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': 'All of the following are decreased in nephrotic syndrome, except – \nSelect and explain. \nA. Serum transferrin, B. Serum fibrinogen, C. Serum ceruloplasmin, D. Serum albumin', 'role': 'user'}, {'content': 'Answer: B \nExplanation: Fibrinogen level is increased in nephrotic syndrome d/t increased hepatic synthesis of fibrinogen.\nThe largest proportion of protein lost in urine is albumin.\nSometimes, globulins can also be excreted → Immunoglobulin excretion increases the susceptibility of infection.\nOther proteins which are decreased -\nTransferrin → Microcytic hypochromic anemia\n\n\nCholecalciferol binding protein → hypocalcaemia\nThyroxine-binding globulin → Decreased thyroxin level\nAntithrombin III\xa0→ Hypercoagulability\nCeruloplasmin', 'role': 'assistant'}]