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
Most common renal condition in HIV patient is- 
Select and explain. 
A. Membrano proliferative glomerulonephritis, B. Focal segmental glomerulosclerosis, C. Membranous glomerulonephritis, D. Difftise proliferative glomerulonephritis
B: Focal segmental glomerulosclerosis
Answer: B: Focal segmental glomerulosclerosis 
Explanation: About 50%of HIV -infected patients with kidney disease have HIV -associated nephropathy (HIVAN) on biopsy. The ledion in HIVAN is FSGS, and present with nephrotic range proteinuria and hypoalbuminemia. They do not commonly have edema, hypeension or Hyperlipidemia In HIV -infected patients not yet on therapy .the presence of HIVAN is an indication to sta anti retroviral therapy. Ref:Harrison 20 th edition pg no 2149