Download DNB 2020 December Nephrology Paper I Question Paper

Download Diplomate of National Board (DNB) 2020 December Nephrology Paper I Question Paper

FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2020
NEPHROLOGY
PAPER-I
Time: 3 hours
NEPHRO/D/02/20/I
Max. Marks:100
Important Instructions:
You are provided with 5 answer sheet booklets. Each individual answer sheet booklet consists
of 10 pages excluding the covering jackets.
Answers to all the questions must be attempted within these 5 answer sheet booklets which
must be later tagged together at the end of the exam.
No additional supplementary answer sheet booklet will be provided.
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.

Write short notes on:

1.
a) Water handling by kidney.

4+3+3
b) Etiology of hyponatremia.
c) Management of hypovolemic hyponatremia.
2.
a) Dialysis adequacy in hemodialysis.

5+5
b) Different trials in hemodialysis adequacy.
3.
a) Podocyte pathophysiology.

5+5
b) Podocyte involvement in minimal change disease and FSGS.
4.
a) Role of antigen presenting cell in transplant immunology.

5+5
b) Different types of cross-match and their relevance.
5.
a) Glomerular ultrafiltration pressure.

2+3+5
b) Factors affecting GFR.
c) Conditions where single nephron GFR is increased.
6.
a) Implications of FGF-23 in chronic kidney disease-mineral bone disease.
5+5
b) Adynamic bone disease in chronic kidney disease and its management.
7.
a) Illustrate juxta-glomerular apparatus.

3+4+3
b) Tubuloglomerular feedback.
c) Glomerulotubular balance.
8.
a) Structure of peritoneal membrane.

5+5
b) Conditions associated with filtration failure.
P.T.O.

-1-
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
DECEMBER 2020
NEPHROLOGY
PAPER-I

9.
a) Define chronic kidney disease of unknown origin (CKDu).

2+4+4
b) Status of CKDu in India.
c) Study for assessing CKDu in a village.
10.
a) Sodium glucose transporters in kidney.

5+5
b) Effects of SGL receptor inhibitor.
*************
-2-
POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.

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