FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2016
POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
NEPHROLOGY
PAPER II
NEPHRO/D/16/20/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. Complications of renal biopsy.
Various immuno-fluorescence patterns of renal diseases.
Role of electron microscopy in renal disease evaluation.

2. Anti PLA2 receptor antibodies.
Enumerate secondary causes of membranous nephropathy.
Algorithm for treatment of membranous nephropathy.

3. Define AKI.
Approach to a patient with AKI.
Complications of AKI.

4. KDIGO classification of CKD.
Etiology of CKD in India.
Various epidemiological studies done in India related to CKD.

5. Classification of lupus nephritis
Trials related to treatment of LN.
3+7
6. Antibody mediated rejection: Diagnosis, risk factors and
management.

7. Light chain associated renal disorders.
Management of cast nephropathy.
7+3
8. Approach to renal anemia.
Clinical practice guidelines in management of renal anemia.
Newer drug therapies for renal anemia.

9. Pathogenesis of hepatorenal syndrome (HRS).
Management of HRS.
Role of liver support (MARS).

10. Complications of continuous ambulatory peritoneal dialysis:
Infectious complications: diagnosis and management
Non-infectious complications: diagnosis and management.
5+5