This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
[{'content': 'The renal biopsy of a 6–year–old boy with recurrent gross hematuria shows IgA nephropathy. The urinary protein excretion is 130 mg/day. Which of the following is the most appropriate next step in the management – \nSelect and explain. \nA. Administer corticosteroids, B. Give Azathiopiine, C. Start Cyclosporine, D. Urinary bag sample', 'role': 'user'}, {'content': 'Answer: A \nExplanation: T/T of IgA nephropathy\n\nThere is no proven tit for IgA nephropathy.\nThe primary t/t is proper blood pressure control.\n\nThe drugs which have been proved useful are:-\ni) \xa0Fish oil (It contains omega - 3 fatty acids).\n\nIt is an anti-inflammatory agent and it prevents the rate of renal progression.\n\nii)\xa0\xa0 Immunosuppressive therapy -\n\nIt is done with corticosteroids with or without cytotoxic therapy.\n\niii) ACE inhibitors and Angiotensin II receptor antagonists -\n\nTheir role in reducing proteinuria and retarding the rate of renal progression is still to be determined.\n\niv) Prophylactic antibiotics and tonsillectomy -\n\nIt may reduce the frequency of gross hematuria but they have no effect on the progression of renal disease.', 'role': 'assistant'}]