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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.

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• 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.

1. Write short notes on:
   1. Class - I HLA system under the following headings:
      1. Define class - I HLA system.

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      2. Structure of class - I HLA.
      3. Clinical significance of class - I HLA in health and disease.
2. Hyperkalemia under the following headings:
   1. Pathophysiology of complications of hyperkalemia.

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   2. Immediate management.
   3. Newer antihyperkalemic agents.
3. Renal diseases with their prevalence in:
   1. Rheumatoid arthritis.
   2. Sarcoidosis.

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   3. Scleroderma.
4. Vascular calcification in chronic kidney disease under the following heads:
   1. Pathology.
   2. Pathophysiology.
   3. Diagnosis.

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5. Management of chronic asymptomatic hyponatremia.
6. 1. a) Structure of the peritoneal membrane.
   2. b) Steps to preserve ultrafiltration capacity.

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7. Role of urine dipstick testing:
   1. Parameters tested.
   2. False positivity and negativity.
8. Radionuclides used in Nephrology for imaging: Clinical usage and limitations. Role of PET scan in renal patients.
9. Thin basement disease — diagnosis and outcome.

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10. Renal transplantation in Alport’s disease.
11. Type IV RTA. Secondary causes of renal tubular acidosis. Management of distal RTA.

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