This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: All India exam, Subject name: Pathology
Among patients who require nutritional resuscitation in an intensive care unit, the best evidence that nutritional suppo is adequate is 
Select and explain. 
A. Urinary nitrogen excretion levels, B. Total serum protein level, C. Serum albumin level, D. Serum transferrin levels
C: Serum albumin level
Answer: C: Serum albumin level 
Explanation: .Because of its relationship to inflammation, serum albumin is no longer considered a good indicator of malnutrition or protein repletion. .However, a decreased serum albumin is considered an indicator of morbidity and moality and persons with low albumin levels are sometimes at nutritional risk for other reasons. ref Robbins 9/e pg 345