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: Pediatrics
[{'content': 'A 2 years old child comes with one-year h/o of generalised oedema. His B.P. is 107/70mm urine examination shows hyaline cast, proteinuria +++, WBC & RBC are nil. the likely diagnosis is – \nSelect and explain. \nA. Selective proteinuria, B. Uremia, C. Focal segmental glonurulosclerosil, D. Low serum complement level', 'role': 'user'}, {'content': "Answer: A \nExplanation: It is a case of nephrotic syndrome due to minimal change disease (MCD).\nMCD is the most common cause of nephrotic syndrome in children*\n\nMicroscopic findings of urine in MCD\nProteinuria\n\nPrincipally albumin (which is a low molecular weight protein)\nHigh molecular weight proteins are seen in minimal amounts.\nThis type of proteinuria is known as selective proteinuria.\nWBC → Absent\nRBC → Absent\nthe hyaline cast → can be seen\nFocal segmental Glomerulosclerosis can also cause nephrotic syndrome but the urine examination in these patients will reveal protein, WBC's and RBC's.", 'role': 'assistant'}]