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: Pathology
[{'content': "Cholemicnephrosis seen in ? \nSelect and explain. \nA. Addison's disease, B. Hemochromatosis, C. Hemochromatosis, D. Obstructive jaundice", 'role': 'user'}, {'content': "Answer: D \nExplanation: Ans. is 'd' i.e., Obstructive jaundiceCholemicNephrosis 'Jaundice related Neuhropathyl Cholemicnephrosis is used to describe the renal failure in patients with obstructive jaundice, paicularly after renal transplantation.Diagnosis is made on light microscopy by presence of typical bilirubin casts.Altered hemodynamics and bile toxicity to tubular epithelial cells is the probable cause for renal failure in such patients.Patients usually have hepatorenal syndrome, reduced glomerular filtration rate and increased concentration of bile salts and bilirubin in urine.", 'role': 'assistant'}]