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
Risk of kernicterus is increased in all except ? 
Select and explain. 
A. Low level of serum albumin, B. Prematurity, C. Acidosis, D. High levels of serum albumin
D: High levels of serum albumin
Answer: D: High levels of serum albumin 
Explanation: Ans. is 'd' i.e., High level of serum albumin o The toxic effects of elevated serum levels of unconjugated bilirubin are increased by following factors ? Hypoproteinemia (.1 albumin) --> Normally unconjugated bilirubin binds to albumin in circulation. If the level of albumin decreases, concentration of free unconjugated bilirubin will increase.