This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Kidney, Subject name: Medicine
A patient with nephrotic syndrome on longstanding coico-stroid therapy may develop all the following except - 
Select and explain. 
A. Hyperglycemia, B. Hypehrophy of muscle, C. Neuropsychiatric symptoms, D. Suppression of Hypothalemic pituitary adrenal axis
B: Hypehrophy of muscle
Answer: B: Hypehrophy of muscle 
Explanation: takingoral coicosteroids longer term, you may experience: Clouding of the lens in one or both eyes (cataracts) High blood sugar, which can trigger or worsen diabetes,neuropsychosis symptoms, suppression hypothalamic neuropitutary axis Increased risk of infections, especially with common bacterial, viral and fungal microorganisms. Ref Harrison20th edition pg 267