FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2016
POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
NEPHROLOGY
PAPER III
NEPH/J/16/20/III
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. Limitation of KDIGO classification of chronic kidney diseases.
KDIGO composite staging of acute kidney injury.
5+5
2. Management of Calciphylaxis.
Treatment of uraemic pruritus.
6+4
3. Bosniak renal cysts classification
Ultrasound based diagnositc criteria of ADPKD.
Indications of Tolvaptan use in ADPKD.

4. Hypoxia inducible factor.
Fibroblast growth Factor 23.
6+4
5. URR Kt/V.
Assessment of adequacy of AV fistula for haemodialysis.
6+4
6. Role of ACE inhibitors /ARBS in chronic kidney disease.
Preprobiotics in CKD
Role of dietary protein restriction in CKD.

7. Residual renal function.
When to initiate a patient on chronic maintenance dialysis.
6+4
8. Acceptable GFR in living donors.
Acceptability of donors with history of malignant disease.
Long-term outcome of live kidney donors.

9. Enumerate the methods available to assess human hemocyte
sensitization.
How will you proceed to desensitization?
6+4
10. Transplant glomerulopathy.
CMV prophylaxis protocol post renal transplant.
5+5