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: Unknown
[{'content': "Hepatorenal syndrome characterised by all except: \nSelect and explain. \nA. No proteinuria, B. Normal intrinsic' kidney., C. Liver failure, D. Urine osmolality less than plasma osmolality", 'role': 'user'}, {'content': "Answer: D \nExplanation: Renal failure consequent on liver failure can occur in cirrhosis. The kidney's they are intrinsically normal and renal failure is thought to result from altered systemic blood flow including diminished renal blood flow:\n• It occurs in advanced cirrhosis at most alwaysand ascites\n\xa0\nAbsence of proteinuria or abnormal urinary sediment.\n\xa0\nUrine sodium excretion below lOmmol/day.\n\xa0\nSerum Na t- concentration < 130 m Eq/L?\n\xa0\nUrinary osmolality greaterthan\n\xa0\nplasma osmolality.\n\xa0\nUrine volume < 500 ml/day.", 'role': 'assistant'}]