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: Medicine
[{'content': 'A 4 year old child is brought to the clinic with slowly progressive edema following an upper respiratory tract infection. Urine analysis of the child showed massive(more than 3dm/d) proteinuria and oval fat bodies. Which of the following is not a feature of the childs underlying condition ? \nSelect and explain. \nA. Hyperlipidemia, B. Hypercoagulability, C. Decreased fibrinogen, D. Albuminuria', 'role': 'user'}, {'content': "Answer: C \nExplanation: Child is most likely suffering from nephrotic syndrome. It is associated with increased fibrinogen levels. Characteristic features of nephrotic syndrome are proteinuria ( 3gm/ 24 hours), hypoalbuminemia, peripheral edema, hyperlipidemia and presence of oval fat bodies in the urine. Complications of nephrotic syndrome are hyperlipidemia, thrombosis, vitamin D deficiency, infection, hypoalbuminemia, malnutrition and anemia. Reference: Harrison's Principles of Internal Medicine, 18th Edition chapter 283.", 'role': 'assistant'}]