FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2018

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
NEPHROLOGY
PAPER-II
NEPHRO/J/18/20/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. Causes and clinical features of acute interstitial nephritis

Approach to a patient with AIN.
Management of AIN.

2. Risk factors for cardiovascular disease in CKD.
Role of life style modification in patients with CKD.
Left ventricular hypertrophy in CKD.

3. Describe various kidney /ear syndromes.
Discuss the value of fundus examination in Nephrology.
5+5
4. Various pharmacological and non-pharmacological
interventions in prevention of acute kidney injury
Non-dialytic management of AKI
5+5
5. Factors that affect the solute clearance of a Haemodialyzer.
Assessment of Haemodialysis adequacy.
5+5
6. Discuss the non-infectious complications of peritoneal
dialysis.
Nutritional management of a patient on PD.
5+5
7. IgA nephropathy:
Pathogenesis
Clinical trials related to immunosuppression
4+6
8. Vascular calcification:
Pathogenesis in CKD
Evaluation
Management

9. AV fistula for hemodialysis:
Clinical assessment of functional status
Complications
Percutaneous endovascular interventions

10. Women and kidney disease:
Discuss the various renal disorders specific to women
Birth weight and Nephron dosing.
5+5