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
A 9 year old boy has steroid dependent nephrotic syndrome for the last 5 year. The patient is markedly cushingoid with blood pressure of 120/86 mmHg and small subcapsular cataracts. The most appropriate therapy of choice is – 
Select and explain. 
A. Longterm frusemide with enalapril, B. Cyclophosphamide, C. Intravenous immunoglobulin, D. Intravenous pulse corticosteroids
B: Cyclophosphamide
Answer: B: Cyclophosphamide 
Explanation: If a steroid dependent patient develops severe corticosteroid toxicity (Cushingoid toxicity, hypertension cataracts and or growth failure), then alternatives available are
a) Cyclophosphamide        
b) Cyclosporine                                                                                                                                                                                                                         
c) Tacrolimus             
d) Mycophenolate 
e) Levamisole
Treatment of Nephrotic syndrome