This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Urinary tract, Subject name: Pathology
[{'content': 'Most specific histological lesion in diabetic nephropathy is- \nSelect and explain. \nA. Glomerular crescents, B. Immune complex deposition, C. Occlusion of glomeruli with fibrin caps, D. Nodular glomerulosclerosis', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Nodular lesions of diabetic glomerulosclerosis are also called as Kimmelstiel- Wilson (KW) lesions or intercapillary glomerulosclerosis. These lesions are specific for type 1 diabetes (juvenile onset diabetes) or islet cell antibody-positive diabetes mellitus. The pathologic changes consist of one or more nodules in a few or many glomeruli. the nodule is an ovoid or spherical, laminated, hyaline, acellular mass located within a lobule of the glomerulus. Ref: Harsh Mohan textbook of pathology 6th edition page678', 'role': 'assistant'}]