NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
NEPHROLOGY
PAPER-II
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Time: 3 hoursNEPH/J/20/20/II
Max. Marks:100
Important Instructions:
Attempt al questions in order.
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Each question carries 10 marks.Read the question careful y 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 al the parts of a single question together.
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Start the answer to a question on a fresh page or leave adequate space between two answers.Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:
1. Lupus Nephritis:
5+5
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a) Describe International Society of Nephrology / Renal Pathologyclassification of Lupus Nephritis, 2018.
b) Management of refractory lupus nephritis.
2. Infection related glomerulonephritis (IRGN):
8+2
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a) Predisposing factors, pathogenesis, clinical features andmanagement.
b) IgA dominant IRGN.
3. Bone disease in chronic kidney disease:
5+2+3
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a) Evaluation and management of high turnover bone disease.b) Role of Denosumab.
c) Indications of parathyroidectomy.
4. Pregnancy and renal disease:
7+3
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a) Thrombotic microangiopathy in pregnancy.b) Long term complications of Pregnancy related AKI (PRAKI).
5. BK Virus in Renal Transplantation:
4+4+2
a) Role of screening fol owing renal transplantation and diagnosis.
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b) Risk factors and types of renal involvement.c) Management of BK Virus nephropathy.
6. Emphysematous pyelonephritis:
5+5
a) Describe CT classification.
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b) Emergency management of emphysematous pyelonephritis in adiabetic.
7. Extracorporeal therapies:
5+5
a) Discuss its role in sepsis.
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b) Discuss its role in acute poisoning.P.T.O
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
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FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
NEPHROLOGY
PAPER-II
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8. IgG4 related disease:2+5+3
a) Definition.
b) Renal presentations and pathogenesis.
c) Management of IgG4 disease.
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9. Renal stones:4+3+3
a) Mechanism of stone formation in urinary system.
b) Relevance and management of Struvite stone in urinary system.
c) Medical management of recurrent uric acid stone in urinary
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system.10. Renal transplantation:
5+5
a) Strategies to improve donor pool in transplantation.
b) Renal transplantation from HCV positive donor.
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
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