This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Systemic Disorders affecting Glomerulus, Subject name: Pathology
[{'content': 'Pathological changes of diabetic nephropathy are all except: \nSelect and explain. \nA. Fibrin caps and capsular drops, B. Kimmelstein-Wilson lesion, C. Basement membrane thickening, D. Focal glomerular sclerosis', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Diabetes may cause nodular and diffuse glomerulosclerosis but not focal glomerular sclerosis. Diabetes Mellitus - |ed glucose - non enzymatic glycosylation - Advanced glycation end products - efferent aeriole - |ed filtration injury - Nodular glomerulosclerosis ( most characteristic) : Kimmelstein Wilson lesion - diffused glomerulosclerosis ( |GFR )', 'role': 'assistant'}]