FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2017

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
NEPHROLOGY
PAPER II
NEPHRO/J/17/20/II
Time 3 hours
Max. Marks 100
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.
Write short notes on:
1. Disseminated Intravascular Coagulation:
Definition.
Pathogenesis.
Clinical features.
Management.

2. Ischaemic nephropathy:
Definition.
Clinical features.
Investigations.
Treatment.

3. Polyuria: Definition, causes, approach to diagnosis and
principles of management.

4. Renal tuberculosis: Clinical features management.
Nail-patella syndrome.
6+4
5. Vascular access for haemodialysis:
Classification.
Advantages and disadvantages of the various types.
Principles of management of secondary fistula failure.

6. C3 glomerulopathy:
Classification.
Clinical features.
Lab investigations and renal histology.
Treatment.

7. Enumerate the causes of AKI in pregnancy.
Pathophysiology, clinical features and treatment of peripartum
HUS.

8. Recurrence of primary disease in transplant kidney:
Causes of early recurrence.
Cause of late recurrence.
Clinical features and management of recurrent primary
FSGS in transplant kidney.

9. Glucose sparing osmotic agents for peritoneal dialysis
solution:
Need for such agents.
Preparations available.
Current status of clinical usage of these agents.

10. Peritoneal dialysis catheteter placement techniques.
Treatment of renal amyloidosis.
5+5