Download RGUHS Fellowship Examination 2024 August 4383 Interventional Nephrology Paper I Question Paper

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Rajiv Gandhi University of Health Sciences, Karnataka

Fellowship Examination - 22-Aug-2024

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Time: 3 Hours Max. Marks: 100

INTERVENTIONAL NEPHROLOGY - PAPER -1

QP Code: 4383

Your answers should be specific to the questions asked

Draw neat labeled diagrams wherever necessary

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Answer All The Questions 10 X 10 = 100 Marks

1. Arterio venous access surgery
   1. Tools
   2. Technique
   3. Pitfalls - complications and managing them
   4. Forearm basilic vein AVF

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2. Vascular ACCESS SURVEILLANCE & MONITORING
   1. Vascular access examination
   2. Role of access surveillance
   3. Tips, Tools and emerging concepts of access surveillance

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3. Failure to mature AVF-Management
   1. Definition
   2. Endovascular
   3. Surgical
4. Large Fistulas : Management of size and Outflow
   1. Flow reduction surgery and Aneurysmoraphy

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   2. Endovascular Management of Large Fistulas
5. How do we make the procedures safe and clean?
   1. Steps of Antisepsis
   2. Role of Sterile Ultrasound Gel
   3. Novel Antiseptics and delivery systems

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6. Salvage of failing access techniques
   1. Codigo Fistula
   2. Percutaneous Technique
   3. Is there a role for surgery
   4. Cost-effectiveness of vascular-access salvage

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7. Drug coated balloons:
   1. Types
   2. Indications
   3. Techniques of usage
   4. Trials on DCB

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8. Tunneled catheter insertion
   1. Steps of insertion
   2. Preserving the vascular real estate
   3. Complications
   4. Unconventional TCCs

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9. Heart and circulation in CKD patients
   1. Cardiac changes after access creation
   2. High flow AVF and cardiac effects
   3. Algorithm of access selection in ESRD patients

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10. Ultrasound guided endovascular interventions
    1. Basics of Ultrasound from interventional perspective
    2. Tools
    3. Technique
    4. Pitfalls Complications and managing them

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