This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Miscellaneous (Kidney & Uterus), Subject name: Surgery
[{'content': 'All are true about the condition shown except: \nSelect and explain. \nA. Cysts increase in size with age, B. Spider leg deformity, C. Anemia, D. Low Renin due to pressure atrophy of JG apparatus', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Ans. (d) Low Renin due to pressure atrophy of JG apparatus* The picture shows autosomal dominant polycystic kidneys in which there is progressive enlargement of cysts with new ones developing with age. The IVU shows a spider leg deformity of the calyces.* The damage to the kidney results in decrease in amount of erythropoietin leading to normocytic normochromic anemia.* The damage to the kidney results in development of reduction in GFR and positive feedback to R.A.A.S system results in increase in renin levels as well as high Blood pressure.', 'role': 'assistant'}]